ATI RN Pharmacology 2019 I | Nurselytic

Correct Answer: C

Rationale: The correct action for the nurse to take first is to assess the client for adverse reactions (
Choice
C). This is crucial because the nurse needs to ensure the client's safety and well-being after missing the medication dose. By assessing the client for any potential adverse reactions promptly, the nurse can address any immediate concerns and take necessary actions to mitigate any negative effects. This step prioritizes the client's health and safety.

Other choices are not the first priority in this situation:
A: Filing an incident report (
Choice
A) can be done later after ensuring the client's immediate safety.
B: Determining factors that led to the omission (
Choice
B) is important for preventing future errors but is not the first step when a client's health may be at risk.
D: Reporting the missed dosage to the client's provider (
Choice
D) is important but should come after assessing the client's current condition.

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