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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It is recommended that every injection of phenytoin be followed by infusion of at least 50 to 100mls of normal saline infusion. This is important to prevent local irritation that occurs as surrounding tissues react to the medication.
A. Mixing phenytoin in dextrose 5% is not recommended due risk of precipitation of the Phenytoin acid
C. Phenytoin should be given at a date of 50mg/min or less to reduce the risk of toxicity
D. The injection should not be held as it is used to manage the seizure unless it is not safe for the nurse to give it
Correct Answer is A
Explanation
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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