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 charge nurse.
The quality improvement committee.
The nurse who identifies the error.
The nurse who caused the error.
The Correct Answer is C
The nurse who identifies the error is responsible for completing an incident report.
Initial reports often come from the frontline personnel directly involved in an event or the actions leading up to it.
Choice A is wrong because the charge nurse is not necessarily responsible for completing an incident report.
Choice B is wrong because the quality improvement committee is not responsible for completing an incident report.
Choice D is wrong because the nurse who caused the error may not be aware of it and therefore may not be responsible for completing an incident report.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
- A. Assist the client to a left lateral position.
- This is generally used for clients at risk of aspiration, and it's not indicated based on the lithium level.
- B. Implement fluid restrictions.
- Fluid restrictions are usually implemented when there is a risk of fluid overload or hyponatremia, and not in this case. In fact, dehydration can raise lithium levels to toxic levels, so proper hydration is important.
- C. Request a dosage increase from the provider.
- While 0.6 mEq/L is within the therapeutic range, some providers may want to see a level slightly higher for maintenance. So requesting a dosage increase from the provider is the correct action.
- D. Prepare the client for hemodialysis.
- Hemodialysis is used to remove lithium from the blood in cases of severe lithium toxicity, which is indicated by levels significantly higher than 1.5 mEq/L. This is not needed when the lithium level is 0.6 mEq/L.
Correct Answer is D
Explanation
Ceftriaxone is contraindicated for this client because it is a cephalosporin antibiotic, which has a similar structure to penicillin and can cause cross-reactivity in individuals with a penicillin allergy.
Choice A is wrong because Vancomycin is not a beta-lactam antibiotic and does not have cross-reactivity with penicillin.
Choice B is wrong because Clarithromycin is a macrolide antibiotic and does not have cross-reactivity with penicillin.
Choice C is wrong because Metronidazole is a nitroimidazole antibiotic and does not have cross-reactivity with penicillin.
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