A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

A client received crushed bupropion XL tablet mixed with applesauce.

A nurse injected Demerol 1M into the vastus lateralis site of adult.

A nurse used a 25-gauge inch needle to administer heparin injection.

A client received gentamicin intermittent IV bolus over I hr.

Answer and Explanation

The Correct Answer is A

Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.

B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.

C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics

D. Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.

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Correct Answer is D

Explanation

Blood group type AB individuals are considered universal recipients and can receive blood from donors of any ABO blood type without experiencing an adverse reaction. Since the client has type AB blood and the unit of blood available is type B, there is no blood type incompatibility, and the nurse can safely administer the blood as ordered.
A. Completing an incident report is not necessary in this situation as there is no discrepancy or error.
B. There is no discrepancy in this scenario, so notifying the blood bank is unnecessary.
C. Contacting the provider for further orders is not required in this situation.

A. “I will take the medication for diarrhea” B. “I can take this medication along with mineral oil." C. "I should drink 4 ounces of water when I take the medication." D. "It might take up to 3 days for the medication to work."

Correct Answer is D

Explanation

Docsate takes effect in 1-3 days. It is a stool softener that works by increasing the amount of water in stool making it easier to pass across the gut. It does not take effect immediately.

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A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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