The nurse misreads the electronic medication administration record (MAR) and administers twice the amount of antihypertensive medication that was ordered for the client. When realizing the mistake, the first action should be to:
tell the nurse manager.
check the client's BP & HR.
notify the charge nurse & client's physician.
submit an occurrence report
The Correct Answer is B
A. Notifying the nurse manager may be appropriate but is not the immediate action needed.
B. Checking the client's blood pressure and heart rate is the first action to assess the client's condition and any potential effects of the medication error.
C. Notifying the charge nurse and client's physician may be necessary but is not the immediate action needed before assessing the client.
D. Submitting an occurrence report is important for documenting the error but is not the immediate action needed before assessing the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Testing for blood return is not related to minimizing discomfort during injection; it's more about ensuring proper needle placement.
B. Spreading the skin taut helps reduce discomfort by stabilizing the area and making needle insertion smoother.
C. Holding the barrel of the syringe still while injecting the medication helps maintain control but does not directly minimize discomfort.
D. Applying heat to the area before injection is not a standard practice and may not necessarily minimize discomfort.
Correct Answer is C
Explanation
A. The highest effective drug concentration in the blood is associated with peak levels, not trough levels.
B. The point at which medication becomes toxic is associated with peak levels, not trough levels.
C. The trough level is associated with the lowest blood serum drug concentration, just before the next dose is administered.
D. The point at which the medication concentration is half of what it was when administered is associated with the half-life of the drug, not trough levels.
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