A 19-Year-Old Man Is Admitted with Delusions, Hallucinations, and Disorganized

question 144

Multiple Choice

A 19-year-old man is admitted with delusions, hallucinations, and disorganized behavior.  He is diagnosed with schizophrenia, and the physician writes an order to begin aripiprazole "2.0" mg.  The patient mistakenly receives 20 mg aripiprazole instead of 2 mg.  This order is overlooked during the pharmacy review process, and the nurse fails to question it before administering aripiprazole to the patient.  Which of the following is the most effective intervention to reduce this type of error?

• A)Confirm dosage with the patient prior to administration
• B)Educate physicians to avoid use of trailing zeros
• C)Employ computerized systems to flag inappropriate medication orders
• D)Remind physicians to be careful with decimal point placement
• E)Require 2 nurses to check medication orders
• F)Require 2 pharmacists to check all orders

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Definitions:

Parthenon

A former temple on the Athenian Acropolis, Greece, dedicated to the goddess Athena, exemplifying classical Greek architecture and art.

Panathenaic Procession

An ancient Athenian festival celebrating the birthday of the goddess Athena, featuring a grand procession to the Acropolis.

Contrapposto

An art term that describes a human figure standing with most of its weight on one foot so that its shoulders and arms twist off-axis from the hips and legs, giving the body a more dynamic and relaxed appearance.

Doryphoros

Greek, “spear bearer.”