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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Document the administration of the medication is an important step but should be done after the medication has been administered to ensure accurate record-keeping.
B. Compare the amount of medication available to the inventory record is necessary to ensure that the correct amount of medication is being administered and to prevent discrepancies. However, it is not the first step in the process.
C. Identify the client using two identifiers is the first and most crucial step to ensure that the correct patient is receiving the medication. This step helps prevent medication errors and ensures patient safety.
D. Remove the medication from the medication dispensing cabinet is a necessary step but should be done after verifying the client’s identity to ensure the correct medication is given to the right patient.

A. Ask another nurse to check the medication dosage prior to administration. B. Use two client identifiers prior to administering the medication. C. Verify a written order with the medication administration record. D. Document the full name of the prescribed medication after administration.

Correct Answer is B

Explanation

A. Ask another nurse to check the medication dosage prior to administration is a good practice for double-checking dosages but does not ensure the right medication is given to the right client.
B. Use two client identifiers prior to administering the medication is essential to ensure the right medication is given to the right client. This helps prevent medication errors.
C. Verify a written order with the medication administration record is important but does not directly ensure the right medication is given to the right client.
D. Document the full name of the prescribed medication after administration is necessary for accurate record-keeping but does not ensure the right medication is given to the right client.

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