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 C
Explanation
Choice A rationale:
Constipation is not a known side effect of ACE inhibitors.
Choice B rationale:
Frequent urination is not typically associated with ACE inhibitors.
Choice C rationale:
Persistent cough is a common side effect of ACE inhibitors. This is due to the accumulation of bradykinin, a potent vasodilator, in the respiratory tract.
Choice D rationale:
Tendon pain is not a recognized side effect of ACE inhibitors.
Correct Answer is B
Explanation
Choice A rationale:
Being inquisitive might make the patient feel interrogated and could discourage them from disclosing their herbal use.
Choice B rationale:
A non-judgmental approach encourages open communication and makes the patient feel comfortable to disclose their herbal use.
Choice C rationale:
Being determined might make the patient feel pressured and could discourage them from disclosing their herbal use.
Choice D rationale:
Being instructive might make the patient feel lectured and could discourage them from disclosing their herbal use.
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