A client receives the wrong medication. The nurse who made the medication error should take which of the following actions first?
Notify the nurse manager.
Complete an incident report.
Assess the client.
Call the client's provider.
The Correct Answer is C
A. Notify the nurse manager: While notifying the nurse manager is important, it is not the immediate priority when a medication error occurs.
B. Complete an incident report: Completing an incident report is necessary for documentation but should not be done before ensuring the client's safety.
C. Assess the client: This is the correct first action. The nurse must first assess the client to determine if there are any immediate adverse effects or reactions to the incorrect medication.
D. Call the client's provider: While it is important to inform the provider, assessing the client's condition takes precedence to address any immediate health concerns.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Glasgow results: This information would typically be included in the "Assessment" section of SBAR, as it relates to the current status of the client.
B. Intracranial pressure readings: This information is appropriate for the "Background" segment of SBAR as it provides relevant context about the client's condition that could impact the plan of care.
C. Code status: This information should be included in the "Background" section if it is relevant to the client's overall care and treatment plan, but it is not specific to the immediate context of the traumatic brain injury.
D. Plan of care changes for upcoming shift: This information belongs in the "Recommendation" or "Plan" section of SBAR, as it involves the actions or changes planned for the client’s care during the upcoming shift.
Correct Answer is D
Explanation
A. Tell the client the physician wants him to take the medications: This does not address the client’s concerns and may not resolve the issue.
B. Document that the client refuses the medications: While documentation is important, the nurse should first address the client’s concerns before documenting.
C. Ask the client why he is refusing to take the medications: Understanding the client’s reasons for refusal is important, but the initial step should be to explain the purpose of the medications.
D. Explain the purpose for the medications: Providing information about the purpose and benefits of the medications helps the client make an informed decision and may address concerns leading to refusal.
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