The nurse inadvertently makes a med error gives a client a double dose of a prescribed medication. What action by the nurse is priority?
Go to lunch.
Finish documenting medications for the nurse's other patients.
Call the nurse's lawyer.
Assess the patient.
The Correct Answer is D
A. Going to lunch: Leaving the patient after a medication error delays timely assessment and intervention, increasing risk of harm.
B. Finishing documentation for other patients: Prioritizing other tasks before assessing the affected patient neglects immediate safety responsibilities.
C. Calling the nurse's lawyer: Legal consultation is not the priority in a patient care emergency; clinical action must come first.
D. Assess the patient: The nurse’s first priority is to assess the client for adverse effects or changes in condition to ensure prompt intervention and patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 3/30/25: Fran Jones DOB 2/2/72 morphine sulfate 4 IV stat Dr. James Brown.: This order is incomplete because it lacks the unit of measurement for the dose (e.g., mg). Missing dosage units make it unsafe for administration.
B. 3/30/25: Fran Jones DOB 2/2/72 Keflex (cephalexin) 500 mg every 6 hours for 7 days Dr. James Brown.: Although this order includes the drug, dose, frequency, and duration, it omits the route of administration. Without the route (e.g., orally or IV), the nurse cannot safely administer the medication.
C. 3/30/25: Fran Jones DOB 2/2/72 Demerol (meperidine) 50 mg IM for pain Dr. James Brown.: This order lacks a specific time interval or frequency for administration. The phrase “for pain” is too vague and could lead to inconsistent dosing without defined parameters.
D. 3/30/25: Fran Jones DOB 2/2/72 Digoxin (Lanoxin) 0.5 mg orally every day Dr. James Brown.: This order includes all required components—a date, patient identifiers, medication name (both generic and trade), dose, route, frequency, and prescriber’s signature. It is therefore considered a complete and safe medication order.
Correct Answer is D
Explanation
A. Demerol (meperidine HCL) 50 mg, IM, prior to surgery.: This order specifies administration before surgery, which serves as its clear endpoint. It is a single preoperative dose and therefore has a defined termination point.
B. Mevacor (lovastatin) 10 mg, po, every 12 hours for 7 days.: The inclusion of “for 7 days” provides a definite duration, meaning the order will automatically terminate after the specified treatment period ends.
C. Lasix (furosemide) 40 mg, IV, STAT.: A STAT order is intended for immediate, one-time administration, so it has an inherent termination after that single dose is given.
D. Motrin (ibuprofen) 400 mg, po, daily.: This order does not specify a stop date or duration of therapy, meaning it would continue indefinitely until changed or discontinued by the provider. It is therefore written without a termination.
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