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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 A

Explanation

A. According to the recommended dosage range of 20 to 25 mg/kg/day for a toddler weighing 20 kg, the daily dosage should be between 400 mg (20 kg x 20 mg) and 500 mg (20 kg x 25 mg). Therefore, the prescribed dosage of 300 mg/day is below the recommended range.

B. The nurse determines the prescription is above the recommended dosage range. This is incorrect because the prescribed dosage is actually below the recommended range.

C. The nurse contacts the pharmacist to adjust the prescribed dosage. This would be an appropriate action since the prescribed dosage does not meet the recommended range, and collaboration with the pharmacist could ensure the correct dosage is administered.

D. The nurse administers the prescribed dosage. This would not be appropriate without first addressing the discrepancy between the prescribed dosage and the recommended range.

A. The client who experienced numbness in the right arm that has resolved after several hours. B. The client whom is a roofer and spends a lot of time outdoors participating in sports with complaints of blistering sunburns C. The client with fair skin complexion and blue eyes D. The client who has worked in the beauty parlor providing pedicures and manicures

Correct Answer is ["B","C","E"]

Explanation

A. Numbness in the arm is not directly linked to skin cancer risk.

B. Outdoor occupations and recreational activities with a history of blistering sunburns increase the risk of skin cancer due to excessive sun exposure.

C. Fair skin, light eyes, and light hair increase susceptibility to skin cancer, especially with UV exposure.

D. Working in a beauty salon is not associated with a higher risk of skin cancer.

E. Smoking is linked to an increased risk of squamous cell carcinoma, a type of skin cancer.

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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

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