Place the nurse's actions in order after detecting a wrong-client insulin near miss before administration.
Ordered Response
Choose your responses, then check the answer.
Explanation
Stop the unsafe process first, then verify identities, orders, and whether exposure occurred. Assess any potentially affected client, communicate through the facility's safety pathway, correct the immediate medication process, and report the near miss so the system can learn from it.
Correct sequence Stop → verify → assess → notify and correct → report and learn.
Why this is correct A near miss is valuable safety information even when no drug reached the client. The nurse first prevents administration, determines whether exposure occurred, and assesses clinical risk. Event reporting then supports investigation and process improvement; it does not replace clinical communication or care.
NCLEX decision rule Protect the client before completing the report. Record clinical assessment and care in the health record according to policy, and place system-learning details in the designated event-reporting pathway.
Medication near missAt the bedside, the barcode alert shows that the rapid-acting insulin pen and open MAR belong to a different client. The nurse has not injected the insulin. Follow immediate safety actions with reporting and systems learning.
Near Miss — A patient-safety event that could have caused harm but did not reach the patient or did not cause harm.
Event Report — A designated safety-reporting record used to identify hazards and support organizational learning.
Rule of 15 — A common approach for mild to moderate hypoglycemia in an awake client.