Practice Quiz

NCLEX-RN

Category - Care Management

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Nina the New Nurse is upset: she just realized she gave Xanax instead of Zantac to her client! What should she do?
  1. Notify physician, complete incident report, document notification and completion of incident report in nursing notes.
  2. Notify physician, complete incident report, document notification of physician in nursing notes.
  3. Notify physician and supervisor, complete incident report, and assess client for adverse effects; document notification of physician and result of assessments in nurse’s notes.
  4. Notify supervisor, complete incident report, assess client for adverse effects; notify physician and document only if adverse effects are present.
Explanation
Answer: C - The physician and supervisor should be notified of the medication error. An incident report will need to be completed; however, completion of an incident report is not documented in the nurse’s notes. Assessment for adverse effects should also be documented in the nurse’s notes. An incident report is an internal report used to report the facts of an incident. It is not used as an admission of wrongdoing or guilt.
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