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While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?

Complete an incident report.

Assess the client.

Notify the nurse manager.

Call the client's provider.

Answer and Explanation

The Correct Answer is B

A. Completing an incident report is important but comes after ensuring the client's safety.

B. The priority is assessing the client for any adverse reactions or complications related to the incorrect medication.

C. Notifying the nurse manager should follow after the assessment and client stabilization.

D. The provider should be notified after assessing the client and identifying any clinical concerns.

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Free Nursing Study Resources

Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

The posterior tibial pulse is typically palpated just behind the medial malleolus, which is the bony prominence on the inner side of the ankle. To locate this pulse, one should place their fingers in the groove between the medial malleolus and the Achilles tendon.

While checking the client's medication administration record, it was determined the client

A. Document the findings as a vernix caseosa and is consider it normal. B. Report the parents to the department of children and families. C. Educate the parents that the findings are normal and should fade away by the age of three. D. Notify the healthcare provider.

Correct Answer is C

Explanation

A. Documenting the findings is also important, but it should be noted as Mongolian blue spots rather than vernix caseosa.
B. Reporting the parents to the department of children and families would be inappropriate, as Mongolian blue spots are not a sign of abuse or neglect
C. Mongolian blue spots, also known as congenital dermal melanocytosis, are benign skin markings that are usually present at birth or appear shortly after. They are more common in individuals with darker skin tones and are not indicative of any disease or disorder.
D. While it is always prudent to notify the healthcare provider of any findings, in the case of Mongolian blue spots, no immediate medical intervention is necessary.

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While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[89.96875,99.96875],\"yRanges\":[232.87109375,242.87109375]}"

Explanation

The nurse caring for a newborn in the maternal-newborn unit notes the objective finding shown in the diagram. What is the appropriate nursing intervention?

Correct Answer is C

Explanation

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While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?