Difficulty: Medium
Average Score: 69%
Simulated
A nurse is reviewing the medication administration records from the previous shift. Which of the following findings should indicate to the nurse a need for an incident report?
Correct answer
A
Rationale
Correct Answer: A - A client received crushed bupropion XL tablet mixed with applesauce.
Rationale:
1. Bupropion XL (extended-release) should never be crushed as it can alter drug delivery and cause adverse effects.
2. Mixing with applesauce can further impact drug absorption and effectiveness.
3. Crushing XL tablets can result in a potentially harmful overdose due to rapid release.
4. Incident report is necessary to document and investigate this error for corrective actions.
Summary:
B - Demerol injection site and needle gauge choice are within acceptable parameters for administration.
C - Using a 25-gauge needle for heparin injection is common practice and not a safety concern.
D - Giving gentamicin over 1 hour is a standard administration method and does not warrant an incident report.
Rationale:
1. Bupropion XL (extended-release) should never be crushed as it can alter drug delivery and cause adverse effects.
2. Mixing with applesauce can further impact drug absorption and effectiveness.
3. Crushing XL tablets can result in a potentially harmful overdose due to rapid release.
4. Incident report is necessary to document and investigate this error for corrective actions.
Summary:
B - Demerol injection site and needle gauge choice are within acceptable parameters for administration.
C - Using a 25-gauge needle for heparin injection is common practice and not a safety concern.
D - Giving gentamicin over 1 hour is a standard administration method and does not warrant an incident report.