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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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Correct Answer is C

Explanation

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.

Correct Answer is A

Explanation

Choice A rationale

Colonoscopy is the recommended test for screening for rectal cancer. It allows for direct visualization of the entire colon and rectum, enabling the detection and biopsy of polyps or

suspicious lesions. It is the gold standard for colorectal cancer screening.

Choice B rationale

Endoscopic retrograde cholangiopancreatography (ERCP) is used to diagnose and treat conditions of the bile ducts, pancreas, and gallbladder. It’s not typically used for colorectal

cancer screening.

Choice C rationale

An upper GI series involves X-rays of the upper gastrointestinal tract (esophagus, stomach, and duodenum) after swallowing a contrast medium. This test does not visualize the

lower GI tract, including the colon and rectum, and is therefore not suitable for rectal cancer screening.

Choice D rationale

Upper GI endoscopy allows for direct visualization of the upper gastrointestinal tract but does not reach the colon and rectum. Hence, it is not used for screening rectal cancer

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