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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 D

Explanation

Choice A rationale

Fresh vegetables do not typically cause bladder irritation. In fact, they are often recommended for a healthy diet and can help with overall bodily functions.

Choice B rationale

Red meat is not commonly associated with bladder irritation. However, consuming it in excessive amounts may have other health implications.

Choice C rationale

Dairy products are not known to cause bladder irritation. They can be a part of a balanced diet unless there is an individual intolerance or allergy.

Choice D rationale

Caffeinated beverages, such as coffee, tea, and some sodas, can irritate the bladder and increase the frequency and urgency of urination. This is due to the diuretic effect of caffeine, which stimulates bladder activity.

Correct Answer is D

Explanation

Choice D rationale

Dark-colored urine is a common indicator of dehydration. When the body is dehydrated, urine becomes more concentrated, leading to darker color due to higher levels of waste products.

Choice A rationale

Cloudy urine is not typically associated with dehydration. It may indicate the presence of an infection, inflammation, or other medical conditions.

Choice B rationale

Urine osmolality of 200 mOsm/kg suggests diluted urine, which is contrary to the expectation in dehydration. Dehydration would typically result in higher urine osmolality as the kidneys conserve water.

Choice C rationale

Urine specific gravity of 1.015 falls within the normal range (1.005 to 1.030). In dehydration, specific gravity would be expected to be higher as the urine becomes more concentrated to conserve water.

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