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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A: Checking the dosage with a more experienced nurse is not the best action. While it may provide some guidance, it does not ensure the accuracy of the order.

B: Consulting a drug handbook and administering the normal dose is not appropriate. The nurse must verify the specific order for the patient rather than assuming a standard dose.

C: Contacting the hospital pharmacist about the order can be helpful, but the pharmacist may not be able to clarify the prescriber’s intent if the order is illegible.

D: Contacting the health care provider to clarify the illegible order is the best action. This ensures that the nurse administers the correct dose as intended by the prescriber, preventing medication errors.

A. Obtain a chest x-ray. B. Raise the head of the bed. C. Administer prescribed analgesic. D. Administer oxygen at 2 L/min.

Correct Answer is B

Explanation

A: Obtaining a chest x-ray is important for diagnosing potential complications but is not the immediate first action to improve oxygen saturation.

B: Raising the head of the bed helps improve lung expansion and oxygenation. It is a quick and effective first step to increase oxygen saturation.

C: Administering a prescribed analgesic can help with pain management but does not directly address the low oxygen saturation.

D: Administering oxygen at 2 L/min is important but should follow the initial step of raising the head of the bed to optimize breathing.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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