A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take first?

Determine the client's response to the medication.

Document that the medication was administered.

Check the client for allergies.

Mix the medication at the client's bedside.

Answer and Explanation

The Correct Answer is C

A. Determining the client's response to the medication is important but should occur after ensuring the safety of administering the medication.
B. Documenting medication administration is necessary but should follow the safe administration process.
C. Checking the client for allergies is the first step to ensure the client can safely receive the medication, preventing adverse reactions.
D. Mixing the medication at the client's bedside may be necessary for some medications but is not the initial step in ensuring safe administration.

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Correct Answer is C

Explanation

A. Filling out an incident report is necessary but should not be the first action after administering the wrong medication.
B. Notifying the charge nurse is important, but assessing the client's immediate condition takes priority.
C. Checking the client's vital signs is the first action to assess for any adverse effects from the wrong medication and determine the next steps in care.
D. Documenting the client's condition is important but should occur after assessing the client's vital signs and addressing immediate needs.

A. Answer: 2 tablets B. Rationale: C. To administer the correct dose of clonidine, which is 0.2 mg, and given that each tablet contains 0.1 mg of clonidine, the nurse would need to administer two tablets. This is because 0.2 mg divided by 0.1 mg per tablet equals 2 tablets. D. 2. A nurse is reinforcing teaching with the parents of a child who is starting to use a spacer with a metered-dose inhaler (MDI) to treat asthma. Which of the following information should the nurse include in the teaching? E. Inhale rapidly when using the spacer with the MDI.

Correct Answer is B

Explanation

A. Inhaling rapidly with the spacer can lead to improper medication delivery, potentially reducing the effectiveness of the treatment.
B. The spacer does indeed increase the amount of medication reaching the lungs by reducing deposition in the mouth and throat, enhancing the therapeutic effect of the MDI.
C. Covering the exhalation slots of the spacer can interfere with proper inhalation technique, impacting medication delivery to the lungs.
D. The spacer is designed to minimize medication deposition in the oropharynx, optimizing delivery to the lungs for better therapeutic outcomes.

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A nurse is administering a powdered medication to a client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse is preparing to administer clonidine 0.2 mg PO. The amount available is clonidine 0.1 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is B

Explanation

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