After implementation of new policies related to client identification prior to medication administration, the frequency of medication errors remains unchanged. Which should be the nurse manager's next action?
Provide revised procedural updates through additional nursing staff education programs.
Examine medication administration data to determine use of new policy by nursing staff.
Investigate identified procedural variances in medication administration with nursing staff.
Determine changes in procedure needed to reduce the frequency of medication errors.
The Correct Answer is B
Choice A reason: Providing revised procedural updates through additional nursing staff education programs is not the best action for the nurse manager to take. The nurse manager should first evaluate the effectiveness of the current policies and education programs before implementing any changes. The nurse manager should also involve the nursing staff in the process of revising the policies and education programs.
Choice B reason: Examining medication administration data to determine use of new policy by nursing staff is the best action for the nurse manager to take. The nurse manager should analyze the data to identify the types, causes, and frequency of medication errors and compare them with the previous data. The nurse manager should also assess the compliance and feedback of the nursing staff regarding the new policies. This will help the nurse manager to identify the gaps and barriers in the implementation of the new policies and plan appropriate interventions.
Choice C reason: Investigating identified procedural variances in medication administration with nursing staff is an important action for the nurse manager to take, but not the best one. The nurse manager should first examine the medication administration data to determine the extent and nature of the procedural variances. The nurse manager should then investigate the specific cases of variances with the nursing staff and provide constructive feedback and guidance.
Choice D reason: Determining changes in procedure needed to reduce the frequency of medication errors is a desirable outcome for the nurse manager, but not the best action to take. The nurse manager should first examine the medication administration data and investigate the procedural variances before making any changes in the procedure. The nurse manager should also consult with the healthcare provider, the pharmacist, and the quality improvement team to ensure that the changes are evidence-based and feasible.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: The client is grieving normally in response to her husband's death and hospitalization is not necessary is not the best information for the nurse to provide this family. This may be insensitive and dismissive of the family's concerns and the client's condition. The client may have signs of delirium or dementia that require further evaluation.
Choice B reason: Managed care providers have mandatory pre-certification requirements for hospitalization is the best information for the nurse to provide this family. This informs the family of the process and criteria that need to be met before the client can be admitted to the hospital under the managed healthcare plan. This may help the family understand the limitations and expectations of the plan.
Choice C reason: Healthcare costs are escalating because clients want to have diagnostic testing conducted in the hospital is not the best information for the nurse to provide this family. This may be inaccurate and irrelevant to the family's situation. The family may not care about the healthcare costs as much as the client's well-being.
Choice D reason: Managed healthcare plans do not pay for any in-hospital medical evaluations is not the best information for the nurse to provide this family. This may be false and misleading. Managed healthcare plans may cover some in-hospital medical evaluations depending on the plan and the client's condition.
Correct Answer is C
Explanation
Choice A reason: Assigning the UAP to provide care for another client and assuming full care of the client is not the best action for the nurse to take. This may disrupt the continuity of care and the rapport between the UAP and the client. It may also be unnecessary and inefficient for the nurse to take over the care of the client.
Choice B reason: Reminding the UAP to apply a fitted respirator mask before entering the client's room is not the best action for the nurse to take. This may be incorrect and inappropriate for the prevention of pertussis transmission. A fitted respirator mask is used for airborne precautions, while pertussis is spread by droplet contact.
Choice C reason: Reviewing the need for the UAP to wear a face mask while in close contact with the client is the best action for the nurse to take. This can educate the UAP about the proper infection control measures for pertussis, which include droplet precautions. A face mask can prevent the UAP from inhaling or spreading the droplets that contain the bacteria.
Choice D reason: Instructing the UAP to notify the nurse of any changes in the client's respiratory status is not the best action for the nurse to take. This may be irrelevant and redundant for the situation. The UAP should already know to report any changes in the client's condition to the nurse, regardless of the diagnosis or the intervention.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.