A nurse administers medication to a patient at 0900.

Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?

4 p.m.

1600

1700

7 p.m.

Answer and Explanation

The Correct Answer is B

The nurse completed the incident report at 1600.

Step 1 is to understand the 24-hour clock format. In this format, the hours of the day run 0-23, midnight to midnight.

Step 2 is to convert the time the nurse administered the medication (0900) to the 12-hour clock format. This is 9 a.m.

Step 3 is to add seven hours to this time (the time that passed before the nurse realized a medication error had occurred). 9 a.m. + 7 hours = 4 p.m.

Step 4 is to convert this time back to the 24-hour clock format. 4 p.m. is 1600 in the 24-hour clock format.

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Correct Answer is A

Explanation

Choice A rationale
Explaining interventions prior to performing them is a key aspect of patient autonomy. It allows patients to understand what is happening to them and gives them the opportunity to ask questions or refuse treatment if they wish.
Choice B rationale
While keeping patient information private is important and is part of the ethical principle of confidentiality, it does not directly support patient autonomy.
Choice C rationale
Bringing back medication at the stated time supports the principle of beneficence (doing good) and reliability but does not directly support patient autonomy.
Choice D rationale
Providing equal care to all patients is part of the ethical principle of justice, not autonomy.

A. Respiratory acidosis. B. Respiratory alkalosis. C. Metabolic acidosis. D. Metabolic alkalosis.

Correct Answer is D

Explanation

Choice A rationale
Respiratory acidosis is characterized by a pH less than 7.35 and a PaCO2 greater than 454. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory acidosis.
Choice B rationale
Respiratory alkalosis is characterized by a pH greater than 7.45 and a PaCO2 less than 354. In this case, the pH is 7.43, which is within the normal range, and the PaCO2 is 46, which is slightly above the normal range. Therefore, this does not indicate respiratory alkalosis.
Choice C rationale
Metabolic acidosis is characterized by a pH less than 7.35 and a HCO3 less than 224. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this does not indicate metabolic acidosis.
Choice D rationale
Metabolic alkalosis is characterized by a pH greater than 7.45 and a HCO3 greater than 264. In this case, the pH is 7.43, which is within the normal range, and the HCO3 is 35, which is above the normal range. Therefore, this indicates metabolic alkalosis.

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A nurse administers medication to a patient at 0900. Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?

Nursing Test Bank

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Which of the following actions by the nurse best supports patient autonomy?

Correct Answer is A

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Interpret the following arterial blood gas: pH 7.43: HCO3 35: Paco 46.

Correct Answer is D

Explanation

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A nurse administers medication to a patient at 0900.

Seven hours later, the nurse realizes a medication error has occurred and completes an incident report. At what time, in 24-hour clock format, did the nurse complete the incident report?