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.

Answer and Explanation

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.

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Correct Answer is A

Explanation

A: The nurse should check the medication order again to ensure that the correct medication is being administered. This response addresses the client’s concern and ensures patient safety.

B: Telling the client that this is the medication their doctor wants them to take does not address the client’s concern about the color difference and may not ensure the correct medication is given.

C: While it is true that the same medication can come in different colors, this response does not verify the accuracy of the medication being administered.

D: Explaining the purpose of the medication is important, but it does not address the immediate concern about the color difference and the need to verify the medication.

A. Hypoglycemia B. Hypertension C. Hypervolemia D. Hypokalemia

Correct Answer is D

Explanation

A: Hypoglycemia is not a common adverse effect of Furosemide. This diuretic primarily affects fluid and electrolyte balance rather than blood glucose levels.

B: Hypertension is not an adverse effect of Furosemide. In fact, Furosemide is often used to treat hypertension by reducing fluid volume and lowering blood pressure.

C: Hypervolemia, or fluid overload, is not an adverse effect of Furosemide. This medication is a diuretic, which means it helps remove excess fluid from the body, thereby reducing hypervolemia.

D: Hypokalemia, or low potassium levels, is a common adverse effect of Furosemide. This diuretic can cause the body to lose potassium through urine, leading to potentially dangerous low levels of this essential electrolyte.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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