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. It's not mandatory for a health care proxy to be a member of the client's family; the most important aspect is appointing someone the client trusts to make decisions on their behalf.
B. A health care proxy is someone designated by the client to make medical decisions when the client is unable to do so, based on the client's preferences and wishes.
C. While it's advisable to have an advance directive in place before procedures or when facing serious illnesses, the timing of appointing a health care proxy should not be confined to only these situations.
D. It is not necessary for an attorney to approve the appointment of a health care proxy; the client can designate someone they trust without legal counsel's approval.

A. "I will instruct visitors to wear a mask when visiting a client who is on contact precautions." B. "I will place a client who has compromised immunity in a negative-pressure airflow room." C. "I will have a client who is on airborne precautions wear a mask when out of her room." D. "I will wear an N95 respirator mask when caring for a client who is on droplet precautions"

Correct Answer is C

Explanation

A. Contact precautions typically involve wearing gloves and a gown to prevent the spread of infectious agents through direct contact. Masks are not generally required for visitors unless the client is also on droplet or airborne precautions. Therefore, this statement reflects a misunderstanding of the specific requirements for contact precautions.
B.A client with compromised immunity should be placed in a positive-pressure airflow room, not a negative-pressure room. Positive-pressure rooms help prevent outside contaminants from entering the room, thereby protecting the immunocompromised client.
C. Clients on airborne precautions (e.g., for tuberculosis, varicella, or measles) should wear a mask if they need to leave their room to prevent the spread of airborne pathogens to others. This helps to contain infectious particles and protect others from exposure.
D. An N95 respirator mask is required for airborne precautions, not droplet precautions. For droplet precautions (e.g., for influenza, pertussis), a standard surgical mask is sufficient to protect against respiratory droplets.

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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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Correct Answer is C

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