A nurse is caring for a group of clients. Which of the following situations requires an incident report?

A client experiences a seizure.

A client vomits after receiving an oral medication.

A client receives their insulin 1 hr before scheduled.

A client receives their meal tray 20 min late.

Answer and Explanation

The Correct Answer is C

Incident reports are documented for incidences that are likely to cause adverse outcomes for the clients or healthcare professionals and, therefore, their occurrence needs to be mitigated. In this case, wrong timing for medications such as insulin may lead to overdose with subsequent hypoglycemia which is detrimental

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Correct Answer is ["325"]

Explanation

Dose= Weight in kg* dose per kg per day

Substitute values into the formula

143lb/2.2046 *5mcg per pay

The nurse will administer 325mcg per day

A. Potassium level B. BUN C. INR D. WBC count

Correct Answer is D

Explanation

Filgrastim is a medication that stimulates the production of white blood cells (WBCs), particularly neutrophils, which are a type of WBC important for fighting infections. An increase in the WBC count would indicate that filgrastim is effectively stimulating the production of WBCs, which is desirable, especially in clients who are at risk of neutropenia (low WBC count) due to chemotherapy or other factors.

Monitoring potassium levels is important for clients receiving certain medications or experiencing conditions that can affect potassium balance, but it is not specifically related to filgrastim therapy.

BUN is a measure of kidney function and hydration status, but it is not typically monitored to evaluate the effectiveness of filgrastim treatment.

INR is a measure of blood clotting and is primarily monitored in clients receiving anticoagulant therapy, such as warfarin. It is not relevant to filgrastim therapy.

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A nurse is caring for a group of clients. Which of the following situations requires an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer filgrastim 5 mcg/kg/day subcutaneous to a client who weighs 143 lb. How many mcg should the nurse administer per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["325"]

Explanation

A nurse is reviewing the laboratory data of a client who is receiving filgrastim. Which of the following laboratory values should the nurse monitor to evaluate the effectiveness of the treatment?

Correct Answer is D

Explanation

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