A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

Take the report home and keep it locked up.

Place the report in the client's medical record

Maintain the report according to agency policy

Email the report to their nursing supervisor

Answer and Explanation

The Correct Answer is C

A. Take the report home and keep it locked up: Incident reports are confidential legal documents that must remain within the healthcare facility per policy.

B. Place the report in the client's medical record: Incident reports should not be included in the client’s medical record to prevent liability issues. Instead, objective documentation of the event and any interventions should be recorded in the chart.

C. Maintain the report according to agency policy: The report must be handled per facility protocols, typically submitted to the risk management department to improve patient safety.

D. Email the report to their nursing supervisor: Incident reports contain sensitive information and should be submitted securely following facility policy, not via email.

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Correct Answer is C

Explanation

A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.

B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).

C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.

D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.

A. Placing an indwelling urinary catheter B. Administering medications through an NG tube C. Changing a sacral wound dressing D. Replacing an ostomy appliance

Correct Answer is A

Explanation

A. Placing an indwelling urinary catheter: Indwelling urinary catheters are a leading cause of catheter-associated urinary tract infections (CAUTIs), which are common healthcare-associated infections.

B. Administering medications through an NG tube: While NG tubes can introduce bacteria, they are not as high-risk as urinary catheters, which provide a direct route for infection.

C. Changing a sacral wound dressing: While wounds can become infected, proper wound care techniques minimize risk. Urinary catheters pose a greater risk due to prolonged exposure to bacteria.

D. Replacing an ostomy appliance: While maintaining hygiene is important, ostomy appliances are not a major source of healthcare-associated infections compared to urinary catheters.

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A nurse makes a medication error and fills out an incident report. What will the nurse do with the incident report once it is filled out?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

The following procedures have been ordered and implemented for a hospitalized patient. Which procedure carries the greatest risk for a healthcare-associated infection?

Correct Answer is A

Explanation

The nurse is providing indwelling catheter care for a patient who is uncircumcised. What intervention will help prevent a catheter associated urinary tract infection?

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The nurse is assessing the patient's output for the shift. What finding is most concerning?

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