Try Naxlex NCLEX-RN (Free-Trial)

Which situation demonstrates ethical reporting of a medication error?

The nurse reports the error to the physician and the charge nurse but does not document the error due to possible legal action.

The nurse does not report or document the error, since the error did not result in any harm to the patient.

The nurse does not report the error, because the error was caught and corrected prior to drug administration.

The nurse informs the patient, documents the error as per hospital policy, and notifies the physician.

Answer and Explanation

The Correct Answer is D

A) The nurse reports the error to the physician and the charge nurse but does not document the error due to possible legal action: Ethical reporting includes thorough documentation of the error, regardless of potential legal implications. Failing to document the error could compromise patient safety and the quality of care, and it does not fulfill the requirement for transparent and comprehensive reporting.

B) The nurse does not report or document the error, since the error did not result in any harm to the patient: Ethical reporting of medication errors involves documenting and reporting all errors, regardless of whether harm occurred. This helps in preventing future errors and maintaining a culture of safety and accountability.

C) The nurse does not report the error, because the error was caught and corrected prior to drug administration: Even if the error was corrected before administration, it is crucial to report and document the incident. This practice helps identify potential systemic issues and improve safety protocols.

D) The nurse informs the patient, documents the error as per hospital policy, and notifies the physician: This action demonstrates ethical reporting as it includes informing the patient about the error, thoroughly documenting it according to hospital policy, and notifying the physician. This comprehensive approach ensures transparency, patient safety, and adherence to institutional guidelines.

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 D

Explanation

A. An antibiotic medication that has a side effect of nausea when taken without food:
Nausea is a common side effect of many medications, including antibiotics, when taken on an empty stomach. While this side effect may cause discomfort, it is generally not a contraindication to medication administration. Patients can often manage this side effect by taking the medication with food or as advised by their healthcare provider.

B. Administering medications to a client under 4 months of age:
While administering medications to very young children requires special considerations and dosing adjustments, it is not inherently a contraindication. The key is to ensure that the medications are appropriate for the age and weight of the infant, and are prescribed and dosed correctly.

C. An antihypertensive medication given for high-blood pressure that causes orthostatic hypotension:
Orthostatic hypotension is a known side effect of some antihypertensive medications. While this side effect needs to be managed carefully, it does not represent a contraindication to the medication. Adjusting the dose or changing medications may be required to manage this side effect.

D. A medication with a Blackbox warning that the drug causes tendonitis and the patient has a history of tendonitis:
A Black Box warning is the strictest warning put in the labelling of a prescription drug by the FDA. It indicates that the drug has significant risk of serious or life-threatening adverse effects. If a medication with a Black Box warning indicates a risk of tendonitis and the patient has a history of tendonitis, this represents a contraindication, as the drug could exacerbate or trigger the condition, posing a serious risk to the patient.

A. Report the incident immediately to your supervisor upon noticing. B. Gather reversal agents to administer to the client C. Notify the client's provider immediately while present with the client. D. Assess the client's vital signs.

Correct Answer is D

Explanation

A) Report the incident immediately to your supervisor upon noticing: Reporting the incident is an important step, but it should come after assessing the client's condition. Immediate assessment of the client's vital signs and overall status takes precedence to address any potential immediate health impacts due to the medication error.

B) Gather reversal agents to administer to the client: Gathering reversal agents is a critical step if the medication administered poses an immediate risk and reversal is necessary. However, this action should follow an initial assessment of the client's condition to determine if reversal is needed.

C) Notify the client's provider immediately while present with the client: Notifying the provider is essential to receive guidance on how to manage the medication error. Nonetheless, the first priority should be to assess the client's condition to provide accurate information to the provider.

D) Assess the client's vital signs: The initial action should be to assess the client’s vital signs and overall condition to determine any immediate effects of the incorrect medication. This assessment helps in identifying if the client is experiencing any adverse reactions or complications, which will guide subsequent actions such as notifying the provider and administering reversal agents if needed.

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

Which situation demonstrates ethical reporting of a medication error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's prescribed medications. Which of the following situations represents a contraindication to medication administration?

Correct Answer is D

Explanation

A nurse is caring for four clients. After administering morning medications, she realizes that a drug prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

A nurse is planning to administer an IM injection into a client's deltoid muscle. Which action should the nurse take?

A nurse reads in a drug information guide that PO morphine has a high first-pass effect. Which of the following would the nurse expect?

Complete the following sentence using the options in the drop down selection. _____ Is what the body does with the drug versus ____ which is what the drug does to the body.

A nurse is caring for a client who overdosed on morphine and has a respiratory rate of 6/min. Which medication should the nurse plan to administer?

A nurse is teaching with a group of nurses about the administration of nitroglycerin. Which of the following routes of administration provides the most rapid onset for the client?

The nurse is preparing to administer medications to a 38-year-old client. Before administering the medications, the nurse understands which components make up the Five Rights of Medication Administration? (Select All that Apply.)

A nurse is caring for an older adult client. The nurse should recognize that which of the following considerations apply to older adults and pharmacology? (Select all that apply).

The healthcare provider orders azithromycin (Zithromax) 1000mg to be given as a loading dose. The nurse understands that the purpose of this loading dose is to: