Patient Data
What medication error prevention techniques would have helped to avoid this error? Select all that apply.
Involve and educate clients in medication administration
Question unusually large or small doses
Document all medication in the electronic record as soon as it is given
Double check all dosage calculations
Use at least. 2 client identifiers before administering a dose
Compare the medication label to the order
Correct Answer : C,E
C) Document all medication in the electronic record as soon as it is given - This would have prevented the primary nurse from administering a second dose of insulin. The root cause of the error was a failure to document the medication administration in the electronic health record. Had the covering nurse documented the insulin administration immediately, the primary nurse would have seen that the medication had already been given, preventing the overdose.
E) Use at least 2 client identifiers before administering a dose - While this might not have prevented this specific error, it is a crucial safety measure to prevent medication errors to the wrong patient. Using two client identifiers is a standard safety practice to ensure medications are given to the correct patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. This option is unnecessary because a particulate filter mask is not required for droplet precautions. Changing assignments based on this criterion is not needed and could disrupt the workflow without enhancing safety. The focus should be on ensuring staff understand and use the appropriate PPE for droplet precautions.
B. While a standard face mask is appropriate for droplet precautions, the part about getting fitted for a filter mask is unnecessary. It implies that a particulate filter mask is needed, which it is not for droplet precautions. This option also incorrectly suggests that vital signs can be obtained with a standard mask, but personal care requires a particulate filter mask, which is not accurate.
C. Droplet precautions require the use of a standard face mask, not a particulate filter mask (such as an N95 respirator). Particulate filter masks are required for airborne precautions, which are necessary for diseases like tuberculosis, measles, or chickenpox. For droplet precautions, a standard surgical mask is adequate to prevent the transmission of infections like influenza.
D. This option is unnecessary because droplet precautions do not require a particulate filter mask. Particulate filter masks are needed for airborne precautions. Sending the UAP for fitting delays care without providing additional safety benefits for droplet precautions.
Correct Answer is A
Explanation
A. This indicates an understanding of basic infection control principles. By donning new gloves for each client, the UAP helps prevent the spread of germs between patients.
B. Sterile gloves are not necessary for caring for clients with HIV. Standard precautions, which include gloves, are sufficient.
C. Sterile gloves are typically used for invasive procedures. Non-sterile gloves are sufficient for handling most body fluids.
D. Having gloves readily available is important, but it doesn't indicate understanding of when and how to use them correctly.
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