A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

File a report with the facility to document the incident as a near miss medication error.

Contact the client's prescribing provider to report a facility medication error.

Write in the client's medical record that the nurse prevented a facility medication error.

Inform the client that medication will not be given due to a dispensary medication error.

Answer and Explanation

The Correct Answer is A

A.   Filing a report with the facility to document the incident as a near miss medication error is essential for tracking and investigating medication errors to prevent future occurrences.
B.   While contacting the prescribing provider may be necessary, the priority is to report the error internally within the facility.
C.   While documenting the nurse's actions is important, it is essential to report the error through the appropriate channels within the facility.
D.   While informing the client about the error is necessary, the immediate action should be to report the error internally within the facility.

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Correct Answer is D

Explanation

A. Hold the injector in place for 10 seconds: Holding the injector in place after administering epinephrine is not the first action the client should take. After administering epinephrine, the client should immediately seek emergency medical attention.
B. Massage the outer thigh for 10 seconds: Massaging the outer thigh is not the first action the client should take after administering epinephrine. Seeking emergency medical attention is the priority.
C. Seek immediate medical attention: After administering epinephrine for an anaphylactic reaction, the client should immediately seek emergency medical attention to receive further evaluation and treatment. Epinephrine provides temporary relief of symptoms but does not replace the need for medical evaluation and ongoing management.
D. Jab the device into the outer thigh. The client should use the epinephrine auto-injector as soon as possible after experiencing an anaphylactic reaction. The device delivers a dose of
epinephrine, which constricts blood vessels and relaxes the airways, to reverse the symptoms of anaphylaxis.

A. Increase in serum sodium B. Decrease in urine output C. Increase in heart rate D. Decrease in blood pressure

Correct Answer is B

Explanation

A. Increase in serum sodium: Desmopressin, a synthetic form of vasopressin, works to decrease urine output and increase water reabsorption in the kidneys. Therefore, a therapeutic response to desmopressin would not result in an increase in serum sodium; rather, it would aim to normalize serum sodium levels by reducing excessive urine output.
B. Decrease in urine output: The primary therapeutic goal of desmopressin in the treatment of diabetes insipidus is to decrease urine output by increasing water reabsorption in the kidneys. Therefore, a decrease in urine output would indicate a positive response to the medication.
C. Increase in heart rate: Desmopressin primarily affects kidney function by increasing water reabsorption and does not typically have a direct effect on heart rate. Therefore, an increase in heart rate would not be a manifestation of a therapeutic response to desmopressin.
D. Decrease in blood pressure: Desmopressin works to increase water reabsorption in the kidneys and does not typically cause significant changes in blood pressure. Therefore, a decrease in blood pressure would not be a manifestation of a therapeutic response to desmopressin.

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A nurse is preparing to administer a medication to a client when they discover that the wrong medication was dispensed by the pharmacy. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a prescription for an epinephrine auto-injector. The nurse should instruct the client to take which of the following actions first?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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