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

Answer and Explanation

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.

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Correct Answer is ["A","B","C"]

Explanation

A. Applying moisture barrier cream helps protect the skin from irritation and breakdown due to urinary incontinence.

B. Consulting with the wound care nurse about the use of a specialty mattress is crucial to minimize pressure ulcers.

C. Instructing the client to shift their weight at least every 15 minutes helps reduce pressure and prevent pressure ulcers.

D. Keeping the head of the bed raised at 45 degrees at all times is not necessary and may not address the underlying issue of functional urinary incontinence.

E. Massaging over bony prominences is important for preventing pressure ulcers but does not directly address urinary incontinence.

A. ir B. rs C. pr D. r

Correct Answer is C

Explanation

A. "ir" typically stands for intrarectal, which is not a commonly used abbreviation for suppositories.

B. "rs" does not correspond to any commonly used route of administration for suppositories.

C. "pr" typically stands for per rectum, which is the appropriate route of administration for a glycerin suppository.

D. "r" is not a standard abbreviation for suppository administration.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["A","B","C"]

Explanation

A client is diagnosed with chronic constipation. The nurse is given an order by the physician to administer a glycerin suppository. What abbreviation will be written in the physician's order for the administration route for the suppository?

Correct Answer is C

Explanation

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