PN Comprehensive Predictor 2023 Proctored Exam
A nurse administers an incorrect dose of medication to a client. The nurse recognizes the error immediately and completes an incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?
Explanation & Rationale
A is incorrect because the completion of the incident report should not be documented in the client's medical record, but in a separate file for quality improvement purposes. B is correct because the time the medication was given is an essential fact related to the incident that should be documented in the client's medical record. C is incorrect because the reason for the medication error should not be documented in the client's medical record, but in the incident report for analysis and prevention of future errors. D is incorrect because the notification of the pharmacist should not be documented in the client's medical record, but in the incident report for follow-up and corrective actions.
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