Author Question: A nurse has a busy morning and is rushed. While administering medications, the nurse realizes that ... (Read 101 times)

asmith134 · **on:** Jul 23, 2018

A nurse has a busy morning and is rushed. While administering medications, the nurse realizes that he has made a medication error. Which action should the nurse take first?

a. Report the medication error to the charge nurse and fill out an incident report.
b. Assess the patient for any adverse reactions to the medications and notify the prescriber.
c. Document in the patient's notes the medication given and that an error was made.
d. Explain to the patient that a medication error has occurred and notify the nurse manager.

Question 2

Two nurses are debating the effects of olanzapine (Zyprexa) and clozapine (Clozaril). When comparing the effects of olanzapine with those of clozapine, which statement is correct?

a. Olanzapine produces more tardive dyskinesia than clozapine.
b. Olanzapine does not cause somnolence, as clozapine does.
c. Clozapine has fewer serious side effects than olanzapine.
d. Olanzapine has a higher risk of diabetes.

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

Answer to Question 1

B
Assessment of the patient is always the priority. Once all assessment data have been collected, the prescriber should be notified.
Ensuring the patient's safety is the priority, not reporting the medication error.
Medication errors are reported on incident reports, not in the patient's notes, and this is not the highest priority.
Assessment of the patient is the priority and should be done first.

Answer to Question 2

D
Olanzapine increases the risk of the development of diabetes mellitus, which clozapine does not.
Olanzapine and clozapine produce a similar number of tardive dyskinesia symptoms.
Olanzapine and clozapine cause a similar degree of somnolence.
Clozapine has more serious side effects than olanzapine, including agranulocytosis.