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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Intravenous administration results in the most predictable onset and complete bioavailability to the client, as the medication goes directly into the bloodstream.
Choice B rationale: Oral administration is subject to factors such as absorption in the gastrointestinal tract, which can affect predictability and bioavailability.
Choice C rationale: Subcutaneous administration can be affected by factors like absorption rates and tissue characteristics, leading to variations in onset and bioavailability.
Choice D rationale: Transdermal administration has a slower onset and may be influenced by factors such as skin integrity and blood flow.
Correct Answer is C
Explanation
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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