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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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Correct Answer is D

Explanation

A. A closed fist is used for assessing deeper structures, such as kidney tenderness, not the sinuses.

B. The hyperextended middle finger is typically used for indirect percussion, not direct.

C. The palm is not suitable for sinus percussion as it covers a large area and reduces sensitivity.

D. The fingertips of the dominant hand are best for direct percussion of the sinuses to assess for tenderness or fluid accumulation.

A. Wash hands prior to examination in the examination room. B. Approach the client from the left side of the examination table. C. Recap used needles and place them in the sharps container. D. Remove gloves only after the examination is over.

Correct Answer is A

Explanation

A. Hand hygiene is the most important action to prevent the spread of infection before any physical examination.

B. Approaching from the left side is unnecessary unless required by specific patient needs.

C. Needles should never be recapped as this increases the risk of needlestick injuries.

D. Gloves should be worn when appropriate but should not be the first action before an examination. Hand hygiene is essential before touching the client or any instruments.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?

Correct Answer is D

Explanation

The nurse is preparing to physically exam a client. What action by the nurse is most to take prior to beginning the client examination?

Correct Answer is A

Explanation

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