Patient Data
The primary nurse went on break at 1845. The covering nurse gave insulin glargine and decided to manually document the dose but forgot to enter it into the electronic health record. The primary nurse came back from break and gave a second dose of insulin because of being unaware the covering nurse gave the ordered dose.
What medication error prevention techniques would have helped to avoid this error? Select all that apply.
Compare the medication label to the order
Use at least 2 client identifiers before administering a dose
Document all medication in the electronic record as soon as it is given
Involve and educate clients in medication administration
Question unusually large or small doses F Double check all dosage calculations
Correct Answer : C,D
Immediate documentation after drug administration ensures the everyone who comes into contact with the client is aware of what has already been done
Ensuring the client does the administration also avoids such errors. The client is able to understand and question when too many doses are given without proper explanation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. It is crucial to assess whether the client has been able to void successfully after catheter removal. The ability to void indicates that the urinary system is functioning properly and that there are no immediate complications such as urinary retention. If the client has not voided within an appropriate timeframe after catheter removal, further assessment and intervention may be necessary to prevent urinary retention or other urinary complications.
B. Understanding the client's fluid balance is essential, especially after catheter removal. However, it does not provide significant information on the client’s ability to void.
C. While the color of urine can provide insights into hydration and potential issues like hematuria, it's not as immediately critical as knowing if the client has successfully voided after catheter removal.
D. This information is relevant for monitoring antibiotic therapy but may not be as urgent as understanding the client's urinary status after catheter removal.
Correct Answer is C
Explanation
C. This instruction ensures proper administration technique and minimizes the risk of injury or discomfort at the injection site. Injecting in the abdominal area provides a large and accessible SUBQ site for medication absorption. The distance of at least 2 inches (5.1 cm) from the umbilicus helps avoid injection into the umbilical region, reducing the risk of irritation or injury to the umbilicus.
A. Massaging the injection site is not recommended as it may cause the medication to disperse too quickly.
B. Rotating between the abdomen and gluteal areas is unnecessary for subcutaneous injections of this type.
D. It is also not required to expel the air from the prefilled syringe, as the air bubble can help ensure all the medication is administered.

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