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. Urine output 20 mL/hr: Oliguria, or low urine output (less than 30 mL/hr), is a common sign of dehydration.
B. Bradycardia: Dehydration typically causes tachycardia (increased heart rate) as the body compensates for decreased blood volume.
C. Sodium 142 mEq/L: A sodium level of 142 mEq/L is within the normal range (135-145 mEq/L) and does not indicate dehydration.
D. Cool skin: Dehydration usually results in warm, dry skin due to decreased perfusion and sweating.

A. Temporary urinary retention B. Blood-tinged urine C. Urinary frequency for several days D. Highly concentrated urine

Correct Answer is A

Explanation

A. Temporary urinary retention: After removal of an indwelling catheter, especially in older adults, temporary urinary retention can occur due to decreased bladder tone or urethral irritation.
B. Blood-tinged urine: This is not an expected outcome; it could indicate trauma or infection and should be evaluated.
C. Urinary frequency for several days: While increased frequency might occur immediately after catheter removal, it is not typically expected to last for several days.
D. Highly concentrated urine: Urine concentration would depend on the client's hydration status rather than the removal of the catheter.

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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

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