A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Observe staff medication administration procedures.

Require staff to complete a medication administration review module.

Identify data that should be collected related to medication errors.

Re-evaluate staff performance in relation to the established standard.

Answer and Explanation

The Correct Answer is C

A. Observe staff medication administration procedures: While observation can provide valuable insights into workflow and potential areas for improvement, it may not address the underlying causes of medication errors or provide comprehensive data for quality improvement efforts.
B. Require staff to complete a medication administration review module: Education and training are important components of improving medication safety, but they may not be the most
immediate or effective response to addressing an elevated rate of medication errors.

C. Identify data that should be collected related to medication errors: This is the correct answer.

Before implementing interventions to address medication errors, it is important to gather comprehensive data on the types, causes, and frequency of errors. This data will help identify specific areas for improvement and guide the development of targeted interventions.
D. Re-evaluate staff performance in relation to the established standard: While ongoing evaluation of staff performance is important for maintaining quality care, it may not be the most appropriate first step when addressing an elevated rate of medication errors. Gathering data on medication errors and their contributing factors is essential for understanding the root causes of the problem and developing effective solutions.

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Correct Answer is B

Explanation

A. The client's preferred time for bathing: While this information may be relevant to the client's care, it is not typically included in a change-of-shift report unless it directly impacts the client's medical condition or care plan.
B. The time the client received his last dose of pain medication: This information is crucial for ensuring continuity of care and managing the client's pain appropriately during the transfer to the rehabilitation facility.
C. The belief that the client has a difficult relationship with his son: While psychosocial factors can impact a client's care, this information may not be relevant to the client's immediate medical needs or the transition to the rehabilitation facility.
D. The steps to follow when providing wound care: While wound care instructions are important, they are typically documented in the client's medical record and may not need to be included in a change-of-shift report unless there are specific wound care concerns that need to be addressed during the transfer.

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor B. A client who has gestational diabetes and is receiving biweekly nonstress tests C. A client who is at 32 weeks of gestation and has premature rupture of membranes D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump

Correct Answer is D

Explanation

A. A multigravida client who has preeclampsia and is receiving misoprostol for induction of labor: This client has a complex medical condition and requires specialized obstetric care.
B. A client who has gestational diabetes and is receiving biweekly nonstress tests: This client requires routine antenatal monitoring, which may be within the scope of practice of an RN with experience in obstetrics.
C. A client who is at 32 weeks of gestation and has premature rupture of membranes: This client has a high-risk pregnancy complication and requires specialized obstetric care.
D. A primigravida client who is 1 day postoperative following a Cesarean section and has a PCA pump: This is the correct answer. This client has recently undergone surgery and has a patient- controlled analgesia (PCA) pump, indicating a need for postoperative care, pain management, and monitoring, which aligns with the skills of a medical-surgical nurse.

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A nurse manager is reviewing the rate of medication errors on a surgical floor and finds that it is 20% above the national average. Which of the following actions should the nurse manager take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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