What is the best initial action for the nurse to take?
One kilogram equals 2.2 lb; 44 lb divided by 2.2 = 20 kg; 15 mg x 20 = 300 mg. After a client's membranes rupture spontaneously, the nurse sees the umbilical cord protruding from the vagina. Place the nursing interventions in order of priority. Administer oxygen to the mother and monitor fetal heart tones.
Which task should be carried out by an RN?
Aug 12, 2005 · The nurse has a preop order to administer Valium (diazepam) 10mg and Phenergan (promethazine) 25mg. The correct method of administering these medications is to: Administer the medications together in one syringe. Administer the medication separately. Administer the Valium, wait 5 minutes, and then inject the Phenergan
Which client should the LPN prioritize care to?
WBC greater than 19,000. Your patient is receiving an amiodarone drip. You should reduce the dose from 1 mg/mL to 0.5 mg/mL after: 6 hours. Your patient was admitted for a hypertensive crisis and has a history of HTN, Parkinson's Disease, CAD, and depression. The patient reports drinking 3-4 alcoholic drinks/night.
Is the duty of the LPN to administer the prescribed medication?
Once a nurse assesses a client's condition and identifies appropriate nursing diagnoses, a: A. Plan is developed for nursing care. B. Physical assessment begins. C. List of priorities is determined. D. Review of the assessment is conducted with other team members. A. Plan is developed for nursing care.
What is the primary nursing obligation when administering medication?
Which is the primary role of the nurse during a clinical trial quizlet?
What are the responsibilities of a nurse related to a medication order?
What is the order of the nursing process quizlet?
What does a clinical trials nurse do?
What is the role of clinical trials in the drug approval process?
What is medication management in nursing?
What nursing action should the nurse take to administer medication safely?
- THE RIGHT TO A COMPLETE AND CLEARLY WRITTEN ORDER. ...
- THE RIGHT TO HAVE THE CORRECT DRUG ROUTE AND DOSE DISPENSED. ...
- THE RIGHT TO HAVE ACCESS TO INFORMATION. ...
- THE RIGHT TO HAVE POLICIES ON MEDICATION ADMINISTRATION.
What order should an RN perform the steps of the nursing process?
In what order should an RN perform the steps of the nursing process quizlet?
What is the primary reason that it is important for nurses to prioritize care?
What do nurses do before administering medication?
Prior to the administration of medications, the nurse must check and validate the medication order, and also apply their critical thinking skills to the ordered medication and the status and condition of the client in respect to the contraindications, pertinent lab results, pertinent data like vital signs, client allergies, and potential interactions of the medication that is to be given.
What is a nurse responsible for?
Nurses are legally and ethically responsible and accountable for accurate and complete medication administration, observation, and documentation.
Why is it important to keep medications in a secure place?
The importance of keeping medications in a secure place that would not place a curious child or a cognitively impaired adult at risk for taking medications not intended for them. The proper and safe disposal of any biohazardous equipment such as used needles that the client uses for insulin and other medications.
How to release a medication while taking in a long, slow inhalation?
Have the client then firmly place their lips around the mouthpiece immediately after the strong exhalation. Press the bottle against the mouthpiece to release the medication while the person is taking in a long, slow inhalation. Instruct the client to hold their breath for a couple of seconds and then slowly exhale.
What is included in a complete medication order?
A complete medication order must include the client's full name, the date and the time of the order, the name of the medication, the ordered dosage, and the form of the medication, the route of administration, the time or frequency of administration, and the signature of the ordering physician or licensed independent practitioner's signature.
How to administer otic route?
Otic Route Administration. Warm the ear drops to body temperature. Instruct the person to lie on their side so that the ear to receive the medication is upright. Straighten out the ear canal by pulling the auricle up and back for the adult and down and back for the infant and young child less than 3 years of age.
What should be taught about medications?
Educating the Client About Medications. Clients and significant others should be taught about all aspects of the medications that they are taking. The content of this teaching and education should minimally include: The purpose of the medication. The dosage of the medication. The side effects of the medication.
What does a client tell the nurse about the rhythm method?
A client tells the nurse that she plans to use the rhythm method of birth control. The nurse is aware that the success of the rhythm method depends on the: A client with diabetes asks the nurse for advice regarding methods of birth control.
What is the name of the medication that is administered to a client with hypertension?
The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
What to do when a nurse checks a client's fundus?
The next action the nurse should take is to: Check the client for bladder distention.
What is a temporary colostomy?
The nurse should administer the medication: A temporary colostomy is performed on the client with colon cancer. The nurse is aware that the proximal end of a double barrel colostomy: While assessing the postpartal client, the nurse notes that the fundus is displaced to the right.
What is the prescription for angina?
The client admitted with angina is given a prescription for nitroglycerine. The client should be instructed to:
How to test a 5-year-old for pinworms?
To collect a specimen for assessment of pinworms, the nurse should teach the mother to: Examine the perianal area with a flashlight 2 or 3 hours after the child is asleep. Scrape the skin with a piece of cardboard and bring it to the clinic.
What are sickle cell anemia clients taught?
Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?
How many degrees should a patient be on his back?
Position the patient on his/her back with the head of bed 30-45 degrees
How many patients do you report to the PCU?
Upon arrival to the unit, you receive report on four PCU patients. Which patient should you attend to FIRST?
What is the HGB of a patient with an upper GI bleed?
A patient with an upper GI bleed has a hgb of 6.1 g/dL. Which of the following orders should you do FIRST?
What to use for insertion site?
Cover the insertion site immediately with Vaseline gauze
What does a nurse determine?
A. The nurse determines the health care needed for the client.
What is a priority in nursing?
Priorities are established to help the nurse anticipate and sequence nursing interventions when a client has multiple problems or alterations. Priorities are determined by the client's:
Who determines the plan of care for the client?
B. The Physician determines the plan of care for the client.
What should a nurse do when a client is taking an oral medication?
The client is experiencing an adverse effect of a medication. The nurse should: monitor and intervene. The client has been prescribed an oral medication. Prior to administration of this medication, the nurse assesses the client's: ability to swallow.
What is an instructor in nursing?
Assessment of client's educational level. An instructor is teaching a group of students about client education and drug therapy.
How is the right route of a drug determined?
The right route of the drug is determined by the drug's formulation.
Can a client take herbal medications while pregnant?
She currently takes herbal medications to control her diabetes and the symptoms related to pregnancy. She asks the nurse if it is safe to take herbal medications while she is pregnant.
What is the role of a registered nurse in UNP?
The registered nurse (RN) is delegating tasks to several health care team members caring for a client with a bacterial infection and high fever.
What can a delegated nurse do?
The delegator can delegate tasks such as administration of antipyretic for the client who has fever. This particular task should be delegated only to the licensed nursing personnel, such as LPN. The delegator can delegate the task such as administration of antiallergic medication to the licensed professional, such as LPN. The RN is responsible for all the assessments performed, but the UAP or LPN can collect the data that can be used for the assessment. The RN is responsible for assessing the client's condition. The RN should delegate basic tasks such as changing the bed sheets and dressing the client to unlicensed nursing personnel.
What is passive delegation in nursing?
A nurse is assisting another registered nurse in the intensive care unit who is caring for a client with uncontrolled blood pressure.
What is participation in nursing?
Participation is mutual involvement to accomplish the task. It is better explained by the statement, "I will guide and assist you while you learn how to check the client's blood glucose.". The nurse is assisting the registered nurse with delegation decisions regarding management of a client with shortness of breath.
Who is responsible for the client if complications develop?
The registered nurse is responsible and accountable for the client if complications develop. The registered nurse is responsible for the client because he or she delegated client care and wrote the care plan. The charge nurse may be accountable but may not be responsible since the charge nurse gets the task in the absence of the RN. The associate nurse is responsible for the client's condition if the primary nurse's written plan is implemented by the associate nurse. The licensed practical nurse (LPN) is not responsible because the LPN follows the written plan given by the RN.
Who is accountable for the care from admission to discharge?
The charge nurse will be accountable for the care from admission to discharge.
Can a nurse provide feedback during delegation?
The nurse may not provide constructive feedback about the client care management during delegation decisions. The nurse may, however, provide constructive feedback to the delegatee to maximize the efficiency of the client care. The registered nurse (RN) is caring for a client who has severe abdominal pain.
How many units of insulin should a psychiatric technician give?
give 20 units of regular insulin. When a Psychiatric Technician has finished drawing the insulin into a syringe, the correct procedure would be to: Hint: Regular insulin is a clear solution that does not contain a protein which would slow absorption.
What is the treatment for ECT?
Hint: A short-acting barbiturate and a muscle-paralyzing agent are usually administered for ECT. Brevital (methohexital) and Anectine (succinylcholine). The psychiatric technician is assigned to administer medication and treatments. A female client is to receive a topical medication to her face.
Results
Curriculum
Safety
Risks
- The risk factors associated with medication errors and other medical errors such as wrong patient or wrong site surgery are discussed below: Psychiatric disorders: Patients/residents/clients with a psychiatric disorder are at risk for medications as based on their psychiatric mental health disorder and the medications that they may be taking. Some psychotr…
Scope
- Developmental disorders: The same concerns and interventions described above for infants and children apply to those with developmental disorders, as specific to the degree of their developmental delay.
Prevention
- Infants and children: These young children are at risk for medication errors because they are not able to ask questions about medications and procedures; they may not even be able to state their name. The support and presence of the family is one way to prevent medication errors among this high risk population. Sensory disorders: Assistive devices, such as eyeglasses and hearing aids, …
Administration
- The routes of administration include the following routes: The oral route of administration is the preferred route of administration for all clients but the oral route is contraindicated for clients adversely affected with a swallowing disorder or a decreased level of consciousness. Oral medications can, at times, be crushed and put into something ...
Security
- All incomplete, questionable and/or illegible orders must be questioned and validated by the nurse transcribing the order before it is administered to the client. This questioning and validation requires that the registered nurse use, integrate and apply their critical thinking and professional judgment skills. Automated order entry using a computer eliminates some medication order erro…
Writing
- Medication orders are often transcribed by hand onto a medication administration record (MAR) or Medex, when the facility is not using computerized order entry.
Contraindications
- The client's allergies are determined, all contraindications for the medication as based on the client's health problems and disease conditions are determined, pertinent diagnostic laboratory results such as checking the client's prothrombin time and partial thromboplastin time prior to the administration of heparin, client data like a blood pressure and a pulse rate prior to the administr…
Example
- For example, if the client has an order for 10 units of NPH insulin in the morning and they also need 3 units of regular insulin according to their sliding scale for coverage, the client will draw up both insulins according to the above procedure and then inject 13 units total for the NPH and the regular insulins.
Treatment
- Some topical medications are only suitable on intact skin and others that contain a medication are used for the treatment of broken skin or a wound. Ophthalmic eye medications are applied using sterile technique which is one of the few routes that require more than medical asepsis or clean technique.
Preparation
- Transdermal medications are absorbed from the surface of the skin. The site should be without hair so it may be necessary to shave the area and these medications are applied on the client's upper arm or chest. Some transdermal medications are commercially prepared with the ordered dosage and others require the nurse to measure and apply the ordered dosage on a transderma…
Medical uses
- Subcutaneous injections can be given in the abdomen, upper arms and the front of the thighs. Subcutaneous injections are used for the administration of insulin, heparin and other medications. The sites for these injections should be rotated.
Locations
- The sites for intramuscular medications are the gluteus maximus, the deltoid muscle, the vastus lateralis, the rectus femoris muscle, and the ventrogluteal muscle. The gluteus maximus muscle and the deltoid muscle are NOT used for infants or young children who are less than 3 years of age.
Equipment
- The procedure for IV push without an existing IV line is as follows: The procedure for an IV push bolus with an existing IV line is as follows:
Operation
- When a bar coded entry system for narcotics and controlled substances are used, each nurse can access these medications because the nurse's identification is automatically processed and the controlled substances are also automatically processed and recorded. When this automated system is not used, the \"narcotic keys\" are retained by one nurse and, if another nurse has to a…
Recording
- All controlled substances are documented on the narcotics record as soon as they are removed, and all controlled substances, like all other medications, are documented on the client's medication record as soon as they are administered. If a controlled substance is wasted for any reason, either in its entirety or only partially, this waste must be witnessed or documented by th…