Examkin

Soru

Zorluk: OrtaPharmacological Therapies

A practical nurse (PN) is caring for an older adult client who has a history of heart failure, asthma, and gastroesophageal reflux disease. The PN is reviewing the medication administration record. Which actions by the PN demonstrate safe pharmacological practice? (Select all that apply.)

  1. Administering the prescribed short-acting bronchodilator inhaler 5 minutes before the corticosteroid inhaler.Cevap
  2. Withholding the scheduled oral digoxin and alerting the registered nurse (RN) after auscultating an apical pulse of 54 beats per minute.Cevap
  3. Rotating the application site of the transdermal nitroglycerin patch and cleansing the skin prior to placement.Cevap
  4. D
    Administering the scheduled oral furosemide after noting the client's morning serum potassium level is 2.8 mEq/L (2.8 mmol/L).
  5. E
    Scanning the medication barcode and verifying the client's identity by confirming their room number.
  6. F
    Accepting a delegated task from the RN to administer an intravenous push (IVP) dose of pantoprazole.

Cevap

The correct actions are to administer the bronchodilator before the corticosteroid, withhold digoxin for a heart rate below 60 bpm, and rotate transdermal patch sites.
The correct actions prioritize safety and adhere to the practical nurse's scope of practice. Administering a bronchodilator before a corticosteroid opens the airways for optimal absorption of the second medication. Withholding digoxin for bradycardia (apical pulse less than 60 beats per minute) and notifying the RN is crucial to prevent digoxin toxicity. Rotating transdermal patch sites and applying them to clean skin prevents skin irritation and ensures consistent medication absorption.

Adım Adım Çözüm

1
Analyze the client's clinical data and prescribed medications.
The client has asthma, heart failure, and GERD, requiring multiple medications with specific administration protocols and safety checks.
Understanding the clinical context is essential for safe medication administration.
2
Evaluate the respiratory medication administration.
The bronchodilator must be given 5 minutes before the corticosteroid to open airways, allowing better absorption of the second medication.
This maximizes the therapeutic effect of the inhaled medications.
3
Evaluate the cardiovascular medication administration.
Digoxin must be withheld for an apical pulse below 60 beats per minute, and transdermal patches require site rotation. Furosemide should not be given with severe hypokalemia (2.8 mEq/L).
These actions prevent medication toxicity, skin breakdown, and severe adverse cardiovascular events.
4
Evaluate general medication safety and delegation.
Two proper unique identifiers are required (room number is invalid), and IV push medications are outside the standard PN scope of practice.
Ensuring the correct patient and staying within scope prevents sentinel events.

Anahtar Kavram

Safe Pharmacological Administration and Scope of Practice
Bu soruyu puanla

Konular

Pharmacological Therapies

Bu konudan daha fazla soru