Safety and Infection Control Practice Question

Question

The nurse is caring for a client in the emergency department and is focused on incident reporting scenario 7. Which nursing action is most appropriate?

Answer choices

1. A. Document objective facts in the medical record and complete the facility report separately.
2. B. Delay assessment until the next scheduled round if the client is not calling for help.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

A. Document objective facts in the medical record and complete the facility report separately.

Explanation

The priority action for incident reporting is to document objective facts in the medical record and complete the facility report separately. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: easy
• Domain: Safety and Infection Control
• Objective: incident reporting

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