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.
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
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["22.6"]
Explanation
Step 1 is: Determine the amount of potassium chloride per mL. 20 mEq ÷ 15 mL = 1.33 mEq/mL Step 2 is: Calculate the volume needed to administer 30 mEq. 30 mEq ÷ 1.33 mEq/mL
= 22.56 mL The nurse should administer 22.6 mL (rounded to the nearest tenth).
Correct Answer is ["2"]
Explanation
Step 1 is: 275 mcg ÷ 137 mcg/tablet = 2.007 tablets The final calculated answer is 2 tablets.
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