A nurse is preparing to administer insulin to a diabetic client. What is the most appropriate action for ensuring patient safety?
Use a standardized pediatric medication reference guide.
Rely on memory for dosage calculations.
Ask another nurse to double-check calculations.
Perform dosage calculations manually.
The Correct Answer is C
Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.
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Correct Answer is D
Explanation
Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.
Correct Answer is C
Explanation
Choice A rationale
A common adverse event that occurs frequently is not considered a sentinel event. Sentinel events are rare and unexpected occurrences that result in severe harm or death. Common adverse events, while important to address, do not meet the criteria for sentinel events.
Choice B rationale
A minor incident that does not require reporting is not considered a sentinel event. Sentinel events are serious and significant occurrences that require immediate investigation and response. Minor incidents, while important to address, do not meet the criteria for sentinel events.
Choice C rationale
An unexpected occurrence involving death or serious physical or psychological injury is the definition of a sentinel event. These events are significant and require immediate investigation and response to prevent recurrence. Sentinel events signal the need for a thorough review of the processes and systems involved to identify and address the root causes.
Choice D rationale
A situation where the patient experiences temporary discomfort is not considered a sentinel event. Sentinel events involve severe and lasting harm, such as death or permanent injury.
Temporary discomfort, while important to address, does not meet the criteria for sentinel events.
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