A male client tells the practical nurse (PN) that he usually takes a smaller white tablet, not the large blue tablet that the PN gives him. Which action should the-PN implement first?
Check the medical record to verify the medication's name and strength.
Reassure the client that the blue tablet is the correct medication.
Explain that the tablets are from different manufacturers
Withhold the medication and notify the healthcare provider.
The Correct Answer is A
A. Check the medical record to verify the medication's name and strength: The first action is to verify the medication against the medical record to ensure it is the correct drug, dose, and formulation. This prioritizes patient safety by confirming accuracy before administration, preventing possible medication errors.
B. Reassure the client that the blue tablet is the correct medication: Reassuring the client without verifying the medication could risk administering the wrong drug. Even if the nurse believes the medication is correct, professional standards require verification when a discrepancy is noted by the patient.
C. Explain that the tablets are from different manufacturers: Differences in tablet appearance between manufacturers are common, but assuming this without verifying could result in a serious medication error. Visual differences should always be validated against the order and pharmacy records first.
D. Withhold the medication and notify the healthcare provider: Withholding the medication and notifying the healthcare provider may be appropriate if verification reveals a problem. However, the first step is to check the medical record to determine if the medication given matches the prescribed drug and dose.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Rectus abdominis: The rectus abdominis is a muscle in the abdomen, not the thigh. It is not used for intramuscular injections, as it does not provide the necessary mass or safe anatomical location for such injections.
B. Rectus femoris: The rectus femoris is located in the mid anterior thigh and is a common site for intramuscular injections, especially when other sites are not ideal. It provides easy access, sufficient muscle mass, and fewer major nerves or blood vessels.
C. Gluteus medius: The gluteus medius is located in the upper outer quadrant of the buttock, commonly used for dorsogluteal or ventrogluteal injections, not for injections into the anterior thigh.
D. Gluteus maximus: The gluteus maximus forms the bulk of the buttocks and is used for dorsogluteal injections. It is not located in the anterior thigh and is associated with greater risk of hitting major nerves like the sciatic nerve.
Correct Answer is B
Explanation
A. Show the UAP how to use a transfer belt to safely move the client: A transfer belt is useful for clients who can bear some weight and follow instructions. Since the client is confused and cannot bear weight, using a transfer belt is unsafe and increases the risk of injury.
B. Work with the UAP to use a mechanical lift and sling for the transfer: A mechanical lift provides the safest method for transferring a confused, non-weight-bearing client. It minimizes the risk of injury to both the client and staff while ensuring the transfer is done safely and correctly.
C. Instruct the UAP to use a pivot technique when moving the client: Pivot techniques require the client to bear weight and follow simple directions, neither of which is appropriate given the client's confusion and inability to bear weight.
D. Notify the charge nurse that the client cannot be transferred: While updating the charge nurse may eventually be needed, the immediate action is to modify the transfer method to ensure the client's needs are safely met using appropriate equipment.
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