The nurse receives a verbal order for subcutaneous insulin but gives the insulin IV instead to a client in the intensive care unit (ICU). Which medication errors have been committed?
1. Medication based on verbal order
2. Wrong route for medication
3. Stressful workplace
4. Illegible medication order
5. Failure to review diagnostic lab work
Correct Answer: 1,2
Rationale 1: Medication orders must be written prior to administration.
Rationale 2: The wrong route was used because the verbal order was misunderstood.
Rationale 3: The ICU is stressful, but there is nothing in the scenario to suggest this as a factor.
Rationale 4: The medication order was not written; it was verbal.
Rationale 5: The medication was given IV instead of subcutaneously; this did not require diagnostic lab work.
Global Rationale: Medication orders must be written prior to administration. The wrong route was used because the verbal order was misunderstood. The ICU is stressful, but there is nothing in the scenario to suggest this as a factor. The medication order was not written; it was verbal. The medication was given IV instead of subcutaneously; this did not require diagnostic lab work.
You might also like to view...
According to Erikson, the final stage of the life cycle is centered on achieving integrity versus despair
Which of the following situations would signal to the nurse that the client in question is at risk for disappointment and despair as characterized by Erikson? A) An 81-year-old woman has needed to adopt a minced diet following a recent stroke. B) A 78-year-old man has had a pacemaker implanted to address his atrial fibrillation. C) A 90-year-old woman is grieving the recent death of her husband to whom she was married for 66 years. D) An 80-year-old man describes himself as "useless" since he can no longer help his adult children with their yard and garden work.
A nurse is assessing a patient who has been diagnosed with cholecystitis, and is experiencing localized abdominal pain. When assessing the characteristics of the patient's pain, the nurse should anticipate that it may radiate to what region?
A) Left upper chest B) Inguinal region C) Neck or jaw D) Right shoulder
The nurse provides instructions to a patient with hyperemesis gravidarum. Which outcome indicates that teaching has been effective?
A) Patient has vomiting episodes only in the morning. B) Patient is able to tolerate soft foods after episodes of vomiting. C) Patient is able to ingest clear liquids between episodes of vomiting. D) Patient is able to ingest a regular diet after progressing through clear liquids and soft foods.
When conducting informant interviews in a small community, the nurse would most likely contact
a. The state department of health for death records b. A local priest for congregation information c. Surrounding communities for crime comparison d. The Centers for Disease Control and Prevention (CDC) for illnesses in the area