The nurse has committed a medication error. The nurse administered an antibiotic dosage greater than the dosage prescribed. The patient did not experience any adverse effects. What initial action by the nurse is most appropriate?
A) Report the actions as a sentinel event
B) Contact the nursing supervisor
C) Notify the physician
D) Complete an incident report
Ans: C
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A patient has substernal chest pain that radiates to the neck. The pain lasts 5 minutes and then subsides with relaxation. What is the most likely cause of the chest pain?
A) Myocardial infarction B) Intermittent claudication C) Hypertension D) Angina pectoris
During the first 24 hours after a patient has received fibrinolytic therapy, which of the following is a priority nursing intervention?
1. administer pain medications 2. maintain strict intake and output 3. monitor level of consciousness 4. assess for pulmonary emboli
Four hours after applying an external urinary catheter, the nurse observes no urine output in the drainage bag. Which intervention should the nurse implement first?
a. Check the catheter tubing for an obstruc-tion. b. Ask the patient if he or she feels the urge to void. c. Notify the provider of inadequate urine output. d. Increase the patient's fluid intake over the next hour.
Which compromise in fetal oxygenation could be a result of a post-date pregnancy?
A. Increased saturation capacity B. Increased fetal oxygen affinity C. Decreased placental perfusion