Nokea
After implementation of new policies related to client identification prior to medication administration, the frequency of medication errors remains unchanged. Which should be the nurse manager's next action?
- A. Provide revised procedural updates through additional nursing staff education programs.
- B. Examine medication administration data to determine use of new policy by nursing staff.
- C. Investigate identified procedural variances in medication administration with nursing staff.
- D. Determine changes in procedure needed to reduce the frequency of medication errors.
Correct Answer: B
Rationale: Examining data assesses policy compliance, identifying gaps to address persistent errors.
You may also like to solve these questions
The charge nurse is making assignments for a 15-bed skilled nursing unit with the staff of one nurse, two practical nurses (PN), and two unlicensed assistive personnel (UAP). Which client should be assigned to the PN?
- A. The client who had bilateral above-knee amputations, now has a sacral decubitus skin flap, and is receiving vancomycin intravenously.
- B. The client who is in end-stage Alzheimer's, who requires feeding, and is waiting for a long-term facility placement.
- C. The client who has pneumonia following a total knee replacement, and is receiving clarithromycin orally.
- D. The client who has right hemiplegia as the result of a cerebral vascular accident and receives continuous gastrostomy feedings per enteral pump.
Correct Answer: C
Rationale: The pneumonia client with oral medication is stable and within the PN's scope.
The healthcare provider discusses with a male client the need for a cardiac catheterization, describes the risks and benefits of the procedure, and asks the nurse to have the client sign the consent form. When the nurse presents the consent form for signature, the client hesitates and asks the nurse how the wires will keep his heart going. Which action should the nurse take?
- A. Call the client's next of kin and have them provide verbal consent.
- B. Explain the procedure again in detail and clarify any misperceptions.
- C. Notify the healthcare provider of the client's lack of understanding.
- D. Postpone the procedure until the client understands the risks/benefits.
Correct Answer: C
Rationale: Notifying the provider ensures the client's misunderstanding is addressed for valid informed consent.
The practical nurse reports that a client with a deep vein thrombosis (DVT) was mistakenly given heparin in addition to the prescribed warfarin. Which priority action should the nurse take?
- A. Complete an adverse occurrence report.
- B. Obtain blood for coagulation studies.
- C. Monitor for signs of bleeding.
- D. Notify the healthcare provider.
Correct Answer: D
Rationale: Notifying the provider is critical to address the high bleeding risk from the medication error.
Four clients are scheduled to receive IV infusions, but there are only three intravenous (IV) pumps available. Which prescribed infusion can most safely be administered without an IV infusion pump?
- A. Heparin in Normal Saline prescribed for deep vein thrombosis.
- B. Regular Insulin in Normal Saline prescribed for ketoacidosis.
- C. Magnesium in Normal Saline prescribed for hypomagnesemia.
- D. Ceftriaxone in 5% Dextrose in Water prescribed for pneumonia.
Correct Answer: D
Rationale: Ceftriaxone can be safely administered via gravity drip over 30 minutes, unlike high-alert medications like heparin, insulin, or magnesium.
The nurse observes a practical nurse (PN) placing a client on the right side with the left leg bent in preparation for a lumbar puncture. Which action should the nurse implement?
- A. Assume care of the client and assign the PN to the care of a different client.
- B. Acknowledge that the PN has positioned the client safely and correctly.
- C. Arrange for an unlicensed assistive personnel to assist the PN during the procedure.
- D. Demonstrate to the PN how to position the client more effectively for the procedure.
Correct Answer: D
Rationale: Demonstrating proper positioning corrects the error, educates the PN, and ensures client safety during the procedure.