A nurse receives a computer safety alert from the medication management system when preparing to administer digoxin. Which of the following actions should the nurse take first?
Check the client's identification bracelet.
Obtain the client's apical pulse.
Review the medication administration record.
The Correct Answer is B
A. Checking the client’s ID is important but not the immediate priority in response to a safety alert specific to digoxin.
B. Obtaining the client’s apical pulse is the first action because digoxin can cause bradycardia, and the medication should be withheld if the pulse is below a prescribed limit.
C. Reviewing the medication administration record is useful but should follow the critical assessment of the client’s current status.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Passwords should never be shared, even with a nurse manager, to protect confidentiality.
B. Faxing confidential protected health information is sometimes necessary but must follow strict protocols; the statement is too absolute.
C. Understanding how to correct data entry errors is important to maintain accuracy and integrity of electronic health records.
Correct Answer is B
Explanation
A. Nurse’s notes provide qualitative data but may not give a clear overview of recent trends.
B. An online diagram showing vital signs trends over 72 hours helps the nurse assess the client’s current status and determine if it’s safe to administer the antihypertensive medication.
C. The care plan guides overall care but does not provide immediate clinical data needed for medication administration decisions.
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