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 B
Explanation
After a mastectomy, it is important to avoid placing a catheter in the arm on the same side as the surgery to prevent complications such as lymphedema.
Therefore, the nurse should place the catheter in the left arm.
Choice A is wrong because Most proximal site, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice C is wrong because Wrist, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Choice D is wrong because Cordlike vein, is not the correct answer because it does not specify which arm to use and could result in placing the catheter on the same side as the mastectomy.
Correct Answer is A
Explanation
Spironolactone is a potassium-sparing diuretic that can increase potassium levels in the blood.
It is important for clients taking spironolactone to limit their intake of potassium-rich foods to prevent hyperkalemia (high potassium levels).
Choice B is wrong because “I will take the medication on an empty stomach,” is not the correct answer because spironolactone can be taken with or without food.
Choice C is wrong because “I will use salt substitutes in place of table salt,” is not the correct answer because many salt substitutes contain potassium and can increase the risk of hyperkalemia.
Choice D is wrong because “I will double up on my medication if I miss a dose,” is not the correct answer because it is not recommended to double up on medication if a dose is missed.
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