Author Question: The nurse is caring for a patient experiencing an allergic reaction to a bee sting who has an order ... (Read 107 times)

gonzo233 · **on:** Jul 22, 2018

The nurse is caring for a patient experiencing an allergic reaction to a bee sting who has an order for diphenhydramine (BenaDRYL). The only medication in the patient's medication bin is labeled BenaZEPRIL.

The nurse contacts the pharmacy for the correct medication to avoid what type of error?
a. Communication
b. Diagnostic
c. Preventive
d. Treatment

Question 2

A sentinel event refers to which situation?

a. An event that could have harmed a patient, but serious harm didn't occur because of chance.
b. An event that harms a patient as a result of underlying disease or condition.
c. An event that harms a patient by omission or commission, not an underlying disease or condition.
d. An event that signals the need for immediate investigation and response.

Li Jun · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: D
The nurse avoided a treatment error, giving the wrong medication. Benazepril is an ace inhibitor used to treat blood pressure. According to Leape, treatment errors occur in the performance of an operation, procedure, or test; in administering a treatment; in the dose or method of administering a drug; or in avoidable delay in treatment or in responding to an abnormal test. Communication errors refer to those that occur from a failure to communicate. Diagnostic errors are the result of a delay in diagnosis, failure to employ indicated tests, use of outmoded tests, or failure to act on results of monitoring or testing. Preventive errors occur when there is inadequate monitoring or failure to provide prophylactic treatment or follow-up of treatment.

Answer to Question 2

ANS: D
A sentinel event is an unexpected occurrence involving death or serious physical or psychologic injury or the risk thereof called sentinel, because they signal the need for immediate investigation and response. A near-miss refers to an error or commission or omission that could have harmed the patient, but serious harm did not occur as a result of chance. Harm that relates to an underlying disease or condition provides the rationale for the close monitoring and supervision provided in a health care setting. An adverse event is one that results in unintended harm because of the commission or omission of an act.