A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

The nurse who caused the error

The nurse who identifies the error

The quality improvement committee

The charge nurse

Answer and Explanation

The Correct Answer is B

Choice A rationale: The nurse who caused the error is not responsible for completing an incident report, which is a tool for quality improvement and risk management. The incident report should include the facts of the error, the actions taken, and the outcome of the client.
Choice B rationale: The nurse who identifies the error should notify the nurse who caused the error, the charge nurse, and the provider, but they are and they are responsible for completing the report.
Choice C rationale: The quality improvement committee may review incident reports but is not directly responsible for completing them.
Choice D rationale: The charge nurse may oversee the incident report process but is not primarily responsible for completing it.

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Correct Answer is C

Explanation

Choice A rationale: Hypotension is not a common side effect of prednisone use.
Choice B rationale: Prednisone can also suppress the immune system, so the client should avoid immunizations that contain live viruses or bacteria.
Choice C rationale: Prednisone is a corticosteroid that can cause osteoporosis and increase the risk of fractures in long-term use. Therefore, the nurse should instruct the client to consume a diet high in calcium and vitamin D to prevent bone loss and promote bone health.
Choice D rationale: Prednisone use is more likely to cause hyperglycemia rather than hypoglycemia.

A. Increased blood pressure B. Hypertonia C. Wheezing D. Urinary retention

Correct Answer is C

Explanation

Choice A rationale: While increased blood pressure can occur in various conditions, it might not specifically indicate anaphylaxis to penicillin.

Choice B rationale: Hypertonia might not directly correlate with anaphylaxis and could be caused by other factors.

Choice C rationale: Wheezing is a critical sign of anaphylaxis, a severe allergic reaction to penicillin. Reporting wheezing to the provider is crucial for immediate intervention to prevent further complications associated with anaphylaxis.

Choice D rationale: Urinary retention is not a typical manifestation of anaphylaxis to penicillin and might not be directly linked to the allergic reaction.

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A nurse is preparing to administer medications to a client and discovers a medication error. The nurse should recognize that which of the following staff members is responsible for completing an incident report?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving prednisone on a long-term basis to treat inflammatory bowel disease. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is assessing a client who is receiving penicillin IV. For which of the following findings should the nurse report to the provider as a manifestation of anaphylaxis?

Correct Answer is C

Explanation

A client who has Graves' disease is prescribed methimazole. Which of the following effects should the nurse expect to see after the client has taken the medication for 2 months?

A nurse is assessing a client who has hypermagnesemia. Which of the following medications should the nurse prepare to administer?

A nurse is completing medication reconciliation for a client prior to their transfer to a rehabilitation facility. Which of the following actions should the nurse take?

A nurse is interviewing a client who reports a desire to quit smoking. Which of the following prescriptions should the nurse expect the provider to prescribe?

A nurse is preparing to administer propranolol to a client. Which of the following should the nurse assess prior to administering this medication?

A nurse is caring for a client who has major depression and a new prescription for citalopram. Which of the following adverse effects is the priority for the nurse to report to the provider?

A nurse is assessing a client who has septic shock and is receiving dopamine by continuous IV infusion. Which of the following findings indicates that the nurse should increase the rate of infusion?

A nurse is preparing to administer amphotericin B lipid complex via intermittent IV bolus to a client who has infective endocarditis. Which of the following actions should the nurse take?