A nurse is caring for a group of clients. Which of the following situations requires an incident report?
A client experiences a seizure.
A client vomits after receiving an oral medication.
A client receives their insulin 1 hr before scheduled.
A client receives their meal tray 20 min late.
The Correct Answer is C
Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Monoamine oxidase inhibitors (MAOIs) block the enzyme monoamine oxidase, which is responsible for breaking down tyramine in the body. When taking MAOIs, consuming high-tyramine foods can cause tyramine levels to reach dangerous levels, leading to a serious spike in blood pressure. It's important to follow a low-tyramine diet while on MAOIs and for a few weeks after stopping the medication to prevent a hypertensive crisis. The interaction has no effect on bowel habits, or arousal/wakefulness
Correct Answer is B
Explanation
Consulting a reference guide provides information on all potential interactions that may apply for the medication guide. It allows the nurse to give specific and accurate information regarding the drug at hand without generalization.
A- This does not apply to all medications
C-Asking a colleague may not be accurate
D- The clients records may not contain all the relevant information needed
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