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 C

Explanation

A. Prior episode of kidney stones: A history of kidney stones is not a contraindication to prednisone therapy. However, it may require monitoring due to potential fluid and electrolyte imbalances associated with corticosteroid use.
B. Taking levothyroxine orally: Taking levothyroxine orally is not a contraindication to prednisone therapy. However, concurrent use of corticosteroids and levothyroxine may require dosage adjustments of both medications due to potential interactions.
C. Has a systemic fungal infection: Corticosteroids like prednisone can suppress the immune system, increasing the risk of fungal infections and worsening existing fungal infections.
Therefore, the presence of a systemic fungal infection is a contraindication to corticosteroid therapy.
D. History of asthma: Asthma is not a contraindication to prednisone therapy. In fact, prednisone is commonly used as a treatment for asthma exacerbations. However, caution may be needed in individuals with asthma to avoid exacerbating symptoms or complications.

A. "Consumption of a high protein meal can reduce the effectiveness of the medication." B. “You may notice your urine becomes lighter in color." C. "You may initially notice an increase in involuntary movements." "You can experience vivid nightmares." D. "The medication can cause nausea, so take with a meal" E. “This medication can make you light-headed if you stand up too quickly from a seated or lying position."

Correct Answer is ["A","C","D","E"]

Explanation

A. "Consumption of a high protein meal can reduce the effectiveness of the medication."
High-protein meals can interfere with levodopa absorption in the intestine, reducing its effectiveness. Clients should consume protein in moderate amounts and distribute intake throughout the day.

B. "You may notice your urine becomes lighter in color."
Levodopa can cause urine, sweat, and saliva to become darker (brown, red, or black), not lighter. This is a harmless side effect but should be discussed with the client.

C. "You may initially notice an increase in involuntary movements."
Levodopa can cause dyskinesia (involuntary movements), especially with prolonged use or at higher doses. These movements can include facial twitching, jerking, or head bobbing.

D. "The medication can cause nausea, so take with a meal."
Levodopa can cause nausea, particularly when first starting the medication. Taking it with food can help reduce gastrointestinal discomfort, but avoiding high-protein meals is important.

E. "This medication can make you light-headed if you stand up too quickly from a seated or lying position."
Levodopa can cause orthostatic hypotension, leading to dizziness or light-headedness when changing positions. Clients should be advised to rise slowly to prevent falls.

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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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Correct Answer is C

Explanation

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