Difficulty: Medium
Average Score: 72%
Simulated
A nurse realizes that they failed to administer a medication that was due 4 hr ago to a client. Which of the following actions should the nurse take first?
Correct answer
B
Rationale
The correct answer is B: Assess the client for adverse reactions. This should be the first action because the nurse needs to ensure the client's safety and well-being after missing a dose. Assessing for any potential adverse reactions allows for immediate intervention if needed.
Other choices are incorrect:
A: Determining factors can be done later after ensuring the client's safety.
C: Reporting to the provider can be done after assessing the client.
D: Filing an incident report is important but should come after addressing the immediate client's needs.
Other choices are incorrect:
A: Determining factors can be done later after ensuring the client's safety.
C: Reporting to the provider can be done after assessing the client.
D: Filing an incident report is important but should come after addressing the immediate client's needs.