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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:
The pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.
Choice B rationale:
The aorta is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen.
Choice C rationale:
The inferior vena cava carries deoxygenated blood from the lower half of the body back to the right atrium of the heart, not from the left ventricle.
Choice D rationale:
The pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.

A. 2 mL. B. 2.5 mL. C. 1.5 mL. D. 1 mL.

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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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?

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Naxlex Comprehensive Predictor Exams

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