A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
Fill out an incident report.
Notify the charge nurse.
Check the client's vital signs.
Document the client's condition in the electronic medical record.
The Correct Answer is C
A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Waiting to document medications until the end of a shift increases the risk of errors and delays in patient care due to potential inaccuracies.
B. Avoiding distractions during medication preparation helps maintain focus and reduces the likelihood of errors.
C. Preparing medications for multiple clients simultaneously increases the risk of medication mix-ups and errors.
D. Medications should not be removed from automatic dispensing systems before review by pharmacists, as this can lead to medication errors and compromised safety protocols.
Correct Answer is ["22.5"]
Explanation
To administer the correct dose of potassium chloride, which is 30 mEq, when the available solution is 20 mEq in 15 mL, the nurse needs to calculate the volume of the solution to provide the required mEq. The calculation is as follows: (30 mEq / 20 mEq) x 15 mL = 22.5 mL.
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