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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Notify the charge nurse: Although informing the charge nurse is important when a client’s status changes, it should be done after gathering objective data. Immediate assessment is critical to determine the extent of dyspnea and guide further interventions, rather than escalating prematurely without vital information.
B. Apply a pulse oximeter: Applying a pulse oximeter is the first action because it quickly assesses oxygen saturation and provides objective data regarding respiratory compromise. This measurement is essential to prioritize and tailor further interventions, ensuring timely management of potentially life-threatening hypoxia.
C. Observe pressure areas: Monitoring pressure areas is important for preventing pressure injuries in bedfast clients, but it is not the priority when a client is experiencing respiratory distress. Dyspnea requires immediate evaluation of oxygenation status rather than a skin integrity assessment.
D. Measure blood pressure: Blood pressure assessment provides information about cardiovascular status but does not immediately evaluate oxygenation. While important in overall evaluation, it is not the first step when addressing acute dyspnea, where oxygen saturation takes precedence to guide urgent care decisions.
Correct Answer is ["B","F","G","H"]
Explanation
Vital signs are to be taken every 4 hours, as per the physician's orders. The correct times based on the 4-hour interval are:
H. 0800 (Initial time)
B. 1200 (4 hours after 0800)
F. 1600 (4 hours after 1200)
G. 2000 (4 hours after 1600)
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