A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Notify the facility's risk management team.

Assess the client for a change in condition.

Place an incident report in the client's electronic medical record.

Administer an antidote before notifying the provider.

Answer and Explanation

The Correct Answer is B

A.   While it may be necessary to notify risk management eventually, the immediate priority is to ensure the client's safety and well-being.
B.   The nurse should promptly assess the client for signs and symptoms of an allergic reaction and initiate appropriate interventions as necessary.
C.   Documentation of the medication error and allergic reaction should be completed after ensuring the client's immediate needs are addressed.
D.   Administering an antidote may be appropriate in certain situations, but the nurse should first assess the client's condition and follow established protocols for managing allergic reactions.

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Correct Answer is A

Explanation

A. Deep breathing is a relaxation technique that can help reduce pain by increasing oxygen delivery, decreasing muscle tension, and promoting a sense of calmness. The nurse should instruct the client to breathe slowly and deeply through the nose and exhale through the mouth.
B. Heat therapy may provide relief for muscle-related back pain but should not be applied for prolonged periods as it may cause tissue damage.
C. Minimizing environmental stimuli can help the client focus on relaxation techniques and alleviate pain perception but is not as effective as deep breathing.
D. Ice therapy is typically used for acute pain or inflammation and may not be appropriate for mild, ongoing back pain.

A. Place their arms around the client to prevent the fall. B. Remain upright as the client fails toward them. C. Move quickly to a position in front of the client. D. Allow the client to slide down their outstretched leg.

Correct Answer is D

Explanation

A. This action may increase the risk of injury to both the nurse and the client.

B. This action does not effectively prevent the fall or minimize injury.

C. Moving quickly to a position in front of the client can cause imbalance and increase the risk for falling.
D. Allowing the client to slide down their outstretched leg can help prevent injury to both the client and the nurse.

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A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?

Nursing Test Bank

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