A nurse is caring for a client who was administered more than the prescribed dose of a medication. Which of the following actions should the nurse take first?
Notify the primary care provider.
Obtain the client's vital signs.
Educate the client about potential adverse effects.
Complete an incident report.
The Correct Answer is B
A. Notify the primary care provider: Notifying the provider is important, but first, the nurse should assess the client’s condition by obtaining vital signs. This helps determine if immediate intervention is needed, like administering antidotes or treatments.
B. Obtain the client's vital signs: The first step is assessing the client’s physical status by checking vital signs. This helps identify signs of toxicity or immediate adverse effects from the overdose, guiding further actions.
C. Educate the client about potential adverse effects: Education is important, but it’s not the first priority in the case of an overdose. The nurse should first focus on assessing and stabilizing the client before providing information on potential adverse effects.
D. Complete an incident report: While an incident report is necessary, it is not the immediate priority. The nurse must first ensure the client’s safety and health by assessing and managing the overdose.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Use a padded tongue blade to protect the client's tongue while seizing: A tongue blade should not be used during a seizure, as it can cause injury to the client. The client’s airway should be protected by positioning them correctly, not by inserting objects into their mouth.
B. Place the client in a supine position during the seizure: The client should not be placed in a supine position during a seizure due to the risk of aspiration. Instead, the client should be placed on their side to help maintain an open airway and prevent aspiration.
C. Monitor the client's respiratory and cardiac status: During a tonic-clonic seizure, respiratory and cardiac monitoring are crucial. Seizures can lead to decreased oxygenation, irregular heart rhythms, and other complications.
D. Offer the client a cup of juice to drink once the seizure is over: After a seizure, the client may have impaired swallowing reflexes, and offering liquids too soon can cause aspiration. The nurse should assess the client’s ability to swallow before offering fluids.
Correct Answer is A
Explanation
A. This image shows well-demarcated, erythematous plaques covered with silvery-white scales—classic features of plaque psoriasis. These lesions typically appear on extensor surfaces like the elbows, knees, and scalp, and may itch or crack.
B. This image shows a yellow crusting lesion which suggests impetigo or a secondary skin infection, not psoriasis. Impetigo typically presents with honey-colored crusts, caused by bacterial infection, usually. Psoriasis lesions are usually dry and scaly, not moist or oozing.
C. This image shows red bumps on arm suggesting an allergic reaction, folliculitis, or possibly contact dermatitis. These are small papules often scattered or in clusters, and do not have the thick scaling seen in psoriasis.
D. The fourth image shows linear striae-like marks likely striae distensae (stretch marks), unrelated to psoriasis. Stretch marks are atrophic, linear scars typically due to skin stretching from growth or weight changes. They lack inflammation, plaques, and scale—all key signs of psoriasis.
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