The nurse finds a client on the previous shift received 100 mg of Demerol intravenously instead of the ordered 50 mg of Demerol. Which statement should be documented in the client?s chart?
1. Demerol 100 mg given IV at 0800. Client?s vital signs unchanged.
2. Demerol 100 mg given IV instead of the ordered dose of Demerol 50 mg.
3. Demerol 100 mg given accidentally instead of Demerol 50 mg.
4. Demerol 100 mg given IV and client notified.
1
Explanation: 1. The documentation in the chart should be a statement of the facts as well as the client?s
physical status after the incident. Demerol given IV instead of the ordered dose is incorrect
because this information should be placed on the detailed incident report that documents the
error in depth. Demerol given accidentally is incorrect because words such as ?error? and
?accident? should not be written on the client?s chart. Demerol given IV and the client notified
is incorrect because documentation in the chart should address notifying the physician, not the
client.
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