Patient Data

Exhibits

The primary nurse went on break at 1845. The covering nurse gave insulin glargine and decided to manually document the dose but forgot to enter it into the electronic health record. The primary nurse came back from break and gave a second dose of insulin because of being unaware the covering nurse gave the ordered dose.

What medication error prevention techniques would have helped to avoid this error? Select all that apply.

Compare the medication label to the order

Use at least 2 client identifiers before administering a dose

Document all medication in the electronic record as soon as it is given

Involve and educate clients in medication administration

Question unusually large or small doses F Double check all dosage calculations

Answer and Explanation

Correct Answer : C,D

Immediate documentation after drug administration ensures the everyone who comes into contact with the client is aware of what has already been done

Ensuring the client does the administration also avoids such errors. The client is able to understand and question when too many doses are given without proper explanation.

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. For meningococcal infections, droplet precautions, including a standard face mask, are recommended for the first 24 hours of antimicrobial therapy.
Instructing the UAP to use a standard face mask may not provide adequate protection against airborne pathogens, potentially putting the UAP and other clients at risk of infection.
B. This option involves gathering information about which staff members have been fitted for particulate filter masks, which is important for ensuring that appropriate protective equipment is available for staff who need it.
C. Taking the client’s vital signs is also an important procedure that requires a particulate filter mask

D. Sending the UAP for an immediate fitting for a particulate filter mask is unnecessary for droplet precautions and could delay essential care for the client.

A. A well approximated incision site. B. Beefy red granulation tissue. C. Eschar and slough in the wound. D. Erythema and serosanguineous exudate.

Correct Answer is A

Explanation

A. A well-approximated incision site refers to the edges of the surgical incision being closely aligned and in good alignment with minimal separation.
This finding is indicative of proper wound closure and initial stages of healing. It suggests that the wound edges are healing together, which is essential for preventing complications such as infection and promoting optimal wound healing.
B. Beefy red granulation tissue is a sign of the proliferative phase of wound healing. It appears as healthy, pinkish-red tissue that fills in the wound bed.
Granulation tissue consists of new blood vessels, fibroblasts, and connective tissue, and it serves to support wound healing by providing a scaffolding for tissue repair and promoting angiogenesis (formation of new blood vessels).
While the presence of granulation tissue is a positive sign indicating that the wound is progressing through the healing process, it typically occurs later in the healing timeline, beyond the initial one- week post-surgery period.
C. Eschar and slough are non-viable tissue components that can be present in a wound. Eschar is typically dry, black, or brown necrotic tissue, while slough is moist, yellow, or white necrotic tissue.
The presence of eschar and slough in a wound indicates that there is still non-viable tissue present that needs to be removed to facilitate healing.
D. Erythema (redness) and serosanguineous exudate (clear to blood-tinged fluid) are common findings in the early inflammatory phase of wound healing.
While some degree of erythema and serosanguineous exudate may be expected in the immediate postoperative period, especially within the first few days, persistent or increasing erythema and exudate beyond one week post-surgery may indicate inflammation or infection.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is caring for a client one-week postsurgery. Which finding should the nurse expect to see if the surgical incision is healing properly?

Correct Answer is A

Explanation

A hospitalized client who has an advance directive and healthcare power of attorney is receiving enteral nutrition through a nasogastric (NG) tube. The client vomits and appears to be choking. Which action should the nurse take?

A client with a family history of cardiac disease is seeking information to control risk factors. Which lifestyle modification is most important for the nurse to encourage?

The nurse is interviewing a client with lower abdominal pain and dysuria, and needs to question the client about sexual activity. Which approach is best for the nurse to use?

The nurse is caring for a client with a history of neuropathy who reports increasing numbness and tingling in the lower extremities. Which problem should the nurse determine is the priority for promoting foot care at this time?

The nurse enters a client's room to perform a physical assessment and finds the client crying. Which response is best for the nurse to provide?

The nurse notices a client grimacing while moving from the bed to a chair, but when asked about the pain the client denies having any pain. Which intervention should the nurse implement first

A client who is paraplegic is admitted with a foul-smelling drainage from a sacral ulcer. The client is suspected to have a methicillin resistant Staphylococcus aureus (MRSA) infection. Which nursing intervention(s) should the nurse include in the plan of care? Select all that apply.