A newly licensed nurse commits a medication error resulting in no harm to the client.
Which of the following actions should the nurse take first?
Document the error in the client's medical record.
Notify the provider about the error.
Contact risk management about the error.
Complete an incident report.
The Correct Answer is B
Choice B rationale
The immediate priority following a medication error, even without harm, is to notify the prescribing provider. This allows the provider to assess the situation, determine if any interventions are necessary for the client, and make informed decisions about the client's ongoing care. Prompt communication ensures client safety and facilitates timely adjustments.
Choice A rationale
Documenting the error in the client's medical record is crucial for legal and professional accountability, and for continuity of care. However, it should occur after the provider has been notified and any immediate client safety concerns have been addressed. The initial focus is on client well-being and assessment.
Choice C rationale
Contacting risk management is an important step in the institutional process for addressing errors, facilitating analysis and prevention of future incidents. However, direct notification of the provider takes precedence because it directly impacts the client's immediate care and allows for prompt clinical assessment and decision-making regarding the client's condition.
Choice D rationale
Completing an incident report is a procedural step for internal tracking, analysis, and quality improvement. While essential for organizational learning and preventing recurrence, it is secondary to ensuring the immediate safety and clinical management of the client by notifying the provider first.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While a formal meeting is necessary, scheduling it within 72 hours might not be immediate enough to address the potential danger posed by a chemically impaired nurse. The immediate priority is to ensure the safety of the nurse and clients, which necessitates prompt removal and ensuring safe transport.
Choice B rationale
Ensuring a safe way for the nurse to get home is an immediate and appropriate action. This prioritizes the nurse's safety and prevents potential harm, such as driving under the influence. It also demonstrates a duty of care, preventing the nurse from causing harm to themselves or others.
Choice C rationale
Searching a nurse's belongings for controlled substances without proper legal authorization or clear policy guidelines could violate the nurse's privacy rights and potentially lead to legal issues for the facility. This action is generally not the first or most appropriate step in such a situation.
Choice D rationale
Documenting the nurse's behavior in detail is crucial for subsequent actions, but it is not the immediate priority when removing a potentially impaired nurse. Documentation occurs concurrently or immediately after the primary action of ensuring safety and removing the nurse from the care environment.
Correct Answer is A
Explanation
Choice A rationale
Lifelong learning involves continuous acquisition of knowledge and skills, which directly enhances a nurse's competency and critical thinking abilities. This ongoing professional development enables nurses to incorporate evidence-based practices and adapt to evolving healthcare demands, ultimately leading to improved patient safety, quality of care, and overall client outcomes.
Choice B rationale
While acquiring an advanced degree certainly contributes to lifelong learning and competency, it is not the sole or recommended means to maintain competency throughout a nursing career. Lifelong learning encompasses a broader range of activities, including continuing education units, professional workshops, self-study, and participation in professional organizations, not exclusively formal degree programs.
Choice C rationale
Belonging to a professional nursing organization can facilitate lifelong learning through access to journals, conferences, and networking opportunities. However, it is not an absolute essential requirement for continuing lifelong learning. Nurses can engage in self-directed learning, utilize online resources, and participate in employer-sponsored education to maintain their professional growth.
Choice D rationale
Lifelong learning in nursing extends beyond merely acquiring new technical skills. It encompasses the development of critical thinking, clinical judgment, ethical reasoning, and communication skills, as well as staying current with healthcare policy and research. It is a holistic approach to professional growth, not limited to psychomotor abilities.
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