A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

The name of the provider who prescribed the medication

The time the client was to receive the medication

The date of the Incident

The client's vital signs

The potential adverse effects of the medication

Answer and Explanation

Correct Answer : B,C

Rationale:

A. The name of the provider who prescribed the medication is not necessary for the variance report; focus should be on the incident itself.

B. The time the client was to receive the medication should be included to document the discrepancy accurately.

C. The date of the incident is essential for accurate record-keeping and follow-up.

D. The client's vital signs are not relevant to the variance report about the missed medication unless directly related to the incident.

E. The potential adverse effects of the medication are not typically included in the incident report but might be noted in the client's ongoing care plan.

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Correct Answer is D

Explanation

A. WBC 6,000/mm³ is within normal range and does not require follow-up.

B. BUN 15 mg/dL is within normal range and does not require follow-up.

C. Hemoglobin 14 g/dL is within normal range for most adults and does not require follow-up.

D. Platelet count 60,000/mm³ is significantly low and requires follow-up as it can increase the risk of bleeding during surgery.

A. A client who was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output B. A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 68 mg/dL C. A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache D. A client who was administered acyclovir for cellulitis reports pain in the affected leg

Correct Answer is B

Explanation

Rationale:

A. A client who was administered erythromycin for acute glomerulonephritis and reports reddish-brown urinary output requires assessment for possible drug reaction or hematuria, but this may not be immediately life-threatening compared to hypoglycemia.

B. A client who was administered glipizide for type 2 diabetes mellitus and has a blood glucose of 68 mg/dL is at risk for hypoglycemia, which requires prompt assessment and intervention to prevent severe complications.

C. A client who was administered adalimumab for Crohn's disease, has a serum calcium level of 10 mg/dL, and reports a headache should be assessed, but the calcium level and headache are less urgent compared to immediate treatment needs for hypoglycemia.

D. A client who was administered acyclovir for cellulitis reports pain in the affected leg may require assessment for infection or medication side effects, but this is less critical than addressing hypoglycemia.

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A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is reviewing the laboratory findings for a client who is scheduled for surgery. Which of the following findings requires follow up by the nurse?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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