A nurse witnesses a newly licensed nurse take a client's prescribed pain medication instead of administering it to the client. Which of the following actions should the nurse take?

Instruct the newly licensed nurse to complete an incident report.

Document the incident in the client's medical record.

Provide the client with information about the incident.

Communicate the incident to the nurse manager.

Answer and Explanation

The Correct Answer is D

A.   While completing an incident report is important for documenting the event, the witness should not instruct the newly licensed nurse to do so. Instead, it is the responsibility of the observer (the witness nurse) to report the incident to the appropriate authority to ensure that it is addressed properly.
B.   Documenting the incident in the client's medical record is not appropriate in this case. The client’s medical record should only contain information relevant to the client’s care and treatment, not details about medication errors or policy violations.
C.   While transparency is important, directly informing the client about a medication error is not typically the responsibility of the witnessing nurse. The primary focus should be on addressing the immediate issue and ensuring it is reported to the appropriate authorities rather than discussing the incident with the client.
D.   The nurse manager is responsible for overseeing the unit and addressing incidents such as medication errors. Reporting the incident to the nurse manager ensures that it is investigated according to facility protocols.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

A. A Do Not Resuscitate (DNR) order indicates that the client does not wish to receive cardiopulmonary resuscitation (CPR) in the event of cardiac or respiratory arrest. While a DNR order may include withholding CPR, it does not preclude providing comfort measures.
B. A nurse refuses to actively participate during an elective abortion procedure scheduled for her client. This behavior is an example of conscientious objection, which allows healthcare professionals to refuse to participate in procedures that conflict with their personal beliefs.
C. A nurse gives prescribed opioids to a client who has a terminal illness and respirations of 8/min. This behavior is appropriate for a client with a terminal illness who is experiencing pain, as opioid medications can be used to manage pain even if they may also depress respirations.
D. A nurse informs a confused client who wants to go home that he is going to stay at the facility until he is better. This behavior may be necessary to protect the client's safety, but it does not necessarily indicate a need for further education.

A. Document the client's refusal in the medical record. B. Ensure the client understands the risks of not taking the medication. C. Dispose of the medication according to facility policy. D. Inform the provider of the client's refusal.

Correct Answer is B

Explanation

A. Documentation is a critical component in nursing practice, but it should come after addressing the immediate concern of the client's refusal. Accurate documentation ensures that there is a record of the client's refusal and the nurse’s actions, but it does not directly address the reason behind the refusal or the potential consequences of the refusal.
B. Ensuring that the client understands the risks of not taking their medication is a priority because it addresses the client’s right to make informed decisions about their own health. If a client refuses medication, it’s important to confirm that they are making an informed choice by understanding the potential consequences.
C. Disposing of the medication is not the first step in response to a refusal. This action is typically taken after confirming the client’s refusal and ensuring that they understand the implications. The focus should first be on addressing the refusal and ensuring informed decision-making before handling the medication.
D. Informing the provider of the client’s refusal is important for coordinating care and ensuring that the provider is aware of the situation. However, this should occur after the nurse has ensured that the client is making an informed decision and understood the risks involved.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse witnesses a newly licensed nurse take a client's prescribed pain medication instead of administering it to the client. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A facility provides annual staff education regarding ethical practice. A charge nurse recognizes a need for further education when which of the following behaviors is observed?

Correct Answer is A

Explanation

A nurse is caring for a client who refuses to take their prescribed medication. Which of the following actions should the nurse take first?

Correct Answer is B

Explanation

A nurse is caring for a client who has early-stage Alzheimer's disease. In which of the following actions is the nurse acting as a client advocate?

A nurse manager is attending a meeting about the cost of health care. Which of the following measures should the nurse implement to reduce the cost of treatment in the acute care setting?

A nurse is delegating oral care for a client who is unconscious to an assistive personnel (AP). The AP tells the nurse that APs are not allowed to perform the delegated task. Which of the following actions should the nurse take?

A nurse in an emergency department is triaging four clients following a mass casualty event. To which of the following clients should the nurse assign a red tag?

A nurse is planning discharge for a client who has rheumatoid arthritis. Which of the following statements by the client should the nurse identify as an indication that a referral to an occupational therapist is necessary?

A nurse is supervising a newly licensed nurse who is performing surgical asepsis. After donning a sterile gown and gloves, which of the following actions by the newly licensed nurse demonstrates correct aseptic technique?

A nurse is assessing pressure ulcers on four clients to evaluate the effectiveness of a change in wound care procedure. Which of the following findings indicates wound healing?

A charge nurse notices that staff nurses are having difficulty using new IV infusion pumps for medication administration. Which of the following is the priority action by the charge nurse?