A nurse is reviewing a client's medication list and notices that the client is taking two medications that have a potential interaction. Which of the following actions should the nurse take?
Notify the provider and document the interaction in the client's chart.
Hold one of the medications and administer the other one as prescribed.
Administer both medications as prescribed and monitor the client for adverse effects.
Ask the client if they have experienced any problems with taking both medications.
The Correct Answer is A
The nurse should notify the provider and document the interaction in the client's chart when a potential medication interaction is identified. The provider may need to adjust or change one or both of the medications to prevent if from harming the client.
A) Correct. This is the appropriate action for the nurse to take when a potential medication interaction is identified.
B) This is not an appropriate action. The nurse should not hold or alter any prescribed medications without consulting with the provider first.
C) This is not an appropriate action. The nurse should not administer both medications as prescribed without notifying the provider of the potential interaction. This could put the client at risk for adverse effects or reduced efficacy of one or both of the medications.
D) This is not an appropriate action. The nurse should not rely on the client's self-report of problems with taking both medications. The client may not be aware of or recognize all of the possible signs and symptoms of a medication interaction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","E"]
Explanation
The nurse should check the medication label against the MAR three times: before removing the medication from the storage area, before preparing or measuring the medication, and before administering the medication to the client.
The nurse should also ask the client to state their name and date of birth and use a barcode scanner to verify the client's identification band and the medication. These are methods of ensuring that the right medication is given to the right client.
The nurse should follow the six rights of medication administration: right client, right medication, right dose, right route, right time, and right documentation.
The nurse should document the medication administration as soon as possible after giving the medication, not after completing other tasks.
a) Correct. This is one of the methods of ensuring medication safety.
b) Correct. This is another method of ensuring medication safety.
c) Correct. This is a third method of ensuring medication safety.
d) Incorrect. The nurse should document the medication administration as soon as possible after giving the medication, not after completing other tasks.
e) Correct. This is a general principle of medication safety.
Correct Answer is A
Explanation
The nurse should stop the infusion and remove the IV catheter as soon as possible if phlebitis is suspected. Phlebitis is inflammation of a vein that can be caused by mechanical, chemical, or infectious factors. Potassium chloride is a vesicant medication that can cause severe tissue damage if it extravasates into the surrounding tissues.
The nurse should apply a warm compress to the infusion site after removing the IV catheter to reduce inflammation and discomfort. The nurse should notify the provider and obtain an order for a different IV site to continue the infusion of potassium chloride at a different location. The nurse should not slow down the infusion rate and monitor the client because this could worsen the condition and increase the risk of complications.
b) Incorrect. This is an appropriate action after removing the IV catheter, but not before.
c) Incorrect. This is an appropriate action after removing the IV catheter and applying a warm compress, but not before.
d) Incorrect. This is not an appropriate action because it could worsen the condition and increase the risk of complications.
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