A nurse administers the wrong dose of medication to a client. Which of the following actions should the nurse implement first?

Inform the nursing manager.

Monitor the client's condition.

Notify the client's provider.

Complete an occurrence report.

Answer and Explanation

The Correct Answer is B

A. Inform the nursing manager: While notifying the manager is important for accountability and support, it does not address the immediate safety needs of the client.

B. Monitor the client's condition: The first action after a medication error is to assess and monitor the client for any adverse effects. Ensuring the client’s safety and identifying early signs of complications takes priority over reporting.

C. Notify the client's provider: The provider should be informed promptly, but only after assessing the client and determining their current condition and any immediate interventions needed.

D. Complete an occurrence report: Documenting the error is essential for legal and quality improvement purposes, but it is not the first priority. The client’s safety must be addressed before reporting the incident.

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Correct Answer is D

Explanation

A. "Take the medication with an antacid if you have gastric distress.": Antacids can interfere with the absorption of phenytoin, reducing its effectiveness. It is not recommended to take phenytoin simultaneously with antacids.

B. "Dissolve the capsules in water prior to taking the medication.": Extended-release phenytoin capsules should be swallowed whole to maintain the time-release mechanism. Crushing or dissolving the capsules can cause rapid absorption and increase the risk of toxicity.

C. "Discontinue the medication if you experience a seizure.": Phenytoin should not be stopped abruptly, even if seizures occur, as this can precipitate status epilepticus. Any dosage concerns should be discussed with the healthcare provider before making changes.

D. "Use a soft-bristled toothbrush to brush your teeth.": Phenytoin can cause gingival hyperplasia, leading to swollen and bleeding gums. Using a soft-bristled toothbrush and practicing good oral hygiene helps minimize gum irritation and maintain oral health.

A. The nurse writes the client's discharge medications on a medication card. B. The nurse has the client repeat their discharge instructions. C. The nurse provides the client with a brochure about their new medication. D. The nurse provides the client with a list of websites that provide information about their new medication.

Correct Answer is D

Explanation

A. The nurse writes the client's discharge medications on a medication card: Writing a medication card is a manual method of providing information and does not involve information technology.

B. The nurse has the client repeat their discharge instructions: Having the client repeat instructions is a teaching strategy to assess understanding, but it does not utilize information technology.

C. The nurse provides the client with a brochure about their new medication: Providing a printed brochure is a traditional educational method and does not incorporate digital technology or online resources.

D. The nurse provides the client with a list of websites that provide information about their new medication: Directing the client to reputable online resources leverages information technology, allowing access to digital education tools and up-to-date medication information.

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A nurse administers the wrong dose of medication to a client. Which of the following actions should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new prescription for phenytoin extended-release capsules. Which of the following instructions should the nurse include?

Correct Answer is D

Explanation

A nurse is caring for a client who was prescribed a new medication. Which of the following actions is an example of the nurse incorporating information technology into educating the client about their new medication?

Correct Answer is D

Explanation

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