For Each of the Following Medication-Related Errors, Select the Patient

question 20

Multiple Choice

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each) . Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

-Ordered: Insulin subcutaneous injection daily for an older patient who is newly diagnosed with diabetes. Under supervision, the patient practiced injecting an orange for a few days, followed by self-injections under supervision until discharge shortly thereafter.
Given: At home, the patient injected an orange with insulin and ate the orange each day. The patient complained of the taste to the home-care nurse during the first post-hospital visit.

• A) Right patient
• B) Right drug
• C) Right time
• D) Right dose
• E) Right route

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Definitions:

Nerve Cells

Specialized cells that transmit nerve impulses; the basic building blocks of the nervous system, also known as neurons.

Tay-Sachs Disease

A rare, inherited disorder that destroys nerve cells in the brain and spinal cord, progressively impairing motor and cognitive function.

Cerebrospinal Fluid Analysis

A diagnostic test examining the fluid surrounding the brain and spinal cord to detect disorders of the central nervous system.

Spinal Fluid

A clear, colorless body fluid found in the brain and spine, acting as a cushion and nutrient provider for the central nervous system.