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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Eye drops should be instilled into the conjunctival sac to ensure proper absorption into the eye.
B. Instilling eye drops directly onto the cornea is incorrect and may cause discomfort or injury.
C. Instilling eye drops into the pupil is incorrect and can lead to adverse effects on vision.
D. The iris is not the correct location for administering eye drops; the conjunctival sac is the appropriate site.
Correct Answer is B
Explanation
A. Atropine is not used as an antidote for warfarin overdose. It is primarily used to treat bradycardia and certain types of heart block.
B. Vitamin K is the antidote for warfarin overdose. Warfarin inhibits vitamin K-dependent clotting factors, and vitamin K helps reverse its effects by promoting clotting factor synthesis in the liver.
C. Protamine is used as an antidote for heparin, not warfarin. It binds to heparin to neutralize its anticoagulant effects.
D. Epinephrine is not used as an antidote for warfarin overdose. It is primarily used in emergencies such as severe allergic reactions (anaphylaxis) or cardiac arrest.
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