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 C

Explanation

A. Order a lunch tray for the client. Before advancing the diet, it is important to assess the client's readiness, particularly bowel sounds.
B. Offer the client apple juice. Providing liquids is appropriate only after assessing the client's gastrointestinal function.
C. Auscultate the client's abdomen: This assessment checks for the return of bowel sounds and gastrointestinal function, indicating whether the client can tolerate clear liquids.
D. Elevate the client's head of bed. While positioning is important, the primary first step is to assess the client's gastrointestinal status

A. Hold the medication until the client has his evening meal. B. Inform the provider of the client's potassium level. C. Obtain a prescription to increase the dosage of the medication. D. Give the medication as prescribed.

Correct Answer is B

Explanation

A. Hold the medication until the client has his evening meal: Holding the medication for this reason is inappropriate because the issue is the elevated potassium level, not the timing with meals.
B. Inform the provider of the client's potassium level: Correct. A potassium level of 5.8 mEq/L is elevated (hyperkalemia), and the provider should be informed immediately before administering any more potassium.
C. Obtain a prescription to increase the dosage of the medication: Increasing the dosage would be dangerous given the elevated potassium level.
D. Give the medication as prescribed: Administering potassium chloride with a high potassium level is unsafe and could exacerbate the hyperkalemia.

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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 caring for a client who is postoperative and requesting something to drink. The nurse reads the client's postoperative prescriptions, which include, "Clear liquids, advance diet as tolerated." Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to administer potassium chloride to a client who has a potassium level of 5.8 mEq/L. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

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