Author Question: The nurse identifies that a patient has received Mylanta (simethicone) instead of the prescribed ... (Read 26 times)

fagboi · **on:** Jul 23, 2018

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.

Question 2

The nurse is preparing a patient for surgery. The nurse explains that the reason for writing in indelible ink on the surgical site the word correct is to

a. Distinguish the correct surgical site.
b. Label the correct patient.
c. Comply with the surgeon's preference.
d. Adhere to the correct regulatory standard.

Jevvish · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

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.

Answer to Question 2

ANS: A
The purpose of writing on the surgical site as part of the Universal Protocol from the Joint Commission is to distinguish the correct site on the correct patient and match with the correct surgeon for patient safety and prevention of wrong site surgery. All patients who are having an invasive procedure should receive labeling in many different ways, including the record and patient armbands. Writing in indelible ink may comply with the surgeon's preference, but safety is the driving factor. Although labeling of the site helps to meet regulatory standards, this is not the reason to do this activitythe reason is to keep the patient safe.