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A Client's Surgical Wound Dehisced When a Nurse Mistakenly Removed

Question 7

Multiple Choice

A client's surgical wound dehisced when a nurse mistakenly removed the staples before this had been ordered. The nurse is distraught and acknowledges forgetting to check the client's orders and assumed the client was on a later postoperative day than the client actually was. Following root cause analysis, which organizational response is appropriate? Select all that apply.


A) The nurse's actions will be categorized as being intentionally reckless.
B) The nurse will be found to have committed a human error.
C) Systems around the documentation of orders will be reviewed.
D) The nurse will be disciplined by an impartial review board.
E) The nurse's at-risk behavior will be weighed according to standards of practice.

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