A nurse providing care to a client who was administered a subcutaneous medication intramuscularly. To which of the following types of medication errors should the nurse categorize this as in their report?

Drug preparation error

Knowledge deficit

Performance deficit

Transcription error

Answer and Explanation

The Correct Answer is C

A. Drug preparation error: Drug preparation errors occur when the medication is prepared incorrectly, such as using the wrong diluent, concentration, or technique for reconstitution. In this scenario, the error was not related to how the drug was prepared but rather how it was administered.

B. Knowledge deficit: A knowledge deficit refers to errors stemming from insufficient understanding of medication indications, pharmacology, or administration guidelines. While knowledge may contribute, the primary issue here is a lapse in execution rather than lack of knowledge.

C. Performance deficit: A performance deficit involves an error in the execution of a correct plan, such as administering a medication via the wrong route. Administering a subcutaneous medication intramuscularly reflects a deviation from the correct technique, making this a performance deficit.

D. Transcription error: Transcription errors occur when medication orders are incorrectly recorded or transcribed, leading to wrong doses, routes, or frequencies. In this case, the order itself was likely correct; the mistake occurred during administration, not transcription.

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Correct Answer is D

Explanation

A. Avoid using a password that contains both letters and numbers: Using a password that is simple or lacks complexity decreases security. Strong, complex passwords containing letters, numbers, and symbols are essential to protect electronic medical records and maintain client confidentiality. Avoiding complex passwords is contrary to best practices.

B. Use a trash can at the nurses' station to dispose of client information sheets: Disposing of client information in unsecured trash can lead to unauthorized access and a breach of confidentiality. Proper disposal requires shredding or using designated secure bins to protect sensitive information.

C. Avoid using a cover sheet when faxing information to the client's provider: Faxes containing client information should always include a cover sheet to identify the sender, the intended recipient, and confidentiality notices. Not using a cover sheet increases the risk of disclosure to unauthorized parties.

D. Use privacy filters for computer screens that are visible to others: Privacy screens or filters prevent unauthorized individuals from viewing electronic health information. This is an effective method to maintain confidentiality when computers are in shared or open areas, aligning with HIPAA and facility policies.

A. Blurred vision B. Diaphoresis C. Polyphagia D. Dehydration

Correct Answer is B

Explanation

A. Blurred vision: Blurred vision is more commonly associated with hyperglycemia due to osmotic changes in the lens of the eye. While severe hypoglycemia can affect neurological function, visual disturbances are not typically a primary or early sign of low blood glucose.

B. Diaphoresis: Diaphoresis (excessive sweating) is a classic sympathetic nervous system response to hypoglycemia. Low blood glucose triggers the release of catecholamines, leading to symptoms such as sweating, tremors, anxiety, and palpitations. This is an expected and early manifestation of hypoglycemia that alerts to impending low glucose levels.

C. Polyphagia: Polyphagia (increased hunger) is more characteristic of hyperglycemia or chronic uncontrolled diabetes rather than acute hypoglycemia. During hypoglycemia, the client may experience hunger, but diaphoresis and shakiness are more reliable and immediate indicators.

D. Dehydration: Dehydration is typically associated with hyperglycemia and osmotic diuresis, not hypoglycemia. Hypoglycemia does not cause fluid loss, so signs like dry mucous membranes or poor skin turgor are not expected findings in this condition.

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A nurse providing care to a client who was administered a subcutaneous medication intramuscularly. To which of the following types of medication errors should the nurse categorize this as in their report?

Nursing Test Bank

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