A client receives the wrong medication in error. The nurse who made the medication error should do which of the following first?
Observe the client.
Complete an incident report.
Notify the nurse manager.
Call the client's provider.
The Correct Answer is A
A. Observe the client. The first priority is to monitor the client for any adverse reactions or side effects from the wrong medication.
B. Complete an incident report. While important, the incident report is not the first action to take.
C. Notify the nurse manager. Informing the nurse manager is necessary, but not the immediate first step.
D. Call the client's provider. Notifying the provider is also important but observing the client for any immediate effects takes precedence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Temporary urinary retention: After removal of an indwelling catheter, especially in older adults, temporary urinary retention can occur due to decreased bladder tone or urethral irritation.
B. Blood-tinged urine: This is not an expected outcome; it could indicate trauma or infection and should be evaluated.
C. Urinary frequency for several days: While increased frequency might occur immediately after catheter removal, it is not typically expected to last for several days.
D. Highly concentrated urine: Urine concentration would depend on the client's hydration status rather than the removal of the catheter.
Correct Answer is B
Explanation
A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.
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