A nurse inadvertently administers an incorrect medication to a client. Which action should the nurse take first?

Inform the unit supervisor.

Notify the health care provider.

Document the error in the client’s medical record.

Record the error on the appropriate quality improvement report.

Answer and Explanation

The Correct Answer is B

Notify the health care provider. The nurse should take this action first because the provider can prescribe appropriate interventions to prevent or minimize harm to the client.

The nurse should also inform the unit supervisor, document the error in the client’s medical record, and record the error on the appropriate quality improvement report, but these are not the priority actions.

Choice A is wrong because informing the unit supervisor is not the most urgent action. The supervisor can provide support and guidance to the nurse, but cannot prescribe interventions for the client.

Choice C is wrong because documenting the error in the client’s medical record is not the most urgent action.

The nurse should document the error after notifying the provider and assessing the client. Documentation should include the medication name, dose, route, time, client’s response, and actions taken.

Choice D is wrong because recording the error on the appropriate quality improvement report is not the most urgent action.

The nurse should record the error after notifying the provider and assessing the client. The report should include a factual description of what happened and what was done.

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Correct Answer is C

Explanation

This is because hepatitis C is a viral infection that spreads through contaminated blood and body fluids. IV drug use is one of the most common ways to get hepatitis C, especially if people share needles or other equipment.

Choice A is wrong because drinking contaminated water is not a risk factor for hepatitis

C. Hepatitis A and E are transmitted by the fecal-oral route, which can happen through contaminated water.

Choice B is wrong because eating raw chicken is not a risk factor for hepatitis C. Hepatitis E can be transmitted by eating undercooked meat from infected animals, but not chicken.

Choice D is wrong because unprotected intercourse is not a major risk factor for hepatitis

C. Hepatitis B and D are more likely to be transmitted by sexual contact than hepatitis

C. However, having multiple sexual partners or having sexually transmitted diseases can increase the risk of hepatitis

C. Normal ranges for hepatitis C tests depend on the type of test and the laboratory that performs it.

Some common tests are:

Anti-HCV antibody test: This test detects antibodies to the hepatitis C virus in the blood.

A positive result means that the person has been exposed to the virus, but does not necessarily mean that they have an active infection. A negative result means that the person has never been exposed to the virus or has cleared it from their body.

HCV RNA test: This test measures the amount of hepatitis C virus in the blood.

A positive result means that the person has an active infection and can transmit the virus to others. A negative result means that the person does not have an active infection or has cleared it from their body.

HCV genotype test: This test identifies the strain or type of hepatitis C virus that the person has. There are six major genotypes of hepatitis C, numbered 1 to 6, and each one may respond differently to treatment.

A. “Men are more at risk for hip fractures than women.”. B. “A history of osteoporosis is a risk factor.”. C. “An increase in estrogen will weaken my bones.”. D. “I am prone to a hip fracture if I’ve fallen in the past.”. E. “I am more at risk as I get older.”.

Correct Answer is ["B","D","E"]

Explanation

Choice A is wrong because women are more at risk for hip fractures than men.

This is partly because women lose bone density faster than men do, especially after menopause.

Choice C is wrong because an increase in estrogen will not weaken the bones. In fact, estrogen helps protect the bones from osteoporosis, which is a leading cause of hip fracture.

Some other risk factors for hip fracture include:

Excessive alcohol and caffeine consumption
Lack of physical activity
Low body weight
Tall stature
Vision problems
Dementia
Medications that cause bone loss
Cigarette smoking
Institutional living, such as an assisted-care facility
Increased risk for falls, related to conditions such as weakness, disability, or unsteady gait

Normal ranges for bone density vary by age and sex, but generally, a T-score of -1.0 or above is considered normal, while a T-score of -2.5 or below is considered osteoporotic. A T-score between -1.0 and -2.5 is considered osteopenic, which means low bone mass.

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A nurse inadvertently administers an incorrect medication to a client. Which action should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is diagnosed with hepatitis. C.Which client risk factor would be most related to this diagnosis?

Correct Answer is C

Explanation

A community health nurse is teaching a group of older adults about risk factors for a hip fracture. What statements indicate a correct understanding of these risk factors? Select all that apply.

Correct Answer is ["B","D","E"]

Explanation

Following a uterine biopsy, a client asks a nurse, “Do you think I have cancer?” Which response by the nurse would most likely prompt the client to elaborate on their concerns?

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