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 A
Explanation
The correct answer is choicea. Asian ginseng.
Choice A rationale:
Asian ginseng is known to enhance the effect of anticoagulants like Coumadin (warfarin).It can increase the risk of bleeding by potentiating the anticoagulant effect.
Choice B rationale:
Cayenne contains salicylates, which have blood-thinning properties, but it is not as well-documented for enhancing the effect of anticoagulants as Asian ginseng.
Choice C rationale:
Aloe vera is not known to significantly affect anticoagulant medications.It is primarily used for its soothing and healing properties on the skin.
Choice D rationale:
Kava is primarily used for its sedative and anxiolytic effects.It does not have a significant impact on anticoagulant medications.
Correct Answer is C
Explanation
Choice A rationale:
Anaphylaxis is not an unusual response due to an inherited predisposition. It’s an acute allergic reaction.
Choice B rationale:
Anaphylaxis is not a predictable and often unavoidable secondary effect that can occur at a usual therapeutic dose. It’s an unpredictable and severe allergic reaction.
Choice C rationale:
Anaphylaxis is indeed a severe hypersensitivity or allergic reaction that is life-threatening. It requires immediate medical attention.
Choice D rationale:
Anaphylaxis will not cause withdrawal symptoms when you discontinue taking the medication. It’s an immediate allergic reaction.
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