A nurse is planning care for a client who is receiving morphine via continuous epidural infusion. The nurse should monitor the client for which of the following adverse effects?

A. The nurse who identifies the error:
This choice is correct. When a medication error is identified, the nurse who discovers the error is responsible for completing an incident report. Incident reports are a formal way to document any unexpected or adverse events that occur in a healthcare setting, including medication errors. The report helps track incidents, analyze their causes, and implement preventive measures. It's important for the reporting nurse to provide accurate and detailed information about the error.

B. The Quality Improvement Committee:
This choice is incorrect. While the Quality Improvement (QI) Committee plays a role in analyzing trends, identifying areas for improvement, and developing strategies to enhance patient care quality, they are not typically responsible for completing individual incident reports. The responsibility for reporting and documenting a specific incident, such as a medication error, lies with the staff members directly involved.

C. The charge nurse:
This choice is incorrect. The charge nurse is responsible for overseeing the nursing unit's operations, including staffing and patient care coordination. While the charge nurse may be involved in addressing the situation and ensuring appropriate actions are taken following a medication error, they are not necessarily responsible for completing the incident report. The reporting responsibility usually falls on the nurse who identifies the error.

D. The nurse who caused the error:
This choice is incorrect. While it's important for the nurse who caused the error to communicate the error to appropriate parties and participate in any necessary corrective actions, the primary responsibility for completing the incident report usually lies with the nurse who identifies the error. The reporting nurse's perspective is crucial for understanding the context and details of the error.

A. Use a gravity flow set:
Incorrect Explanation: Using a gravity flow set is not appropriate for administering amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex is typically administered using a dedicated infusion pump to ensure accurate control over the infusion rate and to prevent potential complications.
B. Discard the medication if it is yellow:
Incorrect Explanation: Discarding the medication solely based on its color may not be accurate for the amphotericin B lipid complex.
Explanation: Amphotericin B lipid complex may appear yellowish, and the color itself is not necessarily an indication of its potency or stability. It's important to follow specific guidelines provided by the pharmacy or manufacturer for assessing the integrity of the medication.
C. Prime the tubing with 0.9% sodium chloride:
Correct Answer: Priming the tubing with 0.9% sodium chloride is the appropriate action to ensure the medication is properly administered.
Explanation: Priming the tubing with a compatible solution, such as 0.9% sodium chloride, helps prevent the medication from adhering to the tubing and ensures that the full dose reaches the client.
D. Administer the medication over 2 hr:
Incorrect Explanation: Administering amphotericin B lipid complex over 2 hours is not the standard infusion time.
Explanation: Amphotericin B lipid complex is typically administered over a longer period, often 2-6 hours. However, the specific infusion rate and duration may vary based on the client's condition and the healthcare provider's orders.