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

Notify the nurse manager.

Complete an incident report.

Assess the client.

Call the client's provider.

Answer and Explanation

The Correct Answer is C

A. Notify the nurse manager: While notifying the nurse manager is important, it is not the immediate priority when a medication error occurs.

B. Complete an incident report: Completing an incident report is necessary for documentation but should not be done before ensuring the client's safety.

C. Assess the client: This is the correct first action. The nurse must first assess the client to determine if there are any immediate adverse effects or reactions to the incorrect medication.

D. Call the client's provider: While it is important to inform the provider, assessing the client's condition takes precedence to address any immediate health concerns.

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Correct Answer is ["A","D","E"]

Explanation

A. Prior to administering each medication: Instilling water before administering each medication helps ensure that the medication is properly delivered into the stomach and prevents the tube from clogging.

B. Before aspirating gastric contents: Instilling water before aspiration is not required and may not affect the aspiration process.

C. When the flow of the medication by gravity slows: This situation indicates a potential blockage or need for adjustment rather than a need for additional water.

D. After giving multiple medications: Instilling water after giving multiple medications helps to clear the tube of residual medication and prevents blockages.

E. After each medication: Instilling water after each medication ensures that the tube is flushed and all medication is delivered to the stomach.

A. Administer pain medication to the first client. B. Weigh the second client. C. Change the dressings of both clients. D. Obtain vital signs for both clients.

Correct Answer is A

Explanation

A. Administer pain medication to the first client: Pain management is a priority, especially for a postoperative patient with a pain level of 6 out of 10. Addressing pain can improve the client’s comfort and ability to participate in other aspects of care, such as nutrition administration and mobility.

B. Weigh the second client: While important for monitoring nutritional status, weighing the client is not as urgent as managing pain for a postoperative patient.

C. Change the dressings of both clients: Dressing changes are necessary but can be scheduled after addressing the more immediate needs such as pain management for the postoperative client.

D. Obtain vital signs for both clients: While vital signs are important for assessing overall health, pain management should be prioritized to address the immediate discomfort and potential impacts on recovery.

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A client receives the 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 administering several medications via a client's gastrostomy tube. At which of the following times should the nurse instill 15 to 30 mL of warm water? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

Correct Answer is A

Explanation

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