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.)

Identify the medication name and dosage administered to the client in the report.

Make a copy of the incident report for personal record keeping.

Include the time the medication error occurred in the report.

Obtain an order from the client's provider to complete the report.

Place a copy of the completed report in the client's medical record.

Answer and Explanation

Correct Answer : A,C

A.   Identify the medication name and dosage administered to the client in the report: Providing specific details about the medication involved is crucial for accurately documenting the incident.
B.   Making a copy of the incident report for personal record keeping: While keeping a personal copy might seem practical, the official incident report should be filed according to institutional policies. Personal record keeping might not align with these policies.
C.   Include the time the medication error occurred in the report: Documenting the time helps in understanding the sequence of events and aids in investigating the error.
D.   Obtaining an order from the client's provider to complete the report: Typically, healthcare providers do not need to issue an order for a nurse to complete an incident report; it's part of the facility's standard reporting process.
E.   It is not necessary to place a copy of the report in the client's medical record.

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Correct Answer is B

Explanation

A: Providing a 10-minute rest period prior to meals can be beneficial for some clients, but it is not specifically related to the prevention of aspiration in clients with dysphagia. Rest periods do not directly facilitate safer swallowing processes.

B: Elevating the head of the client's bed to 30° during mealtime is the correct technique for a client with dysphagia. This position helps prevent aspiration, which can occur if food or liquids enter the lungs instead of going down the esophagus. The semi-upright position aids in the proper alignment of the esophagus and reduces the risk of choking.

C: Withholding fluids until the end of the meal is not an appropriate technique for a client with dysphagia. Fluids are often needed to help swallow and clear the mouth of food particles. Additionally, providing fluids throughout the meal can help prevent dehydration.

D: Instructing the client to place her chin toward her chest when swallowing can help prevent aspiration in clients with dysphagia. However, this technique should be used in conjunction with other methods, such as the correct positioning of the bed, to ensure safety and effectiveness.

A. "A nurse can apply restraints on a PRN basis." B. "A nurse can disclose information to a family member with the client's permission." C. "A nurse is responsible for informing clients about treatment options." D. "A nurse can administer medications without consent to a client as part of a research study."

Correct Answer is B

Explanation

A. Restraints should be applied based on a specific, documented need, not on an as- needed (PRN) basis, to ensure client safety.
B. A nurse can disclose information to a family member with the client's permission. This statement respects the client's right to privacy and confidentiality.
C. It is the responsibility of the doctor and not nurses to inform clients about available treatment options.
D. Administering medications without consent for research purposes is ethically unacceptable and violates the client's rights to autonomy and informed consent.

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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

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