8.A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first? pg. 5 A. Provide an in service on medication administration to all the nurses. Rationale: A recommendation for staff education may be indicated, but this does not assist the committee to identify factors that lead to medication errors. B. Require staff nurses to demonstrate competency by passing a medication administration examination. Rationale: Ensuring competency in medication administration may be indicated, but this does not assist the committee to identify factors that lead to medication errors. C. Review the events leading up to each medication administration error. Rationale: After a sentinel event, the first step the committee should plan to take is to use root cause analysis to identify the underlying cause or causes that led to the medication errors. D. Develop a quality improvement program for nurses involved in medication administration errors. Rationale: Although development of a quality improvement program for nurses involved in medication errors may be indicated, this does not assist the committee to identify factors that lead to medication errors. 9.A charge nurse has access to the facility’s electronic client records. It is appropriate for the charge nurse to share her personal password with whom? A. The nurse manager Rationale: A nurse manager authorized to have access to a computer will have a personal password. B. No one Rationale: Computer passwords cannot be shared with others for any reason. Any facility employee authorized to have access to the database on a computer will have a personal password. C. A nursing student who is completing a preceptorship on the unit Rationale: A nursing student who is authorized to have access to the database on a computer will have a personal password. D. The unit clerk Rationale: A unit clerk authorized to have access to a computer will have a personal password. 10.A nurse on a medical-surgical unit is reconciling a newly admitted client’s medication. The nurse is reviewing the process of medication reconciliation with a newly licensed nurse. The nurse should include which of the following information? A. The American Hospital Association requires accredited facilities to have protocols in place requiring medication reconciliation. Rationale: The Joint Commission requires accredited facilities to have protocols in place requiring medication reconciliation. B. The purpose of medication reconciliation is to prevent adverse medication reactions.