A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

Check the client's vital signs.

Administer the medication to the correct client.

Fill out an occurrence form.

Notify the client's provider.

Answer and Explanation

The Correct Answer is A

Ensuring client’s safety is a priority. Nifedipine can affect blood pressure and heart rate and these should be assessed

This can be followed by other actions- D, C, B

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Correct Answer is C

Explanation

Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate

A. Hair loss is not expected with this drug. B. Avoid foods that are too hot or too cold or rough in texture. C. Avoid areas with large crowds or gatherings. D. Prepare for hair loss. E. Restrict fluid intake to reduce nausea and vomiting.

Correct Answer is ["B","C","D"]

Explanation

methotrexate interferes with DNA synthesis which may affect all rapidly dividing cells including hair follicles, oral epithelial lining and bone marrow cells involved in fighting against infections
A. Hair loss is expected
B, E. Methotrexate should be taken with a lot of fluid to flush down the drug to minimize nausea and vomiting

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A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

Methotrexate is ordered for a client with a malignant tumor, and the nurse is providing education about self-care after the chemotherapy is given. Which statements by the nurse are appropriate for the client receiving methotrexate? (Select all that apply.)

Correct Answer is ["B","C","D"]

Explanation

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