A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?

Notify the charge nurse of the error.

Contact the provider.

Check the client for a change in condition.

Complete an incident report.

Answer and Explanation

The Correct Answer is C

A. Notifying the charge nurse is an important action, as it ensures that other team members are aware of the error and can support corrective actions. However, this is not the first action the nurse should take, as assessing the client’s condition takes priority.

B. Informing the provider about the error is essential to allow for any additional orders or corrective measures, such as treatments to mitigate adverse effects. However, the nurse should first assess the client for any changes in condition to report specific findings to the provider if an intervention is needed.

C. Assessing the client’s condition is the first priority when a medication error is discovered. This action helps determine whether the incorrect dose has affected the client, allowing the nurse to provide immediate care if needed.

D. Completing an incident report is necessary to document the error, allowing the facility to review and address any procedural gaps. However, completing the report is not an immediate action in terms of client safety and should occur after assessing the client and notifying the necessary parties.

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Correct Answer is ["0.7"]

Explanation

To calculate the volume (mL) that the nurse should administer, we can follow these steps:

Convert the weight from pounds to kilograms.

1 lb=0.453592 kg.

66 lb×0.453592 kg/lb≈29.937 kg

Calculate the total dose using the weight and prescribed dose:

Total Dose (mg)=Dose per kg×Weight (kg)

Total Dose=0.55 mg/kg×29.937 kg≈16.465 mg

Determine the volume using the concentration of the available solution:

Volume (mL) =Total Dose (mg)/Concentration (mg/mL)

Volume=16.465mg/25 mg/mL≈ 0.6586 mL

Therefore, the nurse should administer approximately 0.7 mL of chlorpromazine for the 0.55 mg/kg IM dose, rounded to the nearest tenth.

Correct Answer is ["0.5"]

Explanation

To calculate the volume (mL) that the nurse should administer, you can use the following formula:

Volume (mL) = Dose (mg)/Concentration (mg/mL)

In this case:

Volume =25 mg/50 mg/mL
Volume=0.5mL

Therefore, the nurse should administer 0.5 mL of promethazine for the 25 mg IM dose, rounded to the nearest tenth.

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A nurse is preparing to administer a medication to a client and discovers that the incorrect dose of medication was administered during the previous shift. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer chlorpromazine 0.55 mg/kg IM to a child who weighs 66 lb. Available is chlorpromazine 25 mg/mL for injection. How many mL should the nurse administer? (Round the answer to the nearest tenths. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.7"]

Explanation

A nurse is preparing to administer promethazine 25 mg IM to a client. Available is promethazine 50 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["0.5"]

Explanation

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