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A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client.
Which of the following actions should the nurse take first?

File an incident report.

Determine factors that led to the omission.

Assess the client for adverse reactions.

Report the missed dosage to the client's provider.

Answer and Explanation

The Correct Answer is C

The first action the nurse should take is to assess the client for adverse reactions.

It is important to ensure the client’s safety and well-being before taking any further actions.

Choice A is wrong because filing an incident report is not the first action the nurse should take.

Choice B is wrong because determining factors that led to the omission is not the first action the nurse should take.

Choice D is wrong because reporting the missed dosage to the client’s provider is not the first action the nurse should take.

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Correct Answer is D

Explanation

Improved cognition should indicate to the nurse that the treatment with a hypertonic solution for hyponatremia is effective.

Hyponatremia can cause confusion and other neurological symptoms, so an improvement in cognition would suggest that the treatment is working to correct the electrolyte imbalance.

Choice A is wrong because Chvostek’s sign is a clinical sign of hypocalcemia, not hyponatremia.

Choice B is wrong because while vomiting can be a symptom of hyponatremia, a decrease in vomiting alone does not necessarily indicate that the treatment is effective.

Choice C is wrong because while hyponatremia can cause cardiac arrhythmias, the absence of arrhythmias alone does not necessarily indicate that the treatment is effective.

A. Decreased percentage of body fat. B. Decreased renal function. C. Multiple health problems. D. Polypharmacy. E. Increased rate of absorption.

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

Explanation

These are all risk factors for an adverse drug reaction in older adults.

Decreased renal function is a disease-related factor that can increase the risk of adverse drug reactions.

Multiple health problems or complex comorbidity can also increase the risk of adverse drug reactions.

Polypharmacy is a medication-related factor that can increase the risk of adverse drug reactions.

Choice A is wrong because Decreased percentage of body fat, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.

Choice E, Increased rate of absorption, is not an answer because it is not mentioned as a risk factor for adverse drug reactions in older adults in the search results.

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A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has hyponatremia and is receiving an infusion of a prescribed hypertonic solution. Which of the following findings should indicate to the nurse that the treatment is effective?

Correct Answer is D

Explanation

A nurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. Which of the following findings should the nurse include as risk factors for an adverse drug reaction? (Select all that apply.)

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

Explanation

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A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client.
Which of the following actions should the nurse take first?