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. Inhaling rapidly with the spacer can lead to improper medication delivery, potentially reducing the effectiveness of the treatment.
B. The spacer does indeed increase the amount of medication reaching the lungs by reducing deposition in the mouth and throat, enhancing the therapeutic effect of the MDI.
C. Covering the exhalation slots of the spacer can interfere with proper inhalation technique, impacting medication delivery to the lungs.
D. The spacer is designed to minimize medication deposition in the oropharynx, optimizing delivery to the lungs for better therapeutic outcomes.

A. Ask the client to demonstrate checking their blood sugar. B. Determine the client's readiness to learn. C. Identify short-term goals for the client. D. Provide written educational material for the client.

Correct Answer is B

Explanation

A. Asking the client to demonstrate checking their blood sugar is an important step in diabetes education but should occur after assessing the client's readiness to learn.
B. Determining the client's readiness to learn is the first step in effective teaching to ensure that the client is receptive to receiving information and can actively engage in the learning process.
C. Identifying short-term goals for the client is important for planning education but should follow an assessment of readiness to learn.
D. Providing written educational material is beneficial but should be tailored to the client's readiness and understanding, which are determined first.

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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 nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

A nurse is assisting with preparing a teaching plan for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?

Correct Answer is B

Explanation

23. A nurse is preparing to administer potassium chloride 30 mEq PO daily. The amount available is potassium chloride 20 mEq/15mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

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