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 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.

A. Ask the client if she would like a sedative to help her relax B. Inform the client that she cannot leave without a discharge prescription from the provider C. Have the client sign the Against Medical Advice form D. Assign a security officer to the client's room until the provider can speak with the client

Correct Answer is C

Explanation

. Inform the client that she cannot leave without a discharge prescription from the provider

Rationale:
a. Offering a sedative may not address the client's concerns and is not an appropriate response to the situation.
b.Inform the client that she cannot leave without a discharge prescription from the provider. Clients have the right to leave against medical advice; informing them otherwise infringes on their rights.

C Have the client sign the Against Medical Advice form. This action respects the client's autonomy while ensuring documentation of her decision to leave against medical advice, which protects both the client and healthcare facility legally.

d. Assigning a security officer to the client's room may escalate the situation unnecessarily. The focus should be on communication and education.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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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Correct Answer is C

Explanation

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