Patient Data
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
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Wash your hands after each administration of eye drops.": Hand hygiene is essential, but it should occur before and after administration to prevent contamination. It is important but not the most critical teaching point related to proper drop technique.
B. "Squeeze your eye closed after administering the drops.": Closing the eye gently may help retain the medication, but excessive squeezing can force the medication out. It is a secondary measure compared to proper drop application technique.
C. "Do not allow the dropper bottle to touch the eye.": This prevents contamination of the medication and potential eye injury. Avoiding contact between the dropper and the eye is essential for infection control and maintaining sterility.
D. "Administer the medication directly on the cornea.": Eye drops should be placed in the conjunctival sac, not directly on the cornea, to reduce discomfort and prevent corneal irritation or injury.
Correct Answer is D
Explanation
A. Inquire about frequency of administration: Asking about frequency checks for specific knowledge but does not evaluate comprehensive understanding or the client’s ability to correctly apply the information.
B. Recognize sources of confusion for the client: Identifying confusion helps guide teaching, but it does not directly assess whether the client has understood or can perform the task correctly.
C. Ask the client for any additional questions: This encourages discussion but does not actively measure the client’s retention or ability to use the information effectively.
D. Demonstrate how the medication will be taken: Having the client demonstrate or explain how they will take the medication provides direct evidence of learning and understanding. This return demonstration is the most effective method for evaluating client comprehension.
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