A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

Complete an incident report.

Notify the nurse manager.

Call the client's provider.

Assess the client.

Answer and Explanation

The Correct Answer is D

A. While completing an incident report is important for documentation and quality improvement, it is not the immediate priority in the event of a medication error.

B. Notifying the nurse manager is a necessary step for reporting the error, but it should occur after ensuring the client's safety.

C. Calling the client's provider is essential to discuss the medication error and possible interventions, but the client's health and safety must be assessed first.

D. Assessing the client is the priority action to ensure the client’s safety and to identify any adverse effects resulting from the wrong medication. The nurse needs to determine the client's vital signs, level of consciousness, and any immediate symptoms related to the medication administered.

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Correct Answer is C

Explanation

A. Verifying the client's room number is not a reliable method of identification, as multiple clients can be in the same room or the client may have been moved.

B. Checking the client's name on the MAR is a good practice but should be combined with a direct method of identification for accuracy.

C. Asking the client for their full name and date of birth is the standard practice for confirming identity before administering medications, ensuring that the nurse is addressing the correct individual.

D. Asking a family member to verify the client's identity is not appropriate, as the nurse must confirm the client's identity personally to maintain safety and accountability.

A. Kussmaul respirations B. Apneustic respirations C. Stridor D. Cheyne-Stokes respirations

Correct Answer is D

Explanation

A. Kussmaul respirations are characterized by deep, rapid breathing typically associated with metabolic acidosis, not alternating periods of hyperventilation and apnea.

B. Apneustic respirations involve prolonged inspiration and shorter expiration phases, usually seen in brain injuries, but do not reflect alternating hyperventilation and apnea.

C. Stridor is a high-pitched wheezing sound indicative of upper airway obstruction, which does not describe the breathing pattern in this scenario.

D. Cheyne-Stokes respirations are defined by alternating periods of deep, rapid breathing (hyperventilation) followed by periods of no breathing (apnea), making this the correct choice for the client’s described pattern.

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A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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