A nurse is preparing to administer medications to a client and discovers a medication error.
The nurse should recognize that which of the following staff members is responsible for completing an incident report?

The quality improvement committee.

The charge nurse.

The nurse who caused the error.

The nurse who identifies the error.

Answer and Explanation

The Correct Answer is D

The nurse who caused the error is responsible for completing an incident report. An incident report is a tool for documenting any event that deviates from the standard of care or causes harm to a client, staff member, or visitor. The purpose of an incident report is to improve quality and safety, not to assign blame or punish anyone. The nurse who caused the error should fill out the report as soon as possible after the event, providing factual and objective information.

A. The quality improvement committee is not directly involved in the incident and does not complete the report. The committee may review the report later to identify trends and areas for improvement.

B. The charge nurse is not responsible for completing the report, although they may assist or supervise the nurse who caused the error. The charge nurse may also notify the provider and other relevant staff members about the incident.

C. The nurse who caused the error may be involved in providing details and information about the incident, but the nurse who discovers the error is the one responsible for completing the incident report to ensure that all relevant information is accurately documented.

D. It is crucial for the nurse who discovers the error to complete the incident report to ensure that all relevant details are accurately documented. This allows for a thorough investigation and implementation of corrective actions to prevent future errors.

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Correct Answer is D

Explanation

Metformin is a medication used to lower blood glucose levels in people with type 2 diabetes. Metoprolol is a beta-blocker used to treat high blood pressure and heart problems. If the nurse accidentally gives metformin instead of metoprolol, the client may experience hypoglycemia (low blood sugar), which can cause symptoms such as sweating, shakiness, confusion, and loss of consciousness. Therefore, the nurse should check the client’s glucose level and treat hypoglycemia if needed.

Choice A is wrong because HDL (high-density lipoprotein) is a type of cholesterol that is not affected by metformin or metoprolol.

Choice B is wrong because thyroid function levels are not affected by metformin or metoprolol.

Choice C is wrong because uric acid level is not affected by metformin or metoprolol.

Uric acid is a waste product that can cause gout if it accumulates in the joints. Normal ranges for blood glucose are 70 to 130 mg/dL before meals and less than 180 mg/dL two hours after meals.

Normal ranges for HDL are 40 to 60 mg/dL for men and 50 to 60 mg/dL for women.

Normal ranges for thyroid function levels vary depending on the specific test, but generally they are between 0.4 and 4.0 mIU/L for TSH (thyroid-stimulating hormone), 4.5 to 11.2 mcg/dL for T4 (thyroxine), and 80 to 180 ng/dL for T3 (triiodothyronine).

Normal ranges for uric acid are 3.4 to 7.0 mg/dL for men and 2.4 to 6.0 mg/dL for women.

A. Calcium gluconate. B. Acetylcysteine. C. Flumazenil. D. Protamine sulfate.

Correct Answer is A

Explanation

Calcium gluconate is used to treat hypermagnesemia because it can help calm some symptoms such as impaired breathing, irregular heartbeat, and hypotension. Calcium also helps normalize the neuromuscular function that is affected by excess magnesium.

Choice B. Acetylcysteine is wrong because it is used to treat acetaminophen overdose and prevent kidney damage from contrast dye.

It has no role in treating hypermagnesemia.

Choice C. Flumazenil is wrong because it is used to reverse the effects of benzodiazepines, a class of sedative drugs.

It has no role in treating hypermagnesemia.

Choice D. Protamine sulfate is wrong because it is used to reverse the effects of heparin, an anticoagulant drug.

It has no role in treating hypermagnesemia.

Normal ranges for magnesium are 1.7 to 2.3 mg/dL or 0.7 to 1.1 mmol/L. Hypermagnesemia is defined as a magnesium level above 2.6 mg/dL or 1.5 mmol/L.

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A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse accidentally administers the medication metformin instead of metoprolol to a client. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

Correct Answer is A

Explanation

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A nurse is preparing to administer medications to a client and discovers a medication error.
The nurse should recognize that which of the following staff members is responsible for completing an incident report?