A nurse is preparing to administer medications to a client and notices the wrong medication was administered on the previous shift. Which of the following actions should the nurse take first after obtaining vital signs?

Complete an incident report.

Document the findings in the nurse’s notes.

Notify the nursing manager.

Inform the client’s provider.

Answer and Explanation

The Correct Answer is D

A. Complete an incident report is necessary for documenting the error, but it should not be the first action. Immediate steps should focus on patient safety and addressing the error.
B. Document the findings in the nurse’s notes is important for maintaining accurate medical records, but it should follow the immediate actions taken to address the error.
C. Notify the nursing manager is important for internal reporting and addressing the error within the healthcare team, but it should not be the first action.
D. Inform the client’s provider is the first action the nurse should take. The provider needs to be informed immediately to assess the client’s condition, determine any necessary interventions, and prevent potential harm from the medication error.

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Correct Answer is D

Explanation

A. Gemfibrozil is a lipid-lowering agent and does not have a significant interaction with nitroglycerin. It is not contraindicated for use with nitroglycerin.
B. Lansoprazole is a proton pump inhibitor used to treat acid-related stomach issues. It does not interact with nitroglycerin and is safe to use concurrently.
C. Diazepam is a benzodiazepine used for anxiety and muscle spasms. While it can cause hypotension, it is not specifically contraindicated with nitroglycerin.
D. Sildenafil is a phosphodiesterase inhibitor used to treat erectile dysfunction. It is contraindicated with nitroglycerin because both medications cause vasodilation, which can lead to severe hypotension and cardiovascular collapse. Patients should not use these medications together.

A. Hypertension B. Diarrhea C. Bradycardia D. Somnolence

Correct Answer is A

Explanation

A. Hypertension is a serious manifestation of an interaction between phenelzine, a monoamine oxidase inhibitor (MAOI), and tyramine-rich foods like aged cheese. This interaction can lead to a hypertensive crisis, which is a medical emergency.
B. Diarrhea is not a typical manifestation of the interaction between phenelzine and tyramine-rich foods. The primary concern is hypertension.
C. Bradycardia is not associated with the interaction between phenelzine and tyramine-rich foods. The interaction typically causes an increase in blood pressure, not a decrease in heart rate.
D. Somnolence is not a common manifestation of this interaction. The primary concern is the risk of hypertensive crisis.

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A nurse is preparing to administer medications to a client and notices the wrong medication was administered on the previous shift. Which of the following actions should the nurse take first after obtaining vital signs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the list of current medications for a client who has a new prescription for nitroglycerin. The nurse should identify that which of the following client medications is contraindicated for use with nitroglycerin?

Correct Answer is D

Explanation

A nurse is assessing a client who is taking phenelzine and reports eating aged cheese. Which of the following is a manifestation of an interaction between the medication and the food?

Correct Answer is A

Explanation

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