A nurse discovers a medication error in which the client received twice the prescribed amount of medication. Which of the following actions should the nurse take first?
Assess the client.
Report the error to the nurse manager.
Notify the provider.
Complete an incident report.
The Correct Answer is A
Choice A rationale:
The first step when a medication error occurs is to assess the client. This is to ensure the safety of the patient and to monitor for any adverse effects.
Choice B rationale:
Reporting the error to the nurse manager is important, but it is not the first step. Patient safety is the priority.
Choice C rationale:
Notifying the provider is crucial, but it comes after ensuring the patient’s safety.
Choice D rationale:
Completing an incident report is a later step in the process. The immediate concern is the patient’s wellbeing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Increased thirst is not a specific sign of congestive heart failure.
Choice B rationale:
A rise in blood pressure is not a specific sign of congestive heart failure.
Choice C rationale:
Dizziness when standing up too quickly could be a sign of orthostatic hypotension, not specifically congestive heart failure.
Choice D rationale:
Weight gain of 2 lbs or more in 24 hours could indicate fluid retention, a common sign of congestive heart failure.
Correct Answer is B
Explanation
Choice A rationale:
The pulmonary artery carries deoxygenated blood from the right ventricle to the lungs, not from the left ventricle.
Choice B rationale:
The aorta is the main and largest artery in the human body, originating from the left ventricle of the heart and extending down to the abdomen.
Choice C rationale:
The inferior vena cava carries deoxygenated blood from the lower half of the body back to the right atrium of the heart, not from the left ventricle.
Choice D rationale:
The pulmonary vein carries oxygenated blood from the lungs to the left atrium, not from the left ventricle.
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