The nurse identifies that a patient has received Mylanta (simethicone) instead of the prescribed Pepto-Bismol (bismuth subsalicylate) for the problem of indigestion. The nurse's next intervention is to
a. Do nothing, no harm has occurred.
b. Assess and monitor the patient.
c. Notify the physician, treat and document.
d. Complete an incident report.
ANS: B
After providing an incorrect medication, assessing and monitoring the patient to determine the effects of the medication is the first step. Notifying the physician and providing treatment would be the best next step. After the patient has stabilized, completing an incident report would be the last step in the process.
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When a muscle acts as a pump what is a necessary property for the muscle to function efficiently?
A) Antagonistic contraction B) Antagonistic relaxation C) Simultaneous contraction D) Simultaneous relaxation
Which of the following would be most important to include when conducting a survey of patients about their healthcare experiences?
A) Using a variety of data collection methods B) Addressing a core set of questions C) Conducting the survey primarily with patients D) Using the data internally for quality improvement
A novice nurse is coming to the end of her 12-hour shift. Suddenly, one of the clients who had been progressing well is found unresponsive. Emergency measures are started, but unfortunately this client dies
As the nurse reviews the client's record with a supervisor, what does the supervisor recognize? A) There were subtle laboratory changes the nurse missed B) There was no warning this would happen C) It was expected, the client was really sick D) Her mentor was not working this shift