A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

The nurse who identifies the error

The quality Improvement committee

The charge nurse

The nurse who caused the error

Answer and Explanation

The Correct Answer is A

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.

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Correct Answer is A

Explanation

A. Hypomagnesemia:
Correct Answer: This electrolyte imbalance is the one the nurse should assess the client for.
Explanation: Lithium is primarily excreted by the kidneys, and its excretion can be influenced by factors that affect renal function, including electrolyte imbalances. Hypomagnesemia (low magnesium levels) can potentially reduce the excretion of lithium, leading to increased lithium levels in the blood. This can increase the risk of lithium toxicity, which can be dangerous. Therefore, monitoring magnesium levels is important in clients taking lithium.
B. Hyponatremia:
Incorrect Explanation: While hyponatremia (low sodium levels) is a potential concern, it is not as directly linked to lithium interaction as hypomagnesemia.
Explanation: Lithium can cause diabetes insipidus, which leads to excessive urination and subsequent loss of water and electrolytes, including sodium. However, hyponatremia is not the immediate electrolyte imbalance that arises due to the interaction with lithium.
C. Hypocalcemia:
Incorrect Explanation: Hypocalcemia (low calcium levels) is not a primary concern in the context of lithium use.
Explanation: Lithium does not have a direct interaction with calcium levels. Hypocalcemia is typically not a result of lithium use or its interaction with other factors.
D. Hypokalemia:
Incorrect Explanation: While electrolyte imbalances like hypokalemia (low potassium levels) can have health implications, it is not the primary electrolyte imbalance to be concerned about with lithium use.
Explanation: Hypokalemia is not a direct consequence of lithium interaction. Monitoring potassium levels is important for overall health, but it's not the primary electrolyte imbalance associated with lithium use and its potential interactions.

Correct Answer is ["0.4"]

Explanation

To calculate the volume of heparin needed, you can use the formula:

Volume (mL) = Desired dose (units) / Concentration (units/mL)

In this case, the desired dose is 4,000 units and the concentration is 10,000 units/mL.

Volume = 4,000 units / 10,000 units/mL = 0.4 mL

So, the nurse should administer 0.4 mL of heparin.

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A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is taking lithium and reports starting a new exercise program. The nurse should assess the client for which of the following electrolyte imbalances?

Correct Answer is A

Explanation

Correct Answer is ["0.4"]

Explanation

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