A nurse is administering morning medications and realizes that nifedipine was administered to the wrong client.
Which of the following is the priority nursing action?.
Check the client's vital signs
Notify the charge nurse.
Document an objective description of what has happened in the client's chart.
Fill out an occurrence report according to institutional policy.
The Correct Answer is A
Choice A rationale:
The priority nursing action after administering the wrong medication is to assess the client for any adverse effects. This includes checking the client’s vital signs. Therefore, this statement is correct.
Choice B rationale:
Notifying the charge nurse is an important step, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice C rationale:
Documenting an objective description of what has happened in the client’s chart is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Choice D rationale:
Filling out an occurrence report according to institutional policy is necessary, but it is not the first action the nurse should take. Therefore, this statement is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Atenolol does not typically cause hypokalemia.
Choice B rationale:
Neutropenia is not a common side effect of atenolol.
Choice C rationale:
Anemia is not typically associated with atenolol use.
Choice D rationale:
Atenolol, a beta blocker, can cause bradycardia, or a slow heart rate, as a side effect.
Correct Answer is A
Explanation
Choice A rationale:
Timolol is a non-selective beta blocker that can slow heart rate, leading to bradycardia.
Choice B rationale:
Seizures are not a common side effect of timolol.
Choice C rationale:
Timolol is used to decrease intraocular pressure, not blood pressure.
Choice D rationale:
Anemia is not a known side effect of timolol.
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