A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?

Notify the charge nurse.

Check the client’s vital signs.

Fill out an occurrence report according to institutional policy.

Document an objective description of what has happened in the client’s chart.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Notifying the charge nurse is important, but the priority action is to assess the client for any adverse effects of the medication error. This ensures the client’s immediate safety.
Choice B rationale

Checking the client’s vital signs is the priority action because it allows the nurse to assess for any immediate adverse effects of the medication error, such as changes in blood pressure or heart rate.
Choice C rationale
Filling out an occurrence report is necessary for documentation and institutional policy, but it is not the immediate priority. The client’s safety and assessment come first.
Choice D rationale
Documenting an objective description of the event in the client’s chart is important for medical records, but it should be done after assessing the client’s condition.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale
Monitoring blood glucose levels is not specifically required for clients taking pyrazinamide. This medication does not typically affect blood glucose levels.
Choice B rationale
Gallbladder studies are not required for clients taking pyrazinamide. This medication does not typically affect the gallbladder.
Choice C rationale
Liver function tests are required for clients taking pyrazinamide. This medication can cause hepatotoxicity, so regular monitoring of liver function is essential to detect any potential liver damage early.
Choice D rationale

Thyroid function studies are not required for clients taking pyrazinamide. This medication does not typically affect thyroid function.

A. Difficulty starting the flow of urine. B. Painful urination. C. Urge incontinence. D. Critically elevated prostate-specific antigen (PSA) level.

Correct Answer is A

Explanation

Choice A rationale

Difficulty starting the flow of urine is a common symptom of benign prostatic hyperplasia (BPH). This condition involves the enlargement of the prostate gland, which can obstruct the urethra and make it difficult to initiate urination.
Choice B rationale
Painful urination is not typically associated with BPH. It is more commonly linked to urinary tract infections or other conditions such as prostatitis.
Choice C rationale
Urge incontinence is not a primary symptom of BPH. While BPH can cause urinary frequency and urgency, urge incontinence is more often related to overactive bladder syndrome.
Choice D rationale
Critically elevated prostate-specific antigen (PSA) levels are not a direct symptom of BPH. Elevated PSA levels can be indicative of prostate cancer or other prostate conditions, but not specifically BPH12.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client. Which of the following is the priority nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has tuberculosis and is about to start taking pyrazinamide. The nurse should identify that the client needs which of the following tests while taking this medication therapy?

Correct Answer is C

Explanation

A nurse is caring for a client who has benign prostatic hyperplasia (BPH). Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assisting with the care of a client immediately following a lumbar puncture. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is emptying a client’s urinal when she notices the urine is dark amber, cloudy, and has an unpleasant odor. The nurse should identify that these findings are likely to be the result of which of the following?

A nurse is assisting with the care of a client who has hypocalcemia. For which of the following signs should the nurse monitor?

A nurse is reviewing the laboratory reports for a client who has chronic kidney disease. Which of the following laboratory reports should the nurse expect to find?

A nurse is assisting a client who is postoperative following a total hip arthroplasty into a supine position. Which of the following actions is appropriate to prevent hip dislocation?

A nurse is reinforcing teaching for a client who has rheumatoid arthritis and a new prescription for aspirin 650 mg orally every 6 hr. The nurse should instruct the client to monitor for which of the following adverse effects of aspirin therapy?

A nurse is collecting data from a client who has pulmonary tuberculosis. Which of the following findings should the nurse expect?

A nurse is caring for an older adult client who has left-sided heart failure. Which of the following findings should the nurse expect?