NCLEX-PN

42. On a Thursday, the LPN is caring for a client who identifies as a Seventh Day Adventist. The client is scheduled for a minor invasive procedure on Saturday. Which of these is the most appropriate action? A.​ Reschedule the procedure for Friday. B.​ Ask the client if he has any specific beliefs or restrictions on the Sabbath. C.​ Reschedule the procedure for Sunday. D.​ Move forward with the procedure without question. Correct Response: B Explanation : The most appropriate action is (B) . When caring for a Seventh Day Adventist client scheduled for a minor invasive procedure on a Saturday, the LPN should ask the client if they have any specific beliefs or restrictions related to the Sabbath. Seventh Day Adventists typically observe the Sabbath from Friday evening to Saturday evening, and some individuals may have strict religious beliefs about refraining from work or certain activities during this time. It is essential for the LPN to engage in open communication with the client to understand their individual beliefs and preferences regarding the procedure. Rescheduling the procedure for Friday or Sunday may be options depending on the client's religious practices, and it is important to respect and accommodate their beliefs in the planning of medical interventions. Moving forward with the procedure without discussion or consideration of the client's religious beliefs would not be respectful or client-centered care. (See Understanding Factors Influencing Treatment Plan Non-Adherence in Clients ) 43. A LPN is caring for an elderly client and realizes she made an error by administering an antibiotic at the drip rate ordered for normal saline. What is the most appropriate action? A.​ Do nothing. There are no serious risks or side effects to this type of medication error. B.​ File an incident report giving objective data about what happened. C.​ Tell the charge nurse the medication error occurred and that it was due to the previous nurse mislabeling the IV tubing from the antibiotic and normal saline bags. D.​ Tell the client that a medication error occurred and about the potential side effects. Correct Response: B Explanation: The correct answer is (B) . The most appropriate action is to file an incident report, as indicated in option B. Administering an antibiotic at the drip rate ordered for normal saline is a medication error that needs to be documented for thorough investigation and analysis. Incident reports serve as valuable tools for healthcare teams to understand the circumstances surrounding errors, identify contributing factors, and implement preventive measures to enhance client safety. (A) , doing nothing, is not appropriate, as medication errors can have serious consequences, and addressing them promptly is crucial. (C) , blaming the previous nurse without proper investigation, is not a constructive approach and may lead to a lack of accountability within the healthcare team. (D) , informing the client about the medication error and potential side effects, is not the initial step to take; it is essential to first report the error through appropriate channels to ensure a comprehensive understanding of the incident before communicating with the client. (See Reporting of Incidents, Events, Irregular Occurrences, or Variance )

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