While assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?

After the end of the current shift

After contacting risk management

As soon as the assessment is complete

As soon as the nurse from the previous shift has been informed

Answer and Explanation

The Correct Answer is C

A. Delaying the incident report until the end of the current shift can compromise the timely documentation of the error and any necessary interventions that may arise.

B. While it's important to notify risk management, the priority should be to document the incident immediately after assessing the client to ensure a complete record of the error.

C. Completing the incident report as soon as the assessment is complete is the most appropriate action, allowing for prompt documentation of the error and any potential effects on patient care.

D. Informing the previous nurse is necessary for communication, but it should not delay the completion of the incident report, which is crucial for tracking errors and improving safety protocols.

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Correct Answer is ["A","D","E"]

Explanation

A. Blurred vision is a common side effect of anticholinergic medications due to their effect on the eye muscles and pupil dilation.

B. Polyuria is not typically associated with anticholinergic medications; these medications may actually lead to urinary retention.

C. A productive cough is not an expected adverse effect of anticholinergic medications; instead, they may cause dry mucous membranes and a dry cough.

D. Tachycardia can occur as anticholinergic medications block the effects of acetylcholine on the heart, leading to increased heart rate.

E. Constipation is a well-known side effect of anticholinergic medications because they reduce gastrointestinal motility.

A. Hydrochlorothiazide prevents angiotensin II from binding with receptor sites. B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule. C. Hydrochlorothiazide blocks stimulation of beta receptors in the sympathetic nervous system. D. Hydrochlorothiazide promotes the movement of extravascular fluids into the vascular compartment.

Correct Answer is B

Explanation

A. Hydrochlorothiazide does not prevent angiotensin II from binding with receptor sites; this action is typically associated with ACE inhibitors or angiotensin receptor blockers.

B. Hydrochlorothiazide decreases the reabsorption of sodium and water in the distal renal tubule, which leads to increased urine output and decreased blood volume, effectively lowering blood pressure.

C. Hydrochlorothiazide does not block beta receptors; this is the mechanism of action for beta-blockers.

D. Hydrochlorothiazide does not promote the movement of extravascular fluids into the vascular compartment; instead, it reduces blood volume by promoting diuresis.

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While assessing a client at the beginning of the shift, a nurse notes that the client received a medication in error from the nurse on the previous shift. At which of the following times should the nurse plan to complete an incident report about the error?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning a staff education session about adverse effects of medications. Which of the following information should the nurse include when discussing the adverse effects of anticholinergic medications? (Select all that apply.)

Correct Answer is ["A","D","E"]

Explanation

. A nurse is caring for a client who has a prescription for hydrochlorothiazide for the initial treatment of hypertension. Which of the following should the nurse recognize as the action of this medication?

Correct Answer is B

Explanation

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