Difficulty: Medium
Average Score: 86%
Simulated
A nurse is administering a medication to a client. The nurse identifies the client has an allergy to the medication after it has been administered. Which of the following actions should the nurse take?
Correct answer
B
Rationale
The correct answer is B: Assess the client for a change in condition. This action is crucial as the nurse needs to monitor the client for any adverse reactions or symptoms of an allergic reaction. Prompt assessment can help in identifying and managing any potential complications.
A: Notifying the facility's risk management team is important but not the immediate priority when the client's health is at risk.
C: Placing an incident report in the client's electronic medical record is important for documentation but should not take precedence over assessing the client's condition.
D: Administering an antidote before notifying the provider is not advisable without proper assessment and confirmation of the allergic reaction as it may worsen the client's condition.
A: Notifying the facility's risk management team is important but not the immediate priority when the client's health is at risk.
C: Placing an incident report in the client's electronic medical record is important for documentation but should not take precedence over assessing the client's condition.
D: Administering an antidote before notifying the provider is not advisable without proper assessment and confirmation of the allergic reaction as it may worsen the client's condition.