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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. The nurse should be empathetic. Being sympathetic is unprofessional
B. Informed consent is used to accept treatment and not vice versa.
C. The nurse should respect the client’s autonomy and wishes and inform of the provider
D. The nurse should not apply any form of pressure to make the client accept treatment.

A. Increased sangueous exudate from a client's wound B. Inflammation noted on the tissue edges of a client's wound C. Erythema on the skin surrounding a client's wound D. Deep red color on the center of a client's wound

Correct Answer is D

Explanation

A. Sanguineous exudate is blood-stained drainage. An increase in sanguineous exudate might indicate bleeding or damage to blood vessels, which is not a positive sign of healing. During the healing process, exudate should gradually decrease and change from sanguineous to serous (clear or yellowish) as the wound progresses through different stages of healing.
B. Inflammation is a normal part of the wound healing process but should decrease over time as healing progresses. Persistent or increasing inflammation on the tissue edges could indicate infection or delayed healing rather than improvement. Ideally, inflammation should diminish as the wound heals.
C. Erythema, or redness of the skin surrounding the wound, can be a sign of inflammation or infection. While some erythema is normal immediately following injury, it should gradually decrease as healing progresses. Persistent or expanding erythema could suggest complications like infection or poor
D. A deep red color in the center of the wound typically indicates granulation tissue, which is a positive sign of healing. Granulation tissue is composed of new blood vessels, connective tissue, and inflammatory cells, and it signals that the wound is in the proliferative phase of healing.

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