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A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?

A.

Reason for the medication error

B.

Notification of the pharmacist

C.

Time the medication was given

D.

Completion of the incident report

Answer and Explanation

The Correct Answer is C

Rationale: 

 

A. The reason for the medication error should not be documented in the client's medical record due to potential legal implications; such information belongs in the incident report instead. 

 

B. Documentation of notification to the pharmacist is relevant for the incident report but is not appropriate for the client's medical record. 

 

C. The time the medication was given is an important detail that should be documented in the client's medical record as it affects the client's treatment and future medication administration. 

 

D. Documenting the completion of the incident report should be done in the facility's quality assurance system, not in the client’s medical record.


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View Related questions

Correct Answer is D

Explanation

Rationale:

A. A dry cough is not a common adverse effect associated with ibuprofen and is more related to respiratory issues.

B. An increase in urine output is not a typical adverse effect of ibuprofen; rather, it may indicate a different condition.

C. Muscle stiffness is a symptom of juvenile idiopathic arthritis itself and not specifically an adverse effect of ibuprofen.

D. Asking about stomach pain or bloody stools is crucial as ibuprofen can cause gastrointestinal irritation, ulcers, or bleeding, which are serious adverse effects of long-term use.

Correct Answer is A

Explanation

Rationale:

A. A report of chest pain is an adverse effect of epinephrine, which can increase myocardial oxygen demand and cause angina or myocardial ischemia.

B. Hypotension is not a common effect after administering epinephrine; it typically causes hypertension due to vasoconstriction.

C. Ecchymosis is not a known adverse effect of epinephrine and may be related to other factors.

D. Tinnitus is not a recognized adverse effect of epinephrine and does not commonly occur after administration.

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