Question

A nurse administers an incorrect dose of medication to a client. The nurse recognized the error immediately and completes and incident report. Which of the following facts related to the incident should the nurse document in the client's medical record?

a) The nurse's personal feelings about the error.
b) The client's response to the incorrect dose.
c) Other instances of medication errors on the unit.
d) The corrective actions taken to prevent future error

Answer 1

The nurse should document the client's response to the incorrect medication dose in the client's medical record, which is essential for tracking the immediate impact of the medication error on the client's health.

Step-by-step explanation:

The nurse should document the client's response to the incorrect dose in the client's medical record. This documentation is crucial because it involves the direct effects of the medication error on the client's health. It is important not to include the nurse's personal feelings, other instances of medication errors on the unit, or the corrective actions taken to prevent future errors, as these are not relevant to the client's medical record. The incident report is a separate document and is the appropriate place to detail the error, examine why it happened, and discuss the measures to prevent future errors.