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 B

Explanation

Choice A rationale: Injecting air into the regular insulin and then into the NPH is not the correct sequence.

Choice B rationale: Injecting air into both vials and withdrawing the regular insulin first is the correct sequence when drawing up a combination of short-acting and intermediate- acting insulins.

Choice C rationale: Injecting air into and withdrawing the NPH immediately is not the correct sequence.

Choice D rationale: Withdrawing the regular insulin first is not the correct sequence when preparing a mixed insulin injection.

A. medication concentration is half of what it was when administered. B. medication becomes toxic C. blood serum drug concentration is lowest. D. highest effective drug concentration in the blood is reached.

Correct Answer is C

Explanation

Choice A rationale: Medication concentration being half of what it was when administered is not the definition of the trough level.

Choice B rationale: Medication becoming toxic is not the definition of the trough level. Choice C rationale: Blood serum drug concentration being lowest is the correct definition of the trough level.

Choice D rationale: Highest effective drug concentration in the blood being reached is not the definition of the trough level.

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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:

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Naxlex Comprehensive Predictor Exams

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