A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

Complete an incident report.

Notify the nurse manager.

Call the client's provider.

Assess the client.

Answer and Explanation

The Correct Answer is D

A. While completing an incident report is important for documentation and quality improvement, it is not the immediate priority in the event of a medication error.

B. Notifying the nurse manager is a necessary step for reporting the error, but it should occur after ensuring the client's safety.

C. Calling the client's provider is essential to discuss the medication error and possible interventions, but the client's health and safety must be assessed first.

D. Assessing the client is the priority action to ensure the client’s safety and to identify any adverse effects resulting from the wrong medication. The nurse needs to determine the client's vital signs, level of consciousness, and any immediate symptoms related to the medication administered.

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Correct Answer is B

Explanation

A. Observing the client is inappropriate as they are demonstrating signs of choking and require immediate intervention.

B. Performing the Heimlich maneuver is appropriate as the guest is unable to talk, which indicates a potential airway obstruction that needs to be relieved promptly.

C. Slapping the client on the back may not be effective and could worsen the obstruction, especially since they are grasping their throat.

D. Assisting the client to the floor and beginning mouth-to-mouth resuscitation is not appropriate in this situation, as the priority is to clear the obstruction, not to provide rescue breaths.

A. Use attentive listening with the client. B. Focus on the client's present circumstances instead of his personal stories. C. Offer the client personal thoughts and beliefs. D. Verbalize understanding of how the client feels.

Correct Answer is A

Explanation

A. Using attentive listening with the client demonstrates the principle of presence by showing that the nurse is fully engaged and invested in the client's experience, fostering a collaborative relationship.

B. While focusing on the client’s present circumstances is important, the personal stories shared by clients can provide context and enhance understanding, so limiting this aspect is not ideal.

C. Offering personal thoughts and beliefs can shift the focus away from the client and is generally not appropriate in professional communication.

D. While verbalizing understanding is a supportive action, it does not fully encapsulate the principle of presence, which emphasizes active engagement and listening.

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A client receives a wrong medication. The nurse who made the medication error should take which of the following actions first?

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