A nurse is planning to administer a controlled substance to a client who is experiencing pain.
Which of the following actions should the nurse plan to take first?
Document the administration of the medication.
Identify the client using two identifiers.
Compare the amount of medication available to the inventory record.
Remove the medication from the medication dispensing cabinet.
Remove the medication from the medication dispensing cabinet.
The Correct Answer is B
The correct answer is Choice B.
Choice A rationale:
Documenting the administration of the medication is crucial for maintaining accurate records and ensuring accountability. However, it is not the first action to take. The priority is to ensure the correct patient receives the correct medication.
Choice B rationale:
Identifying the client using two identifiers is the first and most critical step. This action ensures that the right patient receives the right medication, thereby minimizing the risk of medication errors.
Choice C rationale:
Comparing the amount of medication available to the inventory record is important for maintaining accurate inventory and preventing misuse or theft of controlled substances. However, this is not the first step in the process of administering medication to a patient in pain.
Choice D rationale:
Removing the medication from the medication dispensing cabinet is part of the process, but it should only be done after the patient has been properly identified to avoid any potential errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A client who has deep-vein thrombosis and is taking warfarin should obtain an International Normalized Ratio (INR) test monthly.
This blood test measures how fast the blood clots and helps the healthcare provider determine if the client is taking the right dose of warfarin to keep them safe from bleeding and making clots.
Choice A is wrong because Platelet count, is not the correct answer because it measures the number of platelets in the blood and is not specifically related to warfarin therapy.
Choice B is wrong because aPTT, is not the correct answer because it measures the time it takes for blood to clot and is used to monitor heparin therapy, not warfarin therapy.
Choice C is wrong because Fibrinogen, is not the correct answer because it measures the amount of fibrinogen in the blood and is not specifically related to warfarin therapy.
Correct Answer is D
Explanation
Methimazole is an antithyroid medication that controls the overproduction of thyroid hormone in Graves’ disease.
One of the symptoms of Graves’ disease is difficulty sleeping due to the overproduction of thyroid hormone.
After taking methimazole for 2 months, the client’s thyroid hormone levels should decrease, leading to an improvement in sleep.
Choice A is wrong because weight loss is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to weight gain.
Choice B is wrong because warmer skin is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to cooler skin.
Choice C is wrong because an increase in pulse rate is a symptom of Graves’ disease due to the overproduction of thyroid hormone.
Methimazole controls the overproduction of thyroid hormone and may lead to a decrease in pulse rate.
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