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 ["12"]

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 = 300 mg/ (125mg/5 mL)

First, simplify the fraction:

Volume = 300 mg/25 mg/mL

Now, determine the volume:

Volume =(300 mg/25mg/mL) × (1mL/1mg)

Volume=12mL

Therefore, the nurse should administer 12 mL of phenytoin oral suspension for the 300 mg PO dose, rounded to the nearest whole number.

A. Beneficence B. Fidelity C. Autonomy D. Justice

Correct Answer is C

Explanation

A. Beneficence:

Beneficence is the ethical principle of doing good or promoting the well-being of the patient. In this scenario, the nurse is respecting the client's autonomy rather than actively promoting a specific course of action.

B. Fidelity:

Fidelity refers to the principle of being faithful or keeping promises. While being truthful and honest with the client is important, the nurse's response is primarily addressing the client's autonomy.

C. Autonomy:

This is the correct answer. Autonomy is the ethical principle that emphasizes the individual's right to make decisions about their own care, including the right to refuse treatment. The nurse's response acknowledges and respects the client's autonomy in deciding to discontinue enteral feedings.

D. Justice:

Justice pertains to fairness and equitable distribution of resources. It is not the primary ethical principle being demonstrated in this scenario, as the focus is on the individual's right to make a decision about their own care.

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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

Correct Answer is ["12"]

Explanation

A nurse is caring for a client who has a terminal illness and states that they wish to discontinue their enteral feedings. The nurse responds by saying "You have a right to refuse treatment." This response by the nurse demonstrates which of the following ethical principles?

Correct Answer is C

Explanation

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