QLexNursing

🧩 Regular insulin is typically administered 30 minutes before meals so that the onset of action coincides with the rise in blood glucose from food intake.

🧩 Giving regular insulin 1 hr after a meal is a medication error, because it does not follow the prescribed or safe timing for administration.

🧩 This timing error can place the client at risk for hypoglycemia or poor glucose control, depending on how much carbohydrate was absorbed.

🧩 Any medication error—wrong time, dose, route, or drug—requires an incident report according to facility policy.

🧩 The purpose of the incident report is to document the event, analyze causes, and improve safety systems, not to punish individuals.

A client receives an antibiotic 30 min after the scheduled time.

🧩 While giving an antibiotic 30 minutes late is a variance from the scheduled time, it is usually within a commonly accepted 30–60 minute window around the scheduled time for many medications.

🧩 This slight delay is unlikely to cause serious immediate harm, especially if it’s not a critical “time-to-the-minute” drug (like insulin or time-dependent chemo).

🧩 Nurses should still document the actual administration time and try to maintain consistent dosing intervals.

🧩 An incident report is typically reserved for significant errors or events with potential or actual harm, such as wrong patient, drug, dose, or serious delays.

🧩 Therefore, a 30-minute late antibiotic alone usually does not warrant an incident report in most exam scenarios.

A client refuses to get out of bed.

🧩 A client has the right to refuse care, including getting out of bed, as long as they are competent and fully informed of risks and benefits.

🧩 This is not considered a “nursing error” or “accident” but rather a client decision that should be documented in the chart with the teaching provided.

🧩 The nurse should explore the client’s concerns, address pain, fear, or dizziness, and encourage safe mobilization.

🧩 However, refusal alone is not an incident, unless it leads to an adverse occurrence such as a fall or other event.

🧩 Therefore, this situation does not require an incident report, only appropriate documentation and continued teaching.

A client was scheduled to be discharged 2 hr ago.

🧩 Delays in discharge can be frustrating and affect throughput and satisfaction, but they are often due to system factors like waiting for prescriptions, transport, or final orders.

🧩 Unless the delay leads to a specific safety event, such as missed medication or harm, it is generally not reported as an incident in this context.

🧩 The nurse should communicate with the provider, pharmacy, and case management to expedite any pending issues.

🧩 The situation should be documented in the nursing notes, but it is not typically an error like giving the wrong drug or dose.

🧩 Therefore, while not ideal, a delayed discharge alone does not meet the classic criteria for an incident report in NCLEX-style questions.