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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Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Question any part of the order that is unclear or inappropriate: It is important to clarify any ambiguities or inaccuracies in the prescription to ensure patient safety and proper treatment.
B. Transcribe the order into the client's health record: While this is a necessary step, it is not sufficient on its own to ensure the accuracy of the telephone prescription without verification.
C. Implement a recorded order message if the nurse can hear and understand it clearly: Implementing a recorded message is not typically part of standard protocol for ensuring accuracy.
D. Repeat the order back to the provider: This is a critical step to confirm that the order was understood correctly and to avoid errors.
E. Obtain the provider's signature within 8 hr: It is required to obtain the provider's signature on the written order within a specific timeframe (usually within 24 hours) to comply with legal and institutional policies.
Correct Answer is ["A","D","E"]
Explanation
A. Prior to administering each medication: Instilling water before administering each medication helps ensure that the medication is properly delivered into the stomach and prevents the tube from clogging.
B. Before aspirating gastric contents: Instilling water before aspiration is not required and may not affect the aspiration process.
C. When the flow of the medication by gravity slows: This situation indicates a potential blockage or need for adjustment rather than a need for additional water.
D. After giving multiple medications: Instilling water after giving multiple medications helps to clear the tube of residual medication and prevents blockages.
E. After each medication: Instilling water after each medication ensures that the tube is flushed and all medication is delivered to the stomach.
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