A nurse realizes they made an incorrect entry in a patient’s medication administration record. What is the appropriate action for the nurse to take?

Ignore the error if it does not affect patient care.

Draw a single line through the error, initial and date it.

Leave the error as is and inform the nurse manager.

Erase the incorrect entry and write the correct one.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Ignoring the error, even if it does not affect patient care, is incorrect. Ignoring errors can lead to a culture of complacency and potentially more significant errors in the future. It is essential to address all errors to maintain accurate records and ensure patient safety.
Choice B rationale
Drawing a single line through the error, initialing, and dating it is the correct action. This method maintains the integrity of the medical record while clearly indicating that an error was made and corrected. It ensures transparency and accountability in documentation.
Choice C rationale
Leaving the error as is and informing the nurse manager is not the best practice. While informing the nurse manager is important, the error should be corrected in the medical record to prevent any potential confusion or miscommunication.
Choice D rationale
Erasing the incorrect entry and writing the correct one is incorrect. Erasing or obliterating entries in a medical record is not allowed as it can be seen as tampering with the record. It is crucial to maintain the original entry and make corrections transparently.

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Correct Answer is A

Explanation

Choice A rationale
A neurologist is a specialist in diagnosing and treating disorders of the nervous system, including strokes. Collaborating with a neurologist ensures that the client receives timely and accurate diagnostic tests and interventions. Neurologists have the expertise to interpret imaging studies, prescribe appropriate treatments, and manage complications related to strokes.
Choice B rationale
A chaplain provides spiritual support and counseling to patients and their families. While their role is important for emotional and spiritual well-being, they do not have the medical expertise needed to diagnose and treat strokes. Collaborating with a chaplain is beneficial for holistic care but not for ensuring timely diagnostic tests and interventions for a stroke.
Choice C rationale
A respiratory therapist specializes in assessing and treating respiratory conditions. While respiratory therapists play a crucial role in managing breathing difficulties, they are not the primary healthcare professionals for diagnosing and treating strokes. Their expertise is valuable for patients with respiratory issues but not for stroke-specific care.
Choice D rationale
A speech-language pathologist assesses and treats communication and swallowing disorders. They are essential for stroke rehabilitation, especially for patients with speech and swallowing difficulties. However, they are not involved in the initial diagnosis and acute management of strokes. Collaborating with a speech-language pathologist is important for rehabilitation but not for immediate diagnostic tests and interventions.

A. Correct the physician’s orders to match the chart. B. Ignore the discrepancy as it’s the physician’s responsibility. C. Document the discrepancy but take no further action. D. Document the discrepancy and notify the physician.

Correct Answer is D

Explanation

Choice A rationale
Correcting the physician’s orders to match the chart is not within the nurse’s scope of practice. Nurses should not alter physician orders.
Choice B rationale
Ignoring the discrepancy is not appropriate. Nurses have a responsibility to ensure patient safety and accurate documentation.
Choice C rationale
Documenting the discrepancy but taking no further action does not address the potential risk to patient safety. Further action is necessary.
Choice D rationale
Documenting the discrepancy and notifying the physician is the correct course of action. This ensures that the physician is aware of the issue and can make any necessary corrections.

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A nurse realizes they made an incorrect entry in a patient’s medication administration record. What is the appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is admitted with a suspected stroke. Which healthcare professional should the nurse collaborate with to ensure timely diagnostic tests and interventions?

Correct Answer is A

Explanation

During a routine chart review, what is the nurse’s responsibility when there is a discrepancy in the physician’s orders?

Correct Answer is D

Explanation

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