Patient Data

Exhibits

What medication error prevention techniques would have helped to avoid this error? Select all that apply.

Involve and educate clients in medication administration

Question unusually large or small doses

Document all medication in the electronic record as soon as it is given

Double check all dosage calculations

Use at least. 2 client identifiers before administering a dose

Compare the medication label to the order

Answer and Explanation

Correct Answer : C,E

C) Document all medication in the electronic record as soon as it is given - This would have prevented the primary nurse from administering a second dose of insulin. The root cause of the error was a failure to document the medication administration in the electronic health record. Had the covering nurse documented the insulin administration immediately, the primary nurse would have seen that the medication had already been given, preventing the overdose.

E) Use at least 2 client identifiers before administering a dose - While this might not have prevented this specific error, it is a crucial safety measure to prevent medication errors to the wrong patient. Using two client identifiers is a standard safety practice to ensure medications are given to the correct patient.

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Correct Answer is ["1"]

Explanation

The label indicates that the dextromethorphan oral suspension has a concentration of 30 mg per 15 mL.

The prescription is for 30 mg of dextromethorphan, which matches the concentration provided in the medication (30 mg per 15 mL).

There are approximately 15 mL in 1 tablespoon.

Since 15 mL equals 1 tablespoon and the prescribed dose is 15 mL, the client should take 1 tablespoon per dose.

So, the client should take 1 tablespoon with each dose.

A. Massage the injection site to increase absorption. B. Rotate injections between the abdomen and gluteal areas. C. Expel the air in the prefilled syringe prior to injection. D. Inject in abdominal area at least 2 in (5.1 cm) from the umbilicus.

Correct Answer is D

Explanation

A. Massaging the injection site is generally not recommended for low molecular weight heparin injections. Massaging can cause irritation, bruising, or increase the risk of bleeding. LMWH should be injected without massaging the site to avoid these potential complications.
B. For subcutaneous injections of LMWH, the preferred site is typically the abdomen rather than the gluteal area. Rotating injection sites within the abdomen (but not including the gluteal area) helps to prevent tissue damage and improves absorption.
C. Expelling the air from a prefilled syringe is generally not recommended for LMWH injections. Expelling
the air could potentially lead to incorrect dosing or reduce the medication’s efficacy.
D. Injecting LMWH in the abdominal area is recommended, and it is crucial to avoid injecting too close to the umbilicus. The instruction to inject at least 2 inches (5.1 cm) from the umbilicus helps to ensure that the injection is in an area with sufficient subcutaneous tissue and reduces the risk of irritation or bleeding.

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Patient Data Exhibits What medication error prevention techniques would have helped to avoid this error? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client receives a prescription for dextromethorphan 30 mg every 6 to 8 hours PO as needed for cough. The battle is labeled "Dextromethorphan for Oral Suspension, USP 30 mg per 15 mL." How many tablespoons should the nurse instruct the client to take with each dose? (Enter numerical value only.)

Correct Answer is ["1"]

Explanation

The nurse is teaching the client to self administer a dose of low molecular weight heparin SUBQ. Which instruction should the nurse include?

Correct Answer is D

Explanation

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The nurse is obtaining a systolic blood pressure by palpation. While inflating the cuff, the radial pulse is no longer palpable at 90 mm Hg. Which action should the nurse take?

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The palliative care nurse receives a consult for a terminally ill client in the intensive care unit. The client is weak, mouth breathing. and refusing anything to eat or drink. Which intervention should the nurse include plan of care?

Patient Data

Exhibits

What medication error prevention techniques would have helped to avoid this error? Select all that apply.