A nurse manager notes that the number of medication administration errors has increased on the unit. Which of the following actions should the nurse take first?
Serve on a quality improvement committee.
Conduct a root cause analysis.
Develop preventative measures.
Review current evidence-based practice.
The Correct Answer is B
A. While serving on a quality improvement committee is beneficial for long-term strategies and systemic changes, it is not the immediate action needed to address the specific increase in medication errors. The committee may work on broader issues and improvements over time, but addressing the current problem starts with understanding its root causes.
B. Conducting a root cause analysis (RCA) should be the first action. RCA is a systematic process for identifying the underlying causes of problems or events. By conducting an RCA, the nurse manager can determine the specific factors contributing to the increase in medication errors, whether they are related to processes, training, equipment, or other issues.
C. Developing preventative measures is essential for reducing future medication errors, but it should follow the root cause analysis. Without a clear understanding of the underlying causes, any preventative measures may not address the real issues or may be misdirected.
D. Reviewing current evidence-based practices is important for ensuring that care protocols align with the latest standards and guidelines. However, this should come after identifying the specific problems causing the medication errors.
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Related Questions
Correct Answer is B
Explanation
A. This question may make the client feel judged or pressured to justify their decision.
B. The nurse's primary role is to support the client's autonomy and decision-making.
C. This statement may minimize the client's concerns and fail to address their emotional state.
D. While it's important to reassure the client about the safety of the procedure, it's also essential to acknowledge and validate their emotions.
Correct Answer is A
Explanation
A. Gonorrhea is a reportable infection in many jurisdictions. Public health departments require reporting of gonorrhea cases to monitor and control outbreaks, track resistance patterns, and implement public health interventions.
B. Trichomoniasis is generally not a reportable infection in most regions. While it is a common STI and has public health implications, it is usually not mandated to be reported to the health department. However, its management may still be important in individual patient care and education.
C. HPV is a very common virus with many different strains, including some that are associated with cervical cancer. Generally, HPV infection itself is not reportable to public health departments, although certain HPV-related cancers or cases of HPV-related conditions may be reported under specific circumstances.
D. Candidiasis, often caused by Candida species, is a fungal infection and is typically not reportable to the health department. It is usually managed in clinical settings and does not require reporting to public health authorities unless it is part of an unusual outbreak or occurs in a specific context (e.g., invasive candidiasis in immunocompromised patients).
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