The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake, her first action should be to:

tell the nurse manager.

notify the physician.

check the client's blood pressure.

file an incident report.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Telling the nurse manager is not the first action; the immediate focus should be on the client's well-being.

Choice B rationale: Notifying the physician is important, but the immediate concern is addressing the client's condition.

Choice C rationale: Checking the client's blood pressure is the first action to assess the client's response to the medication error.

Choice D rationale: Filing an incident report is important for documenting the error but is not the immediate action in this situation.

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Correct Answer is D

Explanation

Choice A rationale: Maintaining continuous oxygen therapy does not directly address the thinning of respiratory secretions.

Choice B rationale: Maintaining a consistent air temperature in the client's room is not directly related to thinning respiratory secretions.

Choice C rationale: Keeping the client in a supine position as much as possible is not the most helpful action for thinning respiratory secretions.

Choice D rationale: Assisting the client to maintain an adequate fluid intake is the most helpful action in thinning respiratory secretions, promoting hydration and mobilization of secretions.

A. spread the skin taut while inserting the needle. B. apply heat to the area before the injection. C. hold the barrel of the syringe still while injecting the medication. D. test for blood return before injecting the medication.

Correct Answer is A

Explanation

Choice A rationale: Spreading the skin taut while inserting the needle can minimize discomfort by reducing the sensation of the needle puncturing the skin.

Choice B rationale: Applying heat to the area before the injection is not a common practice and may not significantly reduce discomfort during the injection.

Choice C rationale: Holding the barrel of the syringe still while injecting the medication is important for accuracy but does not specifically address minimizing discomfort.

Choice D rationale: Testing for blood return before injecting the medication is a technique used with intramuscular but it does not minimize pain during injection.

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The nurse misreads the medication Kardex and administers twice the amount of antihypertensive medication that was ordered for the client. When she realizes the mistake, her first action should be to:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which nursing action is most helpful in thinning a client's thick respiratory secretions?

Correct Answer is D

Explanation

In order to minimize discomfort when giving an injection to a client, the nurse should:

Correct Answer is A

Explanation

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