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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:
Elevated potassium levels are not a specific indicator of a myocardial infarction (MI). They could be due to other conditions like kidney disease.
Choice B rationale:
Elevated CK-MB and Troponin levels are indeed indicators of an MI. These proteins are released into the blood when heart muscle is damaged.
Choice C rationale:
An elevated lipid profile is a risk factor for heart disease, but it does not indicate an acute MI.
Choice D rationale:
An elevated WBC count could indicate an infection or inflammation, but it is not a specific indicator of an MI.

A. Save the excess medication for the next administration. B. Return the excess medication to the secure cabinet. C. Place the excess medication in the sharps container. D. Have a second nurse witness the disposal of the excess medication.

Correct Answer is D

Explanation

Choice A rationale:
Saving the excess medication for the next administration is not recommended. This could lead to medication errors.
Choice B rationale:
Returning the excess medication to the secure cabinet is not the proper way to dispose of excess medication. It could be accidentally used by someone else.
Choice C rationale:
Placing the excess medication in the sharps container is not correct. Sharps containers are for sharp objects like needles, not for medication.
Choice D rationale:
Having a second nurse witness the disposal of the excess medication is the correct action. This ensures accountability and prevents misuse of the medication.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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