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 B

Explanation

A. Mixing medication in a bottle with formula increases the risk of the infant not receiving the full dose and does not address the aspiration risk.
B. Administering medication with a needleless syringe placed in the buccal pouch allows for controlled, slow administration, minimizing the risk of aspiration.
C. Holding the infant in a supine position after administration is not sufficient to prevent aspiration during administration.
D. Administering medication quickly while the infant is restrained may increase the risk of aspiration due to rapid swallowing.

Correct Answer is ["2"]

Explanation

To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets.

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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

A nurse is preparing to administer a liquid medication to a 10-month-old infant who is crying. Which of the following actions should the nurse take to minimize the possibility of aspiration?

Correct Answer is B

Explanation

1. A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

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