A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take? SATA
Include the time the medication error occurred in the report
Identify the medication name and dosage administered to the client in the report
Make a copy of the incident report for personal record keeping
Place a copy of the completed report in the client’s medical record
Obtain an order from the client’s provider to complete the report
Correct Answer : A,B
A. Documenting the time of the error is important for accurately recording when the event happened and for assessing potential impacts on patient care.
B. Including specific details about the medication involved and the dosage is crucial for understanding the nature of the error and for evaluating its potential consequences.
C. Incident reports are confidential and should not be copied for personal records. They are used for internal review and quality improvement purposes and should be handled according to the facility's policies on confidentiality.
D. The incident report should not be placed in the client’s medical record. It is a separate document intended for internal use and quality improvement, not part of the client’s clinical record.
E. No order from the provider is needed to complete an incident report. The report is a standard procedure for documenting and analyzing errors and is part of the facility's protocol for ensuring patient safety.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a. A client who is 37 weeks gestation and has an L/S ratio of 2:1:
An L/S (Lecithin/Sphingomyelin) ratio of 2:1 indicates mature fetal lungs, which is a positive indicator. While this client may be nearing term, the presence of mature fetal lungs does not necessarily warrant an interdisciplinary care conference unless there are other complications or high-risk factors present.
b. A client who is 28 weeks gestation and has a negative Coombs's titer:
A negative Coombs's titer suggests that the client does not have antibodies against Rh-positive blood cells, which is a normal finding. At 28 weeks gestation, this client may not require an interdisciplinary care conference unless there are other significant complications or risk factors present.
c. A client who is at 39 weeks gestation and has a negative contraction stress test:
A negative contraction stress test indicates that the fetus is not experiencing distress during uterine contractions, which is a reassuring finding. At 39 weeks gestation, while this client may be nearing term, a negative contraction stress test alone may not warrant an interdisciplinary care conference unless there are other concerning factors present.
d. A client who is at 35 weeks gestation and has a biophysical profile of 6:
A biophysical profile (BPP) of 6 is on the lower end of the scale and may indicate potential fetal compromise or risk. This client may benefit from further evaluation and possibly closer monitoring, which could warrant an interdisciplinary care conference to discuss management and potential interventions.
Correct Answer is A
Explanation
a. A client who has an asymmetrical thorax:
An asymmetrical thorax can indicate a potentially life-threatening condition such as a tension pneumothorax, hemothorax, or flail chest. These conditions can compromise respiratory function and require immediate intervention to ensure the client's airway and breathing are maintained.
b. A client who has an open fracture of the femur:
An open fracture of the femur is a serious injury that requires prompt attention to prevent complications such as infection and excessive blood loss. However, it is typically classified as urgent rather than emergent unless there are signs of significant hemorrhage or compromised perfusion that threaten life.
c. A client who has preorbital edema:
Preorbital edema, which is swelling around the eyes, can be concerning and requires evaluation but is not typically life-threatening. This condition is less likely to require immediate intervention compared to compromised airway or breathing issues.
d. A client who has a deep-partial thickness burn on the lower extremities:
Deep-partial thickness burns are serious and painful injuries that require medical attention. However, they are usually not immediately life-threatening unless they involve a large percentage of body surface area or are accompanied by other critical injuries or complications. They are often categorized as urgent rather than emergent.
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