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A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

A.

The name of the provider who prescribed the medication

B.

The time the client was to receive the medication

C.

The date of the Incident

D.

The client's vital signs

E.

The potential adverse effects of the medication

Question Solution

Correct Answer : B,C

Rationale:

 

A. The name of the provider who prescribed the medication is not necessary for the variance report; focus should be on the incident itself.

 

B. The time the client was to receive the medication should be included to document the discrepancy accurately.

 

C. The date of the incident is essential for accurate record-keeping and follow-up.

 

D. The client's vital signs are not relevant to the variance report about the missed medication unless directly related to the incident.

 

E. The potential adverse effects of the medication are not typically included in the incident report but might be noted in the client's ongoing care plan.


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View Related questions

Correct Answer is D

Explanation

Rationale:

A. Palpate for possible bladder distention is a task that requires nursing assessment skills and should be done by the nurse.

B. Observe the incision site is a nursing task that involves assessing for signs of complications.

C. Change the abdominal dressing requires sterile technique and should be done by a nurse to prevent infection and ensure proper care.

D. Obtain vital signs is within the AP’s scope of practice and is a task that can be delegated. It is important for monitoring the client’s status and identifying potential issues.

Correct Answer is ["A","E"]

Explanation

Rationale:

A. While the client's temperature is not extremely high, it is elevated and persistent. Requesting an antipyretic or further evaluation may be warranted to prevent potential complications.

B. Insertion of NG tube for decompression is not necessary as the client is passing flatus and has bowel sounds in all quadrants, indicating normal gastrointestinal function.

C. Oxygen 2 to 4 L/min via nasal cannula is not necessary since the client's SpO2 levels are within normal range on room air.

D. The client's urinary output is adequate (400 mL over 6 hours), so a catheter is not required at this time.

E. The lack of drainage from the wound drain could indicate a problem that requires immediate attention. This could prevent complications like infection or fluid accumulation.

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