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 ["B","D","E"]
Explanation
The correct answers are B, D, and E.
Choice A Reason: The provider’s name is not an acceptable client identifier for medication administration. The provider’s name is associated with the person who prescribes or orders the medication, not the client who is to receive it. It does not reliably identify the individual for whom the service or treatment is intended.
Choice B Reason: The client’s full name is a primary and acceptable identifier. It is unique to the individual and is used to match the service or treatment to that individual. It is one of the most common identifiers used in healthcare settings to ensure that the correct patient receives the correct medication.
Choice C Reason: The facility room number is not an acceptable identifier. Room numbers can change if patients are moved, and they are not unique to an individual. Therefore, they do not reliably identify the person for whom the service or treatment is intended.
Choice D Reason: An identification number the facility assigns, such as a medical record number, is an acceptable identifier. It is unique to the client and is used across healthcare settings to track patient information, including medication administration.
Choice E Reason: The client’s telephone number can be considered an acceptable identifier, especially in settings where other identifiers might not be available. It is unique to an individual and can be used to verify the client’s identity.
Correct Answer is B
Explanation
Choice A rationale:
Coronary artery disease is a chronic condition that develops over time, not typically associated with chest pain that resolves with rest.
Choice B rationale:
Angina pectoris is characterized by chest pain that often improves with rest, as the heart’s demand for oxygen decreases.
Choice C rationale:
Congestive heart failure usually presents with symptoms like shortness of breath, fatigue, and swelling, not necessarily chest pain.
Choice D rationale:
Myocardial infarction, or a heart attack, typically causes severe chest pain that does not improve with rest.
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