Level: Advanced
Difficulty: Hard
Subtopic: Smart pumps
NCLEX: The RN using the electronic health record is being evaluated for technology-supported nursing care and smart pump…
Informatics and healthcare technology Management of Care
Case Study
The RN using the electronic health record is being evaluated for technology-supported nursing care and smart pumps. Assessment data include the barcode scanner displays a medication-client mismatch at the bedside. Which nursing action should the nurse take first?
Question
A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
B. Implement the final step of the care plan before assessing the client.
C. Document the client as stable without reassessment.
D. Wait for the provider's routine visit before acting on abnormal findings.
B. Implement the final step of the care plan before assessing the client.
C. Document the client as stable without reassessment.
D. Wait for the provider's routine visit before acting on abnormal findings.
Rationale
Correct answer: A. Perform a focused assessment for immediate risk, then implement the safest intervention per protocol.
Rationale: First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.
Rationale: First-action questions on the NCLEX require assessment and safety before treatment, documentation alone, or delegation of nursing judgment.
Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.