The nurse is preparing to administer medications to two patients with the same last name. After the administration, the nurse realizes that she did not check the identification of the patient before administering medication. Which action should the nurse complete first?
Complete proper documentation of the medication error in the patient’s chart.
Return to the room to check and assess the patient.
Administer the antidote to the patient immediately.
Alert the charge nurse that a medication error has occurred.
The Correct Answer is B
A: Completing proper documentation of the medication error is important but should not be the first action. Immediate assessment of the patient is more critical.
B: Returning to the room to check and assess the patient is the first priority. The nurse needs to determine if the patient has experienced any adverse effects from the medication error and provide appropriate care.
C: Administering the antidote to the patient immediately is only necessary if the medication given has a known antidote and the patient is showing signs of adverse effects. Assessment should come first.
D: Alerting the charge nurse that a medication error has occurred is important for reporting and follow-up but should follow the immediate assessment and care of the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A: A simple face mask provides a moderate concentration of oxygen but does not have a one-way valve to deliver the highest concentration of oxygen.
B: A Venturi mask delivers a precise concentration of oxygen but is not designed to provide the highest concentration of oxygen with a one-way valve.
C: A non-rebreather mask is the correct choice. It has a one-way valve that prevents exhaled air from re-entering the bag, allowing the delivery of the highest concentration of oxygen to the client.
D: A partial rebreather mask provides a high concentration of oxygen but does not have a one-way valve, making it less effective than a non-rebreather mask for delivering the highest oxygen concentration.
Correct Answer is C
Explanation
A: Clostridium difficile infection typically develops after prolonged antibiotic use and is not the most likely cause of diarrhea immediately after starting enteral feeding.
B: Antibiotic therapy can cause diarrhea, but it is not the most likely cause in this scenario where the diarrhea started soon after beginning enteral feeding.
C: Formula intolerance is the most likely cause of diarrhea shortly after starting enteral feeding. The patient’s digestive system may not tolerate the formula well, leading to diarrhea.
D: Bacterial contamination is a possible cause but is less likely to cause immediate diarrhea after starting enteral feeding compared to formula intolerance. Proper handling and preparation of the formula should minimize this risk.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.