A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

A client received crushed bupropion XL tablet mixed with applesauce.

A nurse injected Demerol 1M into the vastus lateralis site of adult.

A nurse used a 25-gauge inch needle to administer heparin injection.

A client received gentamicin intermittent IV bolus over I hr.

Answer and Explanation

The Correct Answer is A

Bupropion XL tablets should be taken whole. Crushing the tablet interferes with the pharmacokinetics of the drug leading to reduced efficacy and increased risk of toxicity. Administering bupropion XL inappropriately could result in harm to the client and should prompt the nurse to file an incident report to document the error and ensure appropriate follow-up and monitoring.

B. Meperidine is a commonly administered opioid analgesic and can be given intramuscularly in appropriate doses and sites.

C. Selection of the needle length and gauge depend on the route of administration and individual client's characteristics

D. Gentamicin can be administered by intermittent IV bolus over a prolonged period as part of its dosing regimen.

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Correct Answer is A

Explanation

Omeprazole is a (PPI) proton pump inhibitor used to inhibit excessive acid secretion in the stomach. Persistent exposure of the stomach lining to acid leads to epigastric pain, bloating and feelings of early satiety. Reduction of acid secretion helps to relieve dyspeptic symptoms caused by irritation of gastric mucosa by the acid.

B. Omeprazole is not used for management of headaches

C, D- Omeprazole does not have effect on appetite or bowel movements. Absence of headache

A. “I will avoid crowds to keep from infecting others” B. “I will call my doctor if I notice any unusual menstrual bleeding” C. "I will run my toothbrush in the dish washer every month." D. "1 will take the antiemetic as soon as the chemotherapy infusion is complete."

Correct Answer is B

Explanation

Chemotherapeutic agents suppress the hematopoietic process reducing the number of mature platelets circulating in the blood which increases the risk of bleeding.

A. The client cannot infect others as breast cancer is not infectious. They should, however, avoid crowds to prevent contracting infections as their immunity is suppressed by the chemotherapeutic agents

C. Running the toothbrush in the dish washer increases risk of oral infections which is fatal

D. Prophylactic antiemetics are given before chemotherapy sessions

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A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

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