A nurse is preparing to administer medication to a client and discovers that a nurse on the previous shift gave the client an incorrect dose of the medication. Which of the following actions should the nurse take?

Forward a completed incident report to the risk manager within 24 hr.

Notify the facility's pharmacist within 1 hr of the incident.

Call the nurse who made the error to discuss the medication error.

Place an incident report in the client's medical record.

Answer and Explanation

The Correct Answer is A

A. The nurse should complete an incident report and forward it to the risk manager within 24 hours as part of the facility’s protocol for reporting medication errors. This helps track errors, improve safety measures, and prevent future occurrences.
B. While a pharmacist may need to be involved in evaluating the error, there is no requirement to notify them within a specific timeframe. The priority is proper reporting and client monitoring.
C. Calling the nurse who made the error is not an appropriate action. Incident reports focus on improving systems rather than blaming individuals.
D. An incident report is not part of the medical record. It is an internal document used for quality improvement and risk management.

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Correct Answer is C

Explanation

A. Apply restraints if the client is agitated. Restraints are not necessary and may increase distress. Post-seizure agitation should be managed with reassurance and monitoring.
B. Ambulate the client. This is unsafe because the client may be disoriented or weak, increasing the risk of falls. Rest and recovery should be prioritized.
C. Position the client on their side. This helps maintain an open airway, prevents aspiration, and facilitates secretion drainage, making it the priority intervention.
D. Raise all of the side rails on the client's bed. Raising all four side rails is considered a restraint. A safer environment should be maintained without unnecessary restriction.

A. Decaffeinated coffee B. Tomato soup C. White fish D. Hot cocoa

Correct Answer is C

Explanation

A. Decaffeinated coffee is not recommended for clients with GERD because it can still increase gastric acid secretion, which may worsen symptoms.
B. Tomato soup is acidic and can trigger acid reflux, making it an unsuitable choice for clients with GERD.
C. White fish is a low-fat, non-acidic protein source that is unlikely to trigger GERD symptoms, making it an appropriate dietary choice.
D. Hot cocoa contains chocolate and caffeine, both of which can relax the lower esophageal sphincter (LES) and increase acid reflux.

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A nurse is preparing to administer medication to a client and discovers that a nurse on the previous shift gave the client an incorrect dose of the medication. Which of the following actions should the nurse take?

Nursing Test Bank

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