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    Ati nur 275 paediatrics final proctored exam
    Select All That Apply

    A nurse finds that a client did not receive a scheduled dose of furosemide (Lasix). Which of the following should the nurse include in the incident/variance report? (Select all that apply.)

    Explanation & Rationale

    A. The potential adverse effects of the medication: Incident reports must be strictly factual and objective. The nurse records what happened and the client's current status. Speculating on "potential" adverse effects is subjective and does not belong in the report. B. The client's vital signs: The report must include an assessment of the client after the error occurred to document that the client was monitored and to show the impact (or lack thereof) of the error. C. The name of the provider who prescribed the medication: While the medical record will show who ordered the drug, the incident report focuses on the variance (the missed dose). Unless the error was caused by an unclear order, the provider's name is generally considered administrative data rather than part of the incident description itself in this context. D. The time the client was to receive the medication: The factual details of the variance (Date, Time, Medication, Dose) are the core of the report. E. The date of the incident: Essential factual data for the legal record of the event.

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