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 B
Explanation
Choice A rationale:
The hand used to hold the inhaler does not affect its effectiveness.
Choice B rationale:
Holding breath allows more medication to reach the lungs.
Choice C rationale:
Waiting 1 minute, not 10, between inhalations allows for better absorption.
Choice D rationale:
Head position does not affect inhalation.
Correct Answer is A
Explanation
Choice A rationale:
Sore throat can be a sign of neutropenia, a condition characterized by low levels of neutrophils, which are white blood cells that help fight off infections. This is a serious side effect of captopril and requires immediate medical attention.
Choice B rationale:
Headache is a common side effect of many medications, including captopril, but it is not usually a cause for concern.
Choice C rationale:
Stuffy nasal passages are not typically associated with captopril use.
Choice D rationale:
Metallic taste is a common side effect of captopril, but it is not usually a cause for concern.
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