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.

Answer and Explanation

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

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Correct Answer is C

Explanation

Rationale- The client is at risk of a life-threatening anaphylaxis as cross reactivity occurs between cephalosporin and penicillin as they both contain a beta lactam ring. Cephalexin should be avoided completely
A. Diphenhydramine is used for mild reactions but not anaphylaxis
B. waiting for rounds delays the client’s medication and hence inappropriate

A. A client who is about to have surgery B. A client who has suddenly developed symptomatic tachycardia with a heart rate of 180 beats/min C. A client newly diagnosed with myasthenia gravis D. A client who has suddenly developed symptomatic bradycardia with a heart rate of 32 beats/min E. A client with severe narrow-angle glaucoma

Correct Answer is ["A","D"]

Explanation

A. Atropine sulfate reduce the production of bronchial secretions leading to easy intubation. This reduction in airway secretion ensures smooth intubation
D. Atropine is an anticholinergic that binds on to the muscarinic receptors on the heart to produce block the parasympathetic impulses. This mechanism is used to manage bradycardia
B. Tachycardia is managed through vagal maneuvers if stable and cardioversion or antiarrhythmics
C. Myasthenia gravis is managed using acetylcholinesterase inhibitors
E. Cholinergic agonists are used in narrow angle glaucoma

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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?

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Correct Answer is C

Explanation

The nurse is reviewing the indications for atropine sulfate. Atropine is appropriate for which of these clients? (Select all that apply.)

Correct Answer is ["A","D"]

Explanation

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