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.

Answer and Explanation

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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Correct Answer is A

Explanation

A. Tetany: A calcium level of 8 mg/dL is below the normal range (8.5-10.5 mg/dL) and can cause tetany, which includes muscle cramps, spasms, and positive signs like Chvostek and Trousseau signs.
B. Constipation: Constipation is more commonly associated with hypercalcemia, not hypocalcemia.
C. Negative Chvostek sign: A positive Chvostek sign is expected in hypocalcemia, indicating neuromuscular irritability.
D. Elevated blood pressure: Elevated blood pressure is not specifically associated with hypocalcemia.

A. Increased salivation B. Cool, clammy skin C. Hypertension D. Decreased level of consciousness

Correct Answer is D

Explanation

A. Increased salivation: Hypernatremia often causes dry mouth and decreased salivation.
B. Cool, clammy skin: Hypernatremia does not typically cause cool, clammy skin; this is more associated with hypovolemia.
C. Hypertension: While hypertension can occur, it is not as specific as decreased level of consciousness.
D. Decreased level of consciousness: Severe hypernatremia can lead to neurological changes, including decreased level of consciousness. Excess sodium draws water out of cells, leading to dehydration inside the cells, especially in the brain. Decreased brain cell function due to dehydration can manifest as confusion, lethargy, and potentially a decreased level of consciousness in severe cases (coma).

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A client receives the wrong medication in error. The nurse who made the medication error should do which of the following first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has a calcium level of 8 mg/dL. Which of the following manifestations should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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