A nurse is preparing to administer medications to a client and notices the wrong medication was administered on the previous shift. Which of the following actions should the nurse take first after obtaining vital signs?
Complete an incident report.
Document the findings in the nurse’s notes.
Notify the nursing manager.
Inform the client’s provider.
The Correct Answer is D
A. Complete an incident report is necessary for documenting the error, but it should not be the first action. Immediate steps should focus on patient safety and addressing the error.
B. Document the findings in the nurse’s notes is important for maintaining accurate medical records, but it should follow the immediate actions taken to address the error.
C. Notify the nursing manager is important for internal reporting and addressing the error within the healthcare team, but it should not be the first action.
D. Inform the client’s provider is the first action the nurse should take. The provider needs to be informed immediately to assess the client’s condition, determine any necessary interventions, and prevent potential harm from the medication error.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Famotidine is an H2 receptor antagonist used to treat conditions like ulcers and gastroesophageal reflux disease (GERD). It does not contain sulfonamide and is generally safe for patients with sulfonamide allergies.
B. Aspirin is a nonsteroidal anti-inflammatory drug (NSAID) used for pain relief, fever reduction, and anti-inflammatory purposes. It does not contain sulfonamide and is not contraindicated for patients with sulfonamide allergies.
C. Metronidazole is an antibiotic used to treat various infections, including those of the gastrointestinal tract and the reproductive system. It does not contain sulfonamide and is safe for patients with sulfonamide allergies.
D. Glyburide is a sulfonylurea used to treat type 2 diabetes by increasing insulin production in the pancreas. It contains sulfonamide and can cause allergic reactions in patients with sulfonamide allergies, making it contraindicated.
Correct Answer is C
Explanation
A. Diarrhea is a common adverse effect of opioids. This statement is incorrect. Opioids commonly cause constipation, not diarrhea, as they slow down gastrointestinal motility.
B. Opioids can increase urinary output. This statement is incorrect. Opioids can actually cause urinary retention rather than increasing urinary output.
C. Long-term use of opioids may cause dependence. This statement is correct. Long-term use of opioids can lead to physical dependence, where the body adapts to the drug, and withdrawal symptoms occur if the drug is abruptly discontinued.
D. Tolerance to opioids will require a decreased dose. This statement is incorrect. Tolerance to opioids means that over time, higher doses of the drug are needed to achieve the same level of pain relief, not a decreased dose.
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