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: The sclera by the outer canthus is not the typical site for administering eyedrops bilaterally.

Choice B rationale: Dropping medication onto the center of the cornea is not the recommended technique for administering eyedrops.

Choice C rationale: The sclera by the inner canthus is not the usual site for administering eyedrops bilaterally.

Choice D rationale: The lower conjunctival sac is the appropriate area for administering eyedrops, ensuring proper absorption and distribution.

A. Give the medication anyway because it's important for the client B. Withhold the medication and report it to the prescriber C. Withhold the medication and file an incident report D. Inform the client that the medication must be taken until the nurse gets an order to discontinue it

Correct Answer is B

Explanation

Choice A rationale: Administering the medication against the client's will is not respectful of the client's autonomy and right to make decisions about her own care.

Choice B rationale: Withholding the medication and reporting it to the prescriber is appropriate. The prescriber can reassess the situation and determine the next course of action.

Choice C rationale: Withholding the medication and filing an incident report may be premature; it is essential to involve the prescriber first.

Choice D rationale: Informing the client that the medication must be taken until the nurse gets an order to discontinue it may not be the best approach, as it does not respect the client's right to refuse treatment. The prescriber should be involved in the decision-making process.

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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

A client must receive eyedrops bilaterally four times a day. The medication should be dropped onto which of the following areas?

Correct Answer is D

Explanation

An alert, competent client refuses to take her antihypertensive medication. The nurse has explained why the medication is important and the client states that she understands but doesn't want to take the medication. What is the best nursing action?

Correct Answer is B

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?

An advantage of delegation in client care is that:

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A client is recently diagnosed with pneumonia. The nurse observes the client sitting upright in the bed and assesses a respiratory rate of 26. The client states, "I can't catch my breath." Which abbreviation would be used to document this presentation?

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A nurse is caring for a client being treated for hypernatremia. Which of the following are appropriate nursing interventions? (SELECT ALL THAT APPLY)