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 caused the error
The nurse who identifies the error
The quality improvement committee
The charge nurse
The Correct Answer is B
Choice A rationale: The nurse who caused the error is not responsible for completing an incident report, which is a tool for quality improvement and risk management. The incident report should include the facts of the error, the actions taken, and the outcome of the client.
Choice B rationale: The nurse who identifies the error should notify the nurse who caused the error, the charge nurse, and the provider, but they are and they are responsible for completing the report.
Choice C rationale: The quality improvement committee may review incident reports but is not directly responsible for completing them.
Choice D rationale: The charge nurse may oversee the incident report process but is not primarily responsible for completing it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Nasal cyanocobalamin for pernicious anemia is commonly administered once a week. The instruction to administer the medication into one nostril aligns with the correct technique.
Choice B rationale: Post-administration lying down isn't necessary for this medication.
Choice C rationale: The duration of treatment can vary; a fixed duration isn't universally applicable.
Choice D rationale: Using a nasal decongestant isn't a routine part of administering nasal cyanocobalamin for pernicious anemia.
Correct Answer is A
Explanation
Choice A rationale: Citalopram is a selective serotonin reuptake inhibitor (SSRI) that increases the level of serotonin in the brain. Serotonin syndrome is a rare but serious adverse effect of SSRIs that can cause confusion, agitation, tremors, seizures, and coma. The nurse should report this finding to the provider immediately, as it can be life-threatening.
Choice B rationale: Insomnia can occur as an adverse effect of citalopram but might not be as immediately concerning as confusion.
Choice C rationale: Bruxism (teeth grinding) can be a side effect of citalopram but might not pose an immediate risk compared to confusion.
Choice D rationale: Weight loss, while a potential side effect, might not be as urgent or immediately concerning as confusion.
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