A nurse suspects a client has had an allergic reaction to a recently prescribed antibiotic. The nurse is responsible for providing emergency treatment and for reporting this suspected reaction to which persons? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply

Question

1. FDA
2. The prescriber
3. Hospital pharmacist
4. Medicare
5. Hospital risk management

Answer 1

2,3,5
Rationale 1: While it may be necessary to report this reaction to the FDA, it is not the bedside nurse's responsibility to do so.
Rationale 2: The prescriber should be notified as this is an unexpected event. A change in therapy is likely to be required.
Rationale 3: The hospital pharmacist should be advised of this possible reaction.
Rationale 4: There is no reason for the bedside nurse to notify Medicare.
Rationale 5: Hospital risk management should be notified of this event. A variance report may be required.
Global Rationale: While it may be necessary to report this reaction to the FDA, it is not the bedside nurse's responsibility to do so. The prescriber should be notified as this is an unexpected event. A change in therapy is likely to be required. The hospital pharmacist should be advised of this possible reaction. There is no reason for the bedside nurse to notify Medicare. Hospital risk management should be notified of this event. A variance report may be required.