A nurse is preparing to administer a dose of ampicillin to a client. The nurse scans the medication and the client's identification band and realizes the client has a penicillin allergy. Which of the following should the nurse use to document the incident?

Medication reconciliation report

Plan of care

Root cause analysis form

Occurrence report

Answer and Explanation

The Correct Answer is D

A. Medication reconciliation is a process for reviewing medications but not used for documenting an error or adverse event.

B. The plan of care includes the overall care strategy for the client but is not for documenting medication errors.

C. Root cause analysis is conducted after a serious error, typically in a more formal investigation.

D. Occurrence reports are used to document any medication errors or adverse events in the healthcare setting for follow-up and risk management.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Frequent premature ventricular contractions (PVCs) can be caused by furosemide, as it may lead to electrolyte imbalances, especially hypokalemia.

B. Hypoglycemia is not a common adverse effect of furosemide.

C. Blood pressure 138/86 mm Hg is within the acceptable range for clients with heart failure and is not an adverse effect of furosemide.

D. Decreased LDL cholesterol and triglycerides is not an expected outcome of furosemide administration.

A. "I should not take a St. John's wort supplement." B. "I should use a hard bristle toothbrush." C. "I should get my INR checked once a year." D. "I should not eat cantaloupe while taking the medication."

Correct Answer is A

Explanation

A. St. John's wort can decrease the effectiveness of warfarin, so it should be avoided.

B. Using a hard bristle toothbrush could cause gum bleeding in clients taking warfarin and should be avoided.

C. INR should be checked regularly, not just once a year, to monitor the therapeutic range for warfarin.

D. There is no known interaction between cantaloupe and warfarin.

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A nurse is preparing to administer a dose of ampicillin to a client. The nurse scans the medication and the client's identification band and realizes the client has a penicillin allergy. Which of the following should the nurse use to document the incident?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who has heart failure and is receiving furosemide BID via IV bolus. Which of the following findings should the nurse identify as an adverse effect of the medication?

Correct Answer is A

Explanation

A nurse is teaching a client who has a prescription for warfarin. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is assessing a client who is taking combination oral contraceptives. Which of the following findings should the nurse report to the provider immediately?

A nurse is reviewing a client's medical record before administering acetaminophen 650 mg PO every 6 hr. Which of the following findings indicates a need for the nurse to notify the provider?

A nurse is preparing to assist with a procedure that requires moderate (conscious) sedation. Which of the following medications should the nurse expect to be prescribed to sedate the client?

A nurse is caring for a client who is prescribed warfarin. Which of the following actions should the nurse take?

A nurse is assessing a client who is receiving heparin via continuous IV infusion. The client has an increased aPTT level. The nurse should monitor the client for which of the following changes in their vital signs?

A nurse is caring for a client who has fluid volume deficit and is receiving intermittent IV fluid replacement therapy. Which of the following findings should the nurse identify as an indication the treatment has been effective?

A nurse is caring for a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The client is at risk for dropdown due to dropdown