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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. DPIs require the patient to inhale quickly and deeply to effectively deliver the medication, requiring coordination of breath and inhaler activation.
B. ODPIs (often referring to pressurized metered-dose inhalers) use propellant gases, not DPIs.
C. DPIs may not be suitable for young children and infants who may have difficulty generating enough inspiratory flow to use them effectively.
D. ODPIs (if referring to other types) are not exclusively used for long-term control; their use depends on the specific medication formulation.

A. Nausea B. Dry oral mucous membranes C. White coating in the mouth D. Tremors

Correct Answer is C

Explanation

A. Nausea is a less common side effect of beclomethasone MDI and may not require immediate reporting unless severe or persistent.
B. Dry oral mucous membranes are a common side effect of beclomethasone MDI but may not require immediate reporting unless severe or persistent.
C. White coating in the mouth can be indicative of oral thrush, a fungal infection that can occur as an adverse effect of inhaled corticosteroids like beclomethasone MDI.
D. Tremors are a less common adverse effect of beclomethasone MDI.

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A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a characteristic of dry powder inhalers (DPIs)?

Correct Answer is A

Explanation

A nurse is reinforcing discharge instructions for a client who has asthma and is about to start using beclomethasone MDI. For which of the following findings should the nurse instruct the client to monitor and report to the provider as an adverse effect of the medication?

Correct Answer is C

Explanation

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