A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
Check the client's vital signs.
Administer the medication to the correct client.
Fill out an occurrence form.
Notify the client's provider.
The Correct Answer is A
Ensuring client’s safety is a priority. Nifedipine can affect blood pressure and heart rate and these should be assessed
This can be followed by other actions- D, C, B
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A.The charge nurse can provide support, but they are not responsible for confirming or authorizing medical orders. Telephone orders must be verified directly with the prescriber.
B.The pharmacist can review medication safety, but they cannot confirm or validate the prescriber’s order over the phone. The responsibility for clarification remains between nurse and prescriber.
C. It's the correct answer and follows the standard safety protocol for verbal/telephone orders:
- The nurse writes the order exactly as given
- Then reads it back to the prescriber verbatim
- The prescriber confirms accuracy before the call ends
This is known as read-back verification, and it reduces medication errors significantly.
D.While clarification may sometimes be needed, routinely hanging up and calling back is not standard practice and increases communication delays. The correct step is to confirm during the same call.
Correct Answer is C
Explanation
Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.