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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. This hospital might use a different manufacturer, but the medication is the same:
While it is possible that different manufacturers might produce pills of varying appearances, this response does not directly address the client's concern or involve them in verifying the medication. It's important for the nurse to first understand what the client is accustomed to before providing reassurance about the medication.
B. What does your usual pill look like?:
Asking the client to describe their usual pill is the best response. This approach allows the nurse to verify the medication in question by comparing it to the client’s known medication. It also reassures the client that their concerns are being taken seriously and provides an opportunity for the nurse to check if there has been an error or if the medication is indeed correct.
C. This is the medication prescribed by your provider:
While this statement is factual, it does not directly address the client’s concern about the appearance of the medication. It's important to involve the client in verifying the medication to ensure they are receiving the correct drug and to maintain their trust.
D. This pill is probably from a different lot number than yours at home:
This response assumes the issue is related to the lot number, which may not be the case. It does not involve the client in the verification process or address their specific concern about the appearance of the medication. Providing a more thorough and engaging response would be more appropriate.
Correct Answer is D
Explanation
A) Palliative therapy: Palliative therapy is aimed at providing relief from symptoms and improving the quality of life in patients with serious or terminal illnesses. It does not pertain to the use of antibiotics before culture results are available.
B) Prophylactic therapy: Prophylactic therapy is used to prevent the occurrence of an illness or infection before it happens. For example, antibiotics given before surgery to prevent infections would be considered prophylactic therapy, but this is not the case here.
C) Maintenance therapy: Maintenance therapy is used to sustain a desired level of therapeutic effect after an initial treatment phase. It focuses on keeping a condition under control rather than addressing an acute or uncertain condition.
D) Empiric therapy: Empiric therapy refers to the use of antibiotics or other medications based on clinical judgment and initial symptoms before the results of diagnostic tests, such as wound cultures, are available. This approach is used to start treatment promptly and manage the infection while awaiting precise identification of the pathogen.
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