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 B

Explanation

A. Using an alcohol rub when hands are visibly soiled is incorrect; hands should be washed with soap and water in such cases.

B. Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is an appropriate practice for effective hand hygiene when hands are not visibly soiled, ensuring thorough coverage of all hand surfaces.

C. Gloves are not a substitute for hand hygiene; hands should be washed before putting on gloves and after removing them to prevent contamination.

D. Even if an individual does not have an infection, they can still carry pathogens on their hands that may infect others, highlighting the necessity of proper hand hygiene.

A. Verify the client's room number. B. Check the client's name on the medication administration record (MAR). C. Ask the client's full name and date of birth. D. Ask a family member to verify the client's identity.

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.

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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

A nurse is teaching a new group of assistive personnel (AP) about the importance of hand hygiene. Which of the following statements should the nurse include?

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Explanation

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Correct Answer is C

Explanation

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