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A nurse is administering a powdered medication to a client.
Which of the following actions should the nurse take first?

A.

Document that the medication was administered.

B.

Mix the medication at the client's bedside.

C.

Check the client for allergies.

D.

Determine the client's response to the medication.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Documenting the medication administration is important but should be done after administering the medication. Documentation ensures proper tracking and accountability but does

not address immediate patient safety concerns like checking for allergies.

 

Choice B rationale

Mixing the medication at the client's bedside may ensure that the medication is prepared correctly and the client receives it promptly, but it doesn't address the critical step of

ensuring the client's safety by checking for allergies first.

 

Choice C rationale

Checking the client for allergies is crucial before administering any medication, including powdered forms. Allergic reactions can be severe or life-threatening, so it’s essential to

ensure that the client isn’t allergic to the medication. This step ensures the safety and well-being of the client and prevents potential adverse reactions.

 

Choice D rationale

Determining the client's response to the medication is important for assessing the medication's effectiveness and identifying any adverse reactions, but it occurs after administration.

Checking for allergies precedes all these steps to prevent any initial harm.


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View Related questions

Correct Answer is ["A","B","C"]

Explanation

Choice A rationale

Anticholinergics/antispasmodics can cause constipation by reducing the muscle contractions of the gastrointestinal tract, leading to slower movement of contents and resulting in constipation.

Choice B rationale

Opioid narcotics cause constipation by binding to opioid receptors in the gastrointestinal tract, which decreases intestinal motility and inhibits the secretion of fluids, leading to hard and dry stools.

Choice C rationale

Iron supplements can cause constipation as a common side effect due to their effect on the gastrointestinal tract. They can make stools harder and more difficult to pass.

Choice D rationale

Magnesium-containing antacids typically do not cause constipation. In fact, they are more likely to have a laxative effect due to the presence of magnesium, which can increase water in the intestines and soften stools.

Correct Answer is C

Explanation

Choice A rationale

Returning the opened medication to the medication cart is inappropriate because once a medication is opened and refused by a client, it must be disposed of properly. This action helps maintain safety and prevents contamination.

Choice B rationale

Reporting the incident to the provider is not necessary in this context as the refusal to take medication can be managed by the nurse by following the facility's protocol.

Choice C rationale

Filling out an incident report is required because the client's refusal to take the medication is considered a significant event. Incident reports are used to document and analyze such events to improve patient care and safety.

Choice D rationale

Notifying the facility's ethics committee is unnecessary for a medication refusal incident, as it does not involve an ethical dilemma requiring their intervention.

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