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A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client.
Which of the following actions should the nurse take first?

File an incident report.

Determine factors that led to the omission.

Assess the client for adverse reactions.

Report the missed dosage to the client's provider.

Answer and Explanation

The Correct Answer is C

The first action the nurse should take is to assess the client for adverse reactions.

It is important to ensure the client’s safety and well-being before taking any further actions.

Choice A is wrong because filing an incident report is not the first action the nurse should take.

Choice B is wrong because determining factors that led to the omission is not the first action the nurse should take.

Choice D is wrong because reporting the missed dosage to the client’s provider is not the first action the nurse should take.

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Correct Answer is B

Explanation

Warfarin is an oral anticoagulant medication and is not administered subcutaneously.

The nurse should clarify this prescription with the provider before administering it.

Choice A is wrong because tetracycline can be prescribed in doses of 1 g orally every 6 hours.

Choice C is wrong because Penicillin G can be prescribed in doses of 5,000,000 units intramuscularly every 4 hours.

Choice D is wrong because Zoledronate can be prescribed as a single intravenous dose of 5 mg.

A. Pedal edema. B. Fever. C. Hyperglycemia. D. Dry cough.

Correct Answer is B

Explanation

The nurse should monitor the client for fever as an indication that the client is experiencing an acute infusion reaction to IV amphotericin

Fever is a common symptom of an infusion reaction to amphotericin

Choice A is wrong because pedal edema is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice C is wrong because hyperglycemia is not a commonly reported symptom of an acute infusion reaction to amphotericin

Choice D is wrong because dry cough is not a commonly reported symptom of an acute infusion reaction to amphotericin

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A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer medications to a group of clients. Which of the following prescriptions should the nurse clarify with the provider before administering?

Correct Answer is B

Explanation

A nurse is monitoring for an infusion reaction for a client who is receiving a dose of IV amphotericin Which of the following findings should indicate to the nurse that the client is experiencing an acute infusion reaction?

Correct Answer is B

Explanation

A nurse is planning care for a client who has a prescription for erythromycin lactobionate IV bolus. Which of the following actions should the nurse include in the plan of care?

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A nurse is assessing a client who is receiving heparin therapy for deep-vein thrombosis. Which of the following findings should indicate to the nurse that the therapy is effective?

A nurse is planning to administer a controlled substance to a client who is experiencing pain. Which of the following actions should the nurse plan to take first?

A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client.
Which of the following actions should the nurse take first?