A client receives the wrong medication in error. The nurse who made the medication error should do which of the following first?
Observe the client.
Complete an incident report.
Notify the nurse manager.
Call the client's provider.
The Correct Answer is A
A. Observe the client. The first priority is to monitor the client for any adverse reactions or side effects from the wrong medication.
B. Complete an incident report. While important, the incident report is not the first action to take.
C. Notify the nurse manager. Informing the nurse manager is necessary, but not the immediate first step.
D. Call the client's provider. Notifying the provider is also important but observing the client for any immediate effects takes precedence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Lemon sherbet: Lemon sherbet is not considered a clear liquid; it is more of a semi-solid. This contains dairy (milk or milk derivatives) and might have pulp, disqualifying it from a clear liquid diet.
B. Carrot juice: Carrot juice is not a clear liquid; it contains pulp and is opaque.
C. Grape juice: Grape juice is a clear liquid and is appropriate for a clear liquid diet.
D. Skim milk: While skim milk is a good source of protein and calcium, it's a dairy product and not considered a clear liquid.
Correct Answer is D
Explanation
A. Pause the enema and give the client pain medication. Pain medication is not appropriate for mild cramping caused by an enema.
B. Discontinue the enema. Stopping the enema entirely may not be necessary and could prevent the procedure from being effective.
C. Continue the enema and reassure the client. Continuing the enema without adjustment may cause increased discomfort.
D. Lower the height of the solution bag. Lowering the height of the enema bag can reduce the flow rate, easing cramping and discomfort.
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