After administering a medication to your client, you realize you gave him another client's drug.
Your most appropriate action is to:
Document the error on the client's medical record and notify your supervisor.
Administer his original drug and observe him frequently for adverse reactions to the first drug.
Call his physician immediately and make out an incident report.
Check the client's MAR for drug allergies, and if he's not allergic to the drug administered and it is not contraindicated for his condition, do not do anything further about it.
The Correct Answer is C
Choice A rationale
Documenting the error and notifying the supervisor are necessary steps, but they are not the most immediate or comprehensive actions. The priority in a medication error is patient safety, which requires immediate medical assessment and intervention. This step follows after direct patient care and notification of the physician.
Choice B rationale
Administering the original drug and observing for adverse reactions addresses part of the problem, but it does not prioritize immediate medical consultation regarding the mistakenly administered drug. The focus should be on the potential effects of the incorrect medication and timely intervention to mitigate harm.
Choice C rationale
The most appropriate and immediate action is to call the physician to inform them of the medication error. This allows the physician to assess the potential harm to the patient based on the specific drug, dosage, and patient's condition, and to order appropriate interventions. An incident report is crucial for organizational learning and quality improvement.
Choice D rationale
Deciding not to act based on a quick check of allergies or contraindications is highly negligent and unsafe. Even if there are no apparent immediate contraindications, any medication error carries inherent risks and requires a thorough medical evaluation by the physician. This approach prioritizes patient safety over documentation and investigation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Lymphadenopathy refers to enlarged lymph nodes, which are palpable structures of the immune system. Bruits are vascular sounds, specifically turbulent blood flow, and are entirely unrelated to the presence or size of lymph nodes. Lymphadenopathy indicates an immune response or lymphatic system issue, whereas bruits indicate arterial pathology.
Choice B rationale
Hypermetabolic states, such as hyperthyroidism, can increase cardiac output and blood flow velocity, potentially leading to flow murmurs in the heart. However, they do not directly cause bruits in the carotid arteries. Carotid bruits are typically indicative of localized arterial narrowing or disease, not a systemic increase in metabolism.
Choice C rationale
Bruits are audible vascular sounds, often described as a "whooshing" or "swishing" sound, that result from turbulent blood flow through a narrowed or partially occluded artery. In the carotid arteries, a bruit strongly suggests atherosclerotic plaque formation, which reduces the arterial lumen and disrupts the smooth, laminar flow of blood, creating turbulence.
Choice D rationale
Bruits are arterial sounds, reflecting turbulence within arteries. Venous disease primarily involves veins, and while some venous conditions like arteriovenous fistulas can produce continuous murmurs, typical bruits heard over carotid arteries are characteristic of arterial narrowing and compromise, not venous pathology. Venous hums can occur but are distinctly different from arterial bruits.
Correct Answer is A
Explanation
Choice A rationale
The Sims position, also known as left lateral position with the right knee flexed, is ideal for rectal suppository administration. This position allows for optimal visualization and access to the anus, while gravity aids in the retention of the suppository by minimizing premature expulsion.
Choice B rationale
The dorsal recumbent position, where the patient lies on their back with knees flexed and feet flat on the bed, is not optimal for rectal suppository administration. This position makes rectal access difficult and does not utilize gravity to aid in suppository retention, potentially leading to discomfort.
Choice C rationale
The prone position, where the patient lies on their stomach, is not suitable for rectal suppository administration. This position severely limits access to the rectal area, making insertion difficult and uncomfortable for both the patient and the nurse.
Choice D rationale
The supine position, where the patient lies flat on their back, is not ideal for rectal suppository administration. Similar to dorsal recumbent, this position makes adequate visualization and comfortable access to the anus challenging, potentially increasing patient discomfort and insertion difficulty.
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