The nurse makes a medication error. Which action will the nurse ...

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The nurse makes a medication error. Which action will the nurse take first?
 
  a. Prepare an incident report so that the facility can determine the cause of the error.
  b. Explain to the patient that a medication error has occurred, and notify the nurse manager.
  c. Assess the patient for any adverse reactions and notify the prescriber.
  d. Document the medication given, how the patient responded, and the corrective actions taken.

Question 2

Which of the following medication orders is to be administered PRN?
 
  a. Zolpidem (Ambien) 10 mg PO tonight if the patient cannot sleep
  b. Prednisone 10 mg PO today, then taper down 1 mg each day for the next 10 days
  c. Humulin R 10 units subcutaneously before each meal and at bedtime
  d. Kefzol (Ancef) 1 g IVPB 30 minutes prior to surgery

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Answer to Question 1

ANS: C
When a medication error occurs, the nurse's first priority is to make sure that the patient is okay. If the patient shows any signs of adverse reaction to the medication error, the doctor/prescriber should be notified right away. Documentation, filling out the facility incident report, and explaining the error to the patient can take place later after the patient's condition is determined to be stable.

Answer to Question 2

ANS: A
The nurse is to give the Ambien if the patient cannot sleep. The nurse uses discretion when deciding when to administer the medication PRN.

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