26) a nurse is preparing to complete an incident report regarding a medication error which of the following actions should the nurse plan to take? select all that apply

Include the time the medication error occurs in the report

Make a copy of the incident report for personal record-keeping

Identify the medication name and dosage administered to the client in the report

Place a copy of the completed report in the client's medical record

Obtain an order from the client's provider to complete the report

Answer and Explanation

Correct Answer : A,C

a.   Including the time the medication error occurred is important for accurately documenting the sequence of events and providing context for further investigation or review.
b.   Making a copy of the incident report for personal record-keeping may not be necessary as the incident report is typically filed in the institution's records system.
c.   Identifying the medication name and dosage administered to the client is essential for understanding the nature and severity of the medication error and guiding subsequent actions or interventions.
d.   Placing a copy of the completed report in the client's medical record, which is inappropriate because incident reports are internal documents and not part of the client's health record.
e.   Obtaining an order from the client's provider to complete the report may not be necessary as incident reporting is typically a standard practice and does not require provider authorization.

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Correct Answer is B

Explanation

a. Occupational therapy focuses on assisting individuals in performing activities of daily living and may not directly address wheelchair mobility needs.
b. Social services may provide assistance with community resources and support including sourcing for a wheelchair.
c. Home health services may provide skilled nursing care in the home but may not directly address wheelchair mobility needs.
d. Physical therapy specializes in mobility and rehabilitation but arent the best placed to provide the client with resources on access to a wheelchair.

A. Continue the medication dosages that relieve the client’s pain B. Contact the provider about replacing the opioid with an NSAID C. Administer the benzodiazepine but withhold the opioid D. Withhold the benzodiazepine but continue the opioid

Correct Answer is D

Explanation

a. Continuing both medications may exacerbate the somnolence and difficulty arousing experienced by the client. It's essential to address the adverse effects promptly.
b. NSAIDs are not typically the first choice for severe pain management in terminal illness, especially when opioids are already prescribed. Moreover, replacing the opioid with an NSAID may not adequately address the pain.
c. Administering the benzodiazepine alongside the opioid may further potentiate the sedative effects and worsen the client's condition.
d. This is the most appropriate action. Withholding the benzodiazepine can help mitigate the sedation while continuing the opioid ensures ongoing pain relief for the client's comfort without introducing additional sedating medications.

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26) a nurse is preparing to complete an incident report regarding a medication error which of the following actions should the nurse plan to take? select all that apply

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20) A nurse is developing a discharge plan for a client who is postoperative and will require a wheelchair in the home. The nurse should place a referral to which of the following resources to assist the client with this need?

Correct Answer is B

Explanation

A hospice nurse is caring for a client who has terminal illness and reports severe pain. After the nurse administers the prescribed opioid and benzodiazepine, the client becomes somnolent and difficult to arouse. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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