A nurse is assessing a client for signs and symptoms of a medication error. Which of the following manifestations should the nurse be most concerned about?
Mild headache and dizziness
Temporary nausea and vomiting
Rapid heart rate and palpitations
Transient muscle weakness and fatigue
The Correct Answer is C
Rapid heart rate and palpitations are potential signs of a medication error, particularly if the client is receiving medication that can affect cardiac function. These symptoms can indicate an adverse reaction or an overdose of certain medications, such as those that affect the cardiovascular system. Monitoring the client's cardiac status is crucial in detecting and managing potential medication errors.
Incorrect choices:
a) Mild headache and dizziness: While these symptoms may be bothersome, they are generally not indicative of a medication error unless they persist or worsen.
b) Temporary nausea and vomiting: Nausea and vomiting can occur as side effects of medications, and they may not necessarily indicate a medication error.
d) Transient muscle weakness and fatigue: Although muscle weakness and fatigue can be associated with medication errors, they are less specific and may be caused by various other factors. Rapid heart rate and palpitations are more concerning in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) This is incorrect because discarding the vial and obtaining a new one is not necessary actions for a vial of insulin that has a small amount of white precipitate at the bottom. This precipitate indicates that the insulin has crystallized due to cold storage or temperature changes, but it can be resuspended by gently rolling or rotating the vial.
B) This is incorrect because shaking the vial vigorously until the precipitate dissolves is not an appropriate action for a vial of insulin that has a small amount of white precipitate at the bottom. Shaking the vial may cause air bubbles or froth to form, which can affect the accuracy of the dose measurement and administration.
C) This is incorrect because warming the vial in a microwave oven for a few seconds is not a safe action for a vial of insulin that has a small amount of white precipitate at the bottom. Warming the vial in a microwave oven may cause uneven heating or damage to the insulin molecules, which can alter the potency and effectiveness of the medication.
D) This is correct because rolling the vial gently between the palms of both hands is the recommended action for a vial of insulin that has a small amount of white precipitate at the bottom. Rolling the vial gently helps to resuspend the insulin crystals and restore the uniform appearance of the solution.
Correct Answer is A
Explanation
A) This is correct because stopping the infusion and notifying the provider are the priority actions for a client who is experiencing signs and symptoms of anaphylaxis, which is a life-threatening allergic reaction to a medication. The nurse should also prepare to administer epinephrine as prescribed.
B) This is incorrect because administering diphenhydramine as prescribed is not the first action for a client who is experiencing anaphylaxis. Diphenhydramine is an antihistamine that can help relieve some symptoms of an allergic reaction, but it is not effective for reversing bronchoconstriction or hypotension that may occur in anaphylaxis.
C) This is incorrect because monitoring the client's vital signs and oxygen saturation is not the first action for a client who is experiencing anaphylaxis. Although these are important assessments, they are not as urgent as stopping the infusion and notifying the provider.
D) This is incorrect because slowing down the infusion rate and observing for improvement are not appropriate actions for a client who is experiencing anaphylaxis. Slowing down or continuing the infusion may worsen the client's condition and delay treatment.
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