Which situation demonstrates ethical reporting of a medication error?
The nurse reports the error to the physician and the charge nurse but does not document the error due to possible legal action.
The nurse does not report or document the error, since the error did not result in any harm to the patient.
The nurse does not report the error, because the error was caught and corrected prior to drug administration.
The nurse informs the patient, documents the error as per hospital policy, and notifies the physician.
The Correct Answer is D
A) The nurse reports the error to the physician and the charge nurse but does not document the error due to possible legal action: Ethical reporting includes thorough documentation of the error, regardless of potential legal implications. Failing to document the error could compromise patient safety and the quality of care, and it does not fulfill the requirement for transparent and comprehensive reporting.
B) The nurse does not report or document the error, since the error did not result in any harm to the patient: Ethical reporting of medication errors involves documenting and reporting all errors, regardless of whether harm occurred. This helps in preventing future errors and maintaining a culture of safety and accountability.
C) The nurse does not report the error, because the error was caught and corrected prior to drug administration: Even if the error was corrected before administration, it is crucial to report and document the incident. This practice helps identify potential systemic issues and improve safety protocols.
D) The nurse informs the patient, documents the error as per hospital policy, and notifies the physician: This action demonstrates ethical reporting as it includes informing the patient about the error, thoroughly documenting it according to hospital policy, and notifying the physician. This comprehensive approach ensures transparency, patient safety, and adherence to institutional guidelines.
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Related Questions
Correct Answer is C
Explanation
A) Does not have an effect: Food can significantly affect drug dissolution and absorption, so it is not accurate to say it has no effect. The presence of food in the gastrointestinal tract can alter how drugs are absorbed.
B) Increases: While food can sometimes increase the absorption of certain medications by stimulating digestive processes, it generally does not increase drug absorption for all medications. In many cases, food can delay or decrease the rate of drug absorption.
C) Decreases: Food commonly decreases the rate and extent of drug absorption. This can occur because food may bind to the drug, alter the pH of the stomach, or affect gastric emptying, leading to reduced drug dissolution and absorption.
D) Enhances: Food generally does not enhance drug dissolution and absorption for most medications. While some medications are better absorbed with food, in many cases, food can reduce the rate at which a drug is absorbed, leading to decreased efficacy.
Correct Answer is D
Explanation
A) Report the incident immediately to your supervisor upon noticing: Reporting the incident is an important step, but it should come after assessing the client's condition. Immediate assessment of the client's vital signs and overall status takes precedence to address any potential immediate health impacts due to the medication error.
B) Gather reversal agents to administer to the client: Gathering reversal agents is a critical step if the medication administered poses an immediate risk and reversal is necessary. However, this action should follow an initial assessment of the client's condition to determine if reversal is needed.
C) Notify the client's provider immediately while present with the client: Notifying the provider is essential to receive guidance on how to manage the medication error. Nonetheless, the first priority should be to assess the client's condition to provide accurate information to the provider.
D) Assess the client's vital signs: The initial action should be to assess the client’s vital signs and overall condition to determine any immediate effects of the incorrect medication. This assessment helps in identifying if the client is experiencing any adverse reactions or complications, which will guide subsequent actions such as notifying the provider and administering reversal agents if needed.
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