Patient Data

Exhibits

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

Do not allow other activity to interrupt medication administration

Document all medication as soon as it is given

Involve and educate clients in medication administration

Use at least 2 client identifiers before administering a dose

Question unusually large or small doses

Double check all dosage calculations

Answer and Explanation

Correct Answer : A,C,D,E

A. Interruptions during medication administration, such as being paged for a rapid response, increase the risk of distraction and error. Medication administration should be completed before attending to other duties when possible, or the process should be restarted safely when interrupted.

B. While documentation is important, it does not prevent a medication error. It is a post-administration task and does not help in ensuring the correct dose or patient before administration.

C. Clients can often identify errors when asked to confirm their medications. For example, the client may have questioned receiving a different dose (800 mg vs. her usual 300 mg).

D. Administering medication to the wrong client is a "wrong-patient" error. Verifying at least two identifiers (e.g., name and date of birth) is a Joint Commission standard and critical to preventing such mistakes.

E. Clindamycin 800 mg is significantly larger than the client’s prescribed 300 mg dose. This discrepancy should have prompted the nurse to verify the order with the provider or pharmacist.

F. While double-checking calculations is crucial when preparing weight-based or custom doses, this situation involved a wrong dose and wrong patient, not a calculation error. The dose was pre-prepared but meant for another patient.

Nursing Test Bank

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Correct Answer is A

Explanation

A. An antibiotic, to be administered every 6 hours starting at 0900: Timely administration of antibiotics is critical to maintain therapeutic blood levels and combat infection effectively. Delays can reduce efficacy and contribute to resistance, making it the priority.

B. A diuretic, to be administered every 12 hours, at 0900 and 2100: While timing is important for diuretics to manage fluid balance, they are less time-sensitive than the initial dose of an antibiotic.

C. An antianxiety agent, to be administered every day at 0900: Antianxiety medications provide symptom relief, but delayed administration typically does not cause immediate harm compared to time-sensitive medications like antibiotics.

D. An analgesic topical patch, to be replaced every 24 hours at 0900: Pain control is important, but a brief delay in patch replacement is unlikely to result in abrupt symptom worsening. It is not as critical as initiating an antibiotic regimen on schedule.

A. Explain that alternative treatment options may be helpful. B. Remind the spouse that the client may still live a long time. C. Offer reassurance that the spouse is not alone. D. Encourage the spouse to share their feelings.

Correct Answer is D

Explanation

A. Explain that alternative treatment options may be helpful: Offering treatment suggestions at this moment may seem dismissive of the spouse’s emotional distress and shift focus away from needed emotional support.

B. Remind the spouse that the client may still live a long time: This may come off as false reassurance and does not acknowledge or validate the spouse's current emotional experience of anticipatory grief.

C. Offer reassurance that the spouse is not alone: While reassurance can be comforting, offering it too early without first acknowledging the spouse’s feelings can feel impersonal or superficial.

D. Encourage the spouse to share their feelings: Allowing the spouse to express emotions helps establish trust, shows empathy, and supports the grieving process. Listening actively is the most therapeutic and appropriate first response in this emotionally charged moment.

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Patient Data Exhibits Which medication error prevention techniques would have helped to avoid this error? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When administering 0900 medications to four clients, which prescription should the nurse administer first?

Correct Answer is A

Explanation

A client's spouse has just learned of the client's terminal illness. The spouse is sitting in the corner of the client's room crying, and says to the nurse. "I feel as if I'm already so alone." Which action should the nurse take first?

Correct Answer is D

Explanation

A client is being discharged postsurgery. Which information provided by the client requires additional instruction by the nurse?

While teaching a client how to perform a skill, the nurse determines that the client is experiencing sensory overload and is unable to learn effectively. Which action should the nurse implement?

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?

The nurse is caring for a client who is overweight and easily becomes diaphoretic. In response to this finding, which assessment(s) should the nurse include while assisting the client with personal care? Select all that apply.

A client requests heat therapy for lower back pain. Which action should the nurse take?

A client with a sprained ankle is seen at the clinic and is given a pair of crutches. When the client stands with the aid of the crutches, the nurse notes a space of three finger-widths between the top of the crutch and the client's axilla. Which action should the nurse take?

The nurse is caring for a client in the postanesthesia care unit (PACU). To assess the quality of the client's pain, which approach should the nurse use?

Patient Data

Exhibits

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