The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that she did not check the identification of the patient before administering medication. Which action should the nurse complete first?
Complete proper documentation of the medication error in the patient’s chart.
Return to the room to check and assess the patient.
Administer the antidote to the patient immediately.
Alert the charge nurse that a medication error has occurred.
The Correct Answer is B
A: Completing proper documentation of the medication error is important but should not be the first action. Immediate assessment of the patient is more critical.
B: Returning to the room to check and assess the patient is the first priority. The nurse needs to determine if the patient has experienced any adverse effects from the medication error and provide appropriate care.
C: Administering the antidote to the patient immediately is only necessary if the medication given has a known antidote and the patient is showing signs of adverse effects. Assessment should come first.
D: Alerting the charge nurse that a medication error has occurred is important for reporting and follow-up but should follow the immediate assessment and care of the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A: Continuous output from the stoma is expected in patients with an ileostomy. The stoma continuously produces waste, and this is a normal finding.
B: The presence of blood in the stool is an abnormal finding and should be reported immediately. It could indicate bleeding within the gastrointestinal tract, which requires prompt medical evaluation and intervention.
C: Malodorous stool is common with an ileostomy and is not typically a cause for immediate concern. However, if the odor is unusually strong or different, it may warrant further investigation.
D: Liquid consistency of stool is normal for an ileostomy, as the large intestine, which absorbs water, is bypassed. This is not an immediate concern unless there are other symptoms present.
Correct Answer is D
Explanation
A: Stopping an antibiotic once feeling better is incorrect. Antibiotics should be taken for the full prescribed course to ensure the infection is fully treated and to prevent antibiotic resistance.
B: Skipping a dose if 30 minutes late is not recommended. Most medications can be taken within a short window of the scheduled time. The patient should follow specific instructions provided by the healthcare provider.
C: Parenteral medications are administered via injection and do not need to be taken with food. This statement indicates a misunderstanding of the medication route.
D: Rotating the sites for a transdermal patch is correct. This practice helps prevent skin irritation and ensures consistent absorption of the medication.
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