After administering a medication to a client, the nurse realizes that the client was given another client's drug. What must the nurse do next?

Document the error on the client's medical record and notify the supervisor.

Check the client's MAR for drug allergies, and if there is no indicated allergy to the drug administered in error, no further action is necessary.

Call the health care provider immediately and complete an incident report.

Administer the original drug and observe the client frequently for adverse reactions to the first drug.

Answer and Explanation

The Correct Answer is C

Choice A reason: While documentation and supervisor notification are crucial, immediate action involving the health care provider ensures timely response to potential adverse effects from the medication error.

Choice B reason: Relying solely on the absence of drug allergies is insufficient and may jeopardize patient safety. Errors require immediate communication and reporting for appropriate interventions.

Choice C reason: Timely provider notification prioritizes patient safety and enables corrective measures. Completing an incident report supports institutional transparency and learning to prevent future errors.

Choice D reason: Administering additional drugs risks compounding harm. The priority is addressing the initial error and ensuring patient safety without introducing further interventions.

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Correct Answer is B

Explanation

Choice A reason: One 5-mg tablet delivers 5 mg; this underdoses the 10 mg ordered, reducing salivation stimulation needed for dry eye relief.

Choice B reason: Two 5-mg tablets equal 10 mg; this matches the order, ensuring therapeutic cholinergic effect to increase tear production effectively.

Choice C reason: Three tablets (15 mg) overdose; excess pilocarpine risks side effects (e.g., sweating, bradycardia) without added benefit for dry eyes.

Choice D reason: Four tablets (20 mg) far exceed the dose; this could cause severe cholinergic toxicity, including respiratory distress, outweighing therapeutic intent.

A. 610 mL B. 710 mL C. 810 mL D. 910 mL

Correct Answer is B

Explanation

Choice A reason: 610 mL omits ice cream (120 mL); total is 120 + 120 + 260 + 90 + 120 = 710 mL; this undercalculation misses a key liquid intake component.

Choice B reason: 710 mL sums all: 120 (juice) + 120 (milk) + 260 (coffee) + 90 (ice pop) + 120 (ice cream); melted solids count as fluid, matching clinical standards.

Choice C reason: 810 mL overestimates; no additional fluids are listed beyond 710 mL; this error likely adds non-existent intake, skewing the total inaccurately.

Choice D reason: 910 mL vastly exceeds reality; it may double-count or invent fluids; only 710 mL is supported by the listed consumption data provided.

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After administering a medication to a client, the nurse realizes that the client was given another client's drug. What must the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders Salagen 10 mg po twice a day for dry eyes. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?

Correct Answer is B

Explanation

A patient consumes 120 mL of orange juice and 120 mL of milk for breakfast, 260 mL of coffee for lunch, and 90 mL of an ice pop and 120 mL of ice cream for dinner. Calculate the intake for the 6 AM to 6 PM shift.

Correct Answer is B

Explanation

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