A nurse discovers a medication error in which the client received twice the prescribed amount of medication. Which of the following actions should the nurse take first?
Assess the client.
Report the error to the nurse manager.
Notify the provider.
Complete an incident report.
The Correct Answer is A
Choice A rationale:
The first step when a medication error occurs is to assess the client. This is to ensure the safety of the patient and to monitor for any adverse effects.
Choice B rationale:
Reporting the error to the nurse manager is important, but it is not the first step. Patient safety is the priority.
Choice C rationale:
Notifying the provider is crucial, but it comes after ensuring the patient’s safety.
Choice D rationale:
Completing an incident report is a later step in the process. The immediate concern is the patient’s wellbeing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Fatigue is a common symptom of iron deficiency due to the body’s inability to produce enough hemoglobin, which helps carry oxygen in the blood.
Choice B rationale:
Goiter, an enlargement of the thyroid gland, is not related to iron deficiency but rather iodine deficiency.
Choice C rationale:
Tooth decay is generally caused by bacteria in the mouth and poor oral hygiene, not iron deficiency.
Choice D rationale:
Tetany, involuntary contraction of muscles, is typically associated with low calcium levels, not iron deficiency.
Correct Answer is A
Explanation
Choice A rationale:
The provider prescribes 20 mEq of KCL. The bottle is labeled as 10 mEq/mL. Therefore, to administer 20 mEq, the nurse should give 2 mL (20 mEq ÷ 10 mEq/mL = 2 mL).
Choice B rationale:
Administering 2.5 mL would give 25 mEq of KCL, which is more than the prescribed dose.
Choice C rationale:
Administering 1.5 mL would give 15 mEq of KCL, which is less than the prescribed dose.
Choice D rationale:
Administering 1 mL would give 10 mEq of KCL, which is half the prescribed dose.
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