ATI LPN Pharmacology safety | Nurselytic

Correct Answer: D

Rationale: The correct action for the nurse to take first is to check the client's vital signs (
Choice
D). This is essential to assess any immediate impact of the wrong medication on the client's health and to determine if any urgent interventions are needed. By checking the vital signs, the nurse can quickly identify any signs of distress or complications and initiate appropriate actions to ensure the client's safety.

Notifying the charge nurse (
Choice
A) can come after ensuring the client's immediate well-being. Filling out an incident report (
Choice
B) and documenting the client's condition in the electronic medical record (
Choice
C) are important, but they should follow the assessment of the client's vital signs. These actions help in reporting and documenting the error for quality improvement purposes.

In summary, checking the client's vital signs is the priority as it directly addresses the immediate health impact of the wrong medication, while the other actions are necessary but should follow after ensuring the client's safety.

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