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 B

Explanation

A. Increased blood pressure: Hypovolemia typically causes a decrease in blood pressure, not an increase.
B. Thready pulse: A thready pulse is a common sign of hypovolemia due to decreased blood volume.
C. Dyspnea: While dyspnea can occur, it is not as specific as a thready pulse for hypovolemia.
D. Decreased heart rate: Hypovolemia usually causes an increased heart rate as the body tries to compensate for low blood volume.

A. Use sterile water to inflate the balloon. B. Use a sterile specimen container. C. Instruct the client to clean from front to back with an antiseptic solution. D. Collect urine from the catheter's port.

Correct Answer is B

Explanation

A. Use sterile water to inflate the balloon: There is no balloon in a straight catheterization; this applies to indwelling catheters.
B. Use a sterile specimen container: A sterile specimen container ensures that the sample is not contaminated.
C. Instruct the client to clean from front to back with an antiseptic solution: This is relevant to midstream urine collection but not for straight catheterization.
D. Collect urine from the catheter's port. In straight catheterization, urine is collected directly as it exits the catheter, not from a port.

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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 sustained blood loss. Which of the following findings should the nurse identify as a manifestation of hypovolemia?

Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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