Practice Question
A nurse is caring for a group of clients. For which the following situations should the nurse complete an Incident report?
Answer Choices:
Correct Answer:
A client receives regular insulin 1 hr after a meal.
Rationale:
🟦 Regular insulin is timed to match the rise in blood glucose from food, so delayed administration creates a safety risk.
🟦 Giving regular insulin 1 hour after a meal increases the chance of mismatched peak action, leading to potential hypoglycemia later when glucose is no longer high.
🟦 This is a medication administration variance that can cause harm and requires facility review and prevention planning.
🟦 Incident reports are used to document unusual events/variances that affect client safety, especially those involving medication timing that could alter outcomes.
🟦 Reporting supports quality improvement by identifying system issues (workflow, staffing, timing procedures) that may contribute to unsafe medication timing.
Antibiotic 30 min after scheduled time
🟦 A 30-minute delay is usually not considered a reportable incident unless it results in harm or is part of a larger pattern/policy violation.
🟦 Many facilities allow minor timing windows depending on the medication and client status.
Client refuses to get out of bed
🟦 Refusal is a client choice and is documented in the medical record with education and follow-up.
🟦 It is not typically an incident unless refusal leads to injury or an unusual safety event.
Scheduled discharge 2 hr ago
🟦 Discharge delays are commonly operational issues and are documented in care coordination notes.
🟦 It is not an incident report unless a safety event occurs due to the delay.
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This question is from ☑️ ATI RN Pharmacology 2023 VIII which contains 68 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Pharmacology
- Answer Choices: 4