A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

File a report with the facility to document the incident as a near miss medication error.

Contact the client's prescribing provider to report a facility medication error.

Write in the client's medical record that the nurse prevented a facility medication error.

Inform the client that medication will not be given due to a dispensary medication error.

Answer and Explanation

The Correct Answer is A

A.   Filing a report with the facility to document the incident as a near miss medication error is essential for tracking and investigating medication errors to prevent future occurrences.
B.   While contacting the prescribing provider may be necessary, the priority is to report the error internally within the facility.
C.   While documenting the nurse's actions is important, it is essential to report the error through the appropriate channels within the facility.
D.   While informing the client about the error is necessary, the immediate action should be to report the error internally within the facility.

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Correct Answer is C

Explanation

A.While medication verification is important, this is not specific to administering an intermittent IV bolus. It is standard practice for high-alert medications, not routine antibiotics.

B. Flushing the IV site with sterile water prior to connecting the secondary infusion is not standard practice. Normal saline is typically used to maintain patency, but it is not necessary before connecting the secondary infusion.
C.To administer a secondary infusion (e.g., antibiotic), the secondary bag must be hung higher than the primary infusion. This allows gravity to prioritize the secondary infusion through the Y-site.

D. Disconnecting the primary IV infusion to connect the secondary infusion is not correct. The secondary infusion should connect to the primary line without disrupting the ongoing infusion unless otherwise indicated.

A. Hypotension B. Tachycardia C. Diarrhea D. Insomnia

Correct Answer is A

Explanation

A. Hypotension: Hypotension can occur as an adverse effect of fentanyl, particularly if the client experiences excessive sedation or respiratory depression. Fentanyl is a potent opioid analgesic
that can cause vasodilation and a decrease in blood pressure, especially when used in high doses or in susceptible individuals.
B. Tachycardia: Tachycardia is not a typical adverse effect of fentanyl. Opioids like fentanyl typically cause bradycardia or have minimal effects on heart rate.
C. Diarrhea: Diarrhea is not a common adverse effect of fentanyl. Opioids more commonly cause constipation due to their effects on gastrointestinal motility.

D. Insomnia: Insomnia is not a typical adverse effect of fentanyl. Opioids typically cause sedation and can lead to drowsiness or somnolence, especially during initial use or when administered in high doses.

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A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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