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

Fill out an incident report.

Notify the charge nurse.

Check the client's vital signs.

Document the client's condition in the electronic medical record.

Answer and Explanation

The Correct Answer is C

A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.

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Correct Answer is B

Explanation

A. Sublingual medications are meant to be absorbed under the tongue and should not be administered through an NG tube, which bypasses this route of absorption.
B. Administering the medication under the tongue is the correct route for sublingual administration. It ensures that the medication is allowed to dissolve completely and is not swallowed immediately. This allows for the intended rapid absorption through the sublingual route.
C. If a client has an NG tube and needs a medication that is typically given sublingually, the nurse should administer the medication under the tongue.
D. Dissolving sublingual medication in water for NG tube administration is not appropriate as it alters the intended route of absorption.

A. Upward and backward B. Upward and outward C. Down and backward D. Down and outward

Correct Answer is C

Explanation

Rationales:
A. Pulling the auricle upward and backward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.
B. Pulling the auricle upward and outward is appropriate when administering eardrops to clients >3years old helps straighten the ear canal, allowing for proper administration of the medication into the ear canal for effective treatment.
C. According to the American Academy of Pediatrics, for children under the age of 3, the correct method is to gently pull the outer flap of the affected ear downward and backward. This maneuver helps to straighten the ear canal, allowing the eardrops to flow down into the canal properly.
D. Pulling the auricle down and outward is not recommended for administering eardrops to a child as it does not facilitate proper alignment of the ear canal.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A provider prescribes a sublingual medication for a client who has an NG tube in place. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is preparing to administer eardrops to a 2-year-old child. The nurse should pull the auricle in which of the following directions when instilling the medication?

Correct Answer is C

Explanation

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