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QUESTION 1

Mrs. Murphy is a cancer patient in the hospital. She is there to get two doses of chemotherapy treatment. Her first IV treatment started at 0700 and ran for 10 hours. The second IV treatment was to be started at 1900 and to be run for 10 hours. The nurse hung the correct medication at 0700 but after a 12-hour shift, she was exhausted and forgot to hang the second bag. Because timely administration of chemotherapy is key to a successful outcome, this patient’s treatment was less than optimal.  

Is this considered an adverse drug reaction or a medication error? Explain.  

Which pages in the textbook were utilized for this response? 

QUESTION 2

A nurse from a local nursing home transcribed a residents’ medication on a different person’s chart. Her colleague also failed to properly match the drug with the patient’s Medication Administration Record. Two nurses neglected to follow established faculty procedures for handling the drug in question. Additional team members failed to catch the error for nine days. The resident was taking the drug, an anticoagulant, because they had a history of developing blood clots. During the nine-day window, the resident developed clots in her brain and eventually caused a large and fatal ischemic stroke. 

Please list the traditional five rights of medication administration and discuss which one(s) are applicable to this scenario. Which ones were correctly utilized and which one(s) were not used? 
Discuss 2 ways this error could have been avoided.  
Which pages in the textbook were utilized for this response? 

Anef, G. J. P. R. F. F. (2016). Concepts for Nursing Practice (with eBook Access on VitalSource) (2nd ed.). Mosby.

SCIENCE
HEALTH SCIENCE
NURSING
BSN 205

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