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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A rationale
Feeding a stroke client who has difficulty in swallowing is a task that requires careful attention to prevent aspiration and choking. While this task is important, it can be delegated to a trained nursing assistant or a licensed practical nurse (LPN) under the supervision of an RN. The RN should focus on tasks that require higher levels of clinical judgment and expertise.
Choice B rationale
Completing a sterile dressing change to a pressure ulcer is a task that requires the expertise and clinical judgment of an RN. Sterile dressing changes involve maintaining a sterile field, assessing the wound, and applying appropriate dressings. This task is critical for preventing infection and promoting wound healing, making it appropriate for the RN to perform.
Choice C rationale
Reapplying a condom catheter for a client with urinary incontinence is a routine procedure that can be delegated to a trained nursing assistant or an LPN. This task does not require the advanced clinical skills and judgment of an RN, allowing the RN to focus on more complex and critical tasks.
Choice D rationale
Reinforcing teaching with a client who is learning how to administer insulin is an important task, but it can be delegated to an LPN under the supervision of an RN. The RN should prioritize tasks that require higher levels of clinical expertise and judgment, such as sterile dressing changes and complex assessments.
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