the quality and risk nurse in the local hospital is performing a hospital survey on sentinel events which statements would the nurse use to best descr

ATI RN

Multi Dimensional Care | Exam | Rasmusson

1. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?

A. Operating room event involving the use of unsafe equipments
B. Specific events that enable a hospital to maximize reimbursement
C. An unexpected event involving death or serious physical or psychological injury
D. An event that can cause serious injury to a client that should never happen in a hospital

Correct answer: C

Rationale:

2. A wound has a blood-tinged liquid that is dripping from the surgical site. How does the nurse document this finding?

A. Creamy pus
B. Serous
C. Serosanguineous
D. Purulent exudate

Correct answer: C

Rationale:

3. Which of the following is NOT a risk factor for osteoarthritis?

A. Older age
B. Sports injuries
C. Obesity
D. Vegan diet

Correct answer: D

Rationale:

4. What phase of wound healing occurs at the time of injury and lasts about 3-5 days?

A. Maturation
B. Intentional
C. Inflammatory
D. Proliferative

Correct answer: C

Rationale:

5. What is the priority nursing diagnosis for a client with immobility?

A. Constipation related to immobility
B. Ineffective breathing pattern related to inability to breathe deeply in a supine position
C. Risk for impaired skin integrity as evidenced by pressure over bony prominences
D. Risk for disuse syndrome as evidenced by immobility

Correct answer: C

Rationale: The correct priority nursing diagnosis for a client with immobility is 'Risk for impaired skin integrity as evidenced by pressure over bony prominences.' Immobility predisposes the client to the development of pressure ulcers due to prolonged pressure on bony areas. Monitoring and preventing impaired skin integrity is crucial to prevent complications. Choices A, B, and D are not the priority in this case. Constipation, ineffective breathing pattern, and disuse syndrome are important but secondary to the immediate risk of skin breakdown associated with immobility.