A nurse is teaching a client who has a prescription for ferrous gluconate. Which of the following statements by the client indicates an understanding of the teaching?

A. The nurse who identifies the error:
This choice is correct. When a medication error is identified, the nurse who discovers the error is responsible for completing an incident report. Incident reports are a formal way to document any unexpected or adverse events that occur in a healthcare setting, including medication errors. The report helps track incidents, analyze their causes, and implement preventive measures. It's important for the reporting nurse to provide accurate and detailed information about the error.

B. The Quality Improvement Committee:
This choice is incorrect. While the Quality Improvement (QI) Committee plays a role in analyzing trends, identifying areas for improvement, and developing strategies to enhance patient care quality, they are not typically responsible for completing individual incident reports. The responsibility for reporting and documenting a specific incident, such as a medication error, lies with the staff members directly involved.

C. The charge nurse:
This choice is incorrect. The charge nurse is responsible for overseeing the nursing unit's operations, including staffing and patient care coordination. While the charge nurse may be involved in addressing the situation and ensuring appropriate actions are taken following a medication error, they are not necessarily responsible for completing the incident report. The reporting responsibility usually falls on the nurse who identifies the error.

D. The nurse who caused the error:
This choice is incorrect. While it's important for the nurse who caused the error to communicate the error to appropriate parties and participate in any necessary corrective actions, the primary responsibility for completing the incident report usually lies with the nurse who identifies the error. The reporting nurse's perspective is crucial for understanding the context and details of the error.

A. Hct 43%
Explanation: Hematocrit (Hct) measures the proportion of blood volume that is occupied by red blood cells. A low Hct level could indicate anemia, which might affect the body's ability to deliver sufficient oxygen to tissues.
B. Creatinine 2.5 mg/dL
Explanation: Elevated creatinine levels indicate potential kidney dysfunction. Tobramycin is primarily excreted by the kidneys, so elevated creatinine levels can increase the risk of tobramycin toxicity due to reduced drug clearance.
C. Sodium 137 mEq/L
Explanation: Sodium level within the normal range. It doesn't directly impact the administration of tobramycin.
D. Hgb 15 g/dL
Explanation: Hemoglobin (Hgb) measures the concentration of oxygen-carrying protein in the blood. A normal hemoglobin level is not directly related to the administration of tobramycin.