A nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient, and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?
Prescriber
Pharmacist
Nurse
No fault
The Correct Answer is C
Rationale:
A. The prescriber is responsible for writing a clear and legible order, but the nurse should have clarified before administering.
B. The pharmacist helps verify medication orders but does not administer the medication.
C. The nurse is ultimately responsible for ensuring the order is clear and safe before administration. Administering a drug without clarification makes the nurse accountable for the error.
D. Errors are not considered “no fault”; accountability and corrective action are necessary to protect patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Eye ointment should be applied in a thin line along the lower conjunctival sac, moving from the inner canthus to the outer canthus, to prevent contamination and allow even distribution.
B. Applying from outer to inner canthus can carry microorganisms toward the lacrimal duct, increasing the risk of infection.
C. A cotton swab should not be used; the ointment is applied directly from the tube to reduce contamination risk.
D. Ointment should not be placed directly on the eyeball surface, as this may cause injury and discomfort.
Correct Answer is A
Explanation
Rationale:
A. Tracheal suctioning is the most appropriate intervention for a patient with a tracheostomy and thick, tenacious secretions. It directly clears the airway through the tracheostomy tube.
B. Nasotracheal suctioning is used for patients without a tracheostomy to access the lower airway through the nasal passage.
C. Orotracheal suctioning is also intended for patients without a tracheostomy and is more invasive.
D. Oropharyngeal suctioning clears secretions from the mouth and throat only, not the trachea, and is insufficient for maintaining a tracheostomy airway.
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