A nurse is reviewing a client's medical record and discovers that the client received a double dose of a prescribed medication.
Which of the following actions should the nurse take?
Document the doubled dose in the client's medical record.
Report the incident to the manager of the pharmacy.
Place a copy of the incident report in the client's record.
Contact the nurse from the previous shift to report the doubled dose.
The Correct Answer is A
Choice A rationale
Documenting the doubled dose in the medical record ensures transparency and provides critical information for continuity of care. Accurate documentation allows the healthcare team to monitor the client for potential adverse effects, supporting accountability and preventing recurrence of medication errors.
Choice B rationale
Reporting the incident to the pharmacy manager addresses systemic issues, such as procedural errors or staff education needs, to prevent similar occurrences. However, this action does not directly prioritize client safety or care in response to the doubled dose.
Choice C rationale
Placing a copy of the incident report in the client’s record breaches confidentiality and violates facility policy. Incident reports are administrative tools to address safety concerns, not a part of the client’s medical record.
Choice D rationale
Contacting the nurse from the previous shift might provide insight into the error’s cause but does not address the immediate need to ensure client safety or document the error. This step is secondary to accurate record-keeping and reporting.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Documenting the facts in the medical record provides an accurate and objective account of the incident, which is crucial for continuity of care and quality improvement. It ensures transparency without breaching confidentiality.
Choice B rationale
Mentioning the incident report in the nurse’s notes can lead to legal issues as incident reports are considered internal documents. Such information should remain separate from the medical record.
Choice C rationale
Placing a copy of the incident report in the medical record violates confidentiality policies. Incident reports are administrative tools and should not be part of the client’s medical documentation.
Choice D rationale
Providing the family with a copy of the incident report is inappropriate as it is an internal document meant for organizational review and improvement, not external distribution.
Correct Answer is C
Explanation
Choice A rationale
Running electrical cords under carpeting poses a fire hazard by trapping heat and increasing the risk of insulation damage. This practice significantly increases the likelihood of electrical fires or shocks, making it unsafe for home environments.
Choice B rationale
Setting the refrigerator temperature to 7.2°C (45°F) compromises food safety, as harmful bacteria can grow at this temperature. The recommended refrigerator temperature is ≤4.4°C (≤40°F) to prevent foodborne illnesses and maintain food quality.
Choice C rationale
Disposing of unused medications prevents accidental ingestion or misuse, especially in households with children or vulnerable individuals. Proper disposal reduces environmental contamination and aligns with safety standards for managing medical waste.
Choice D rationale
Keeping the water heater set below 60°C (140°F) minimizes the risk of scalding injuries while ensuring adequate water temperature for hygiene purposes. However, the recommended maximum water heater setting is 49°C (120°F) for optimal home safety. .
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