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Zorluk: KolayPharmacological Therapies

A practical nurse is preparing to administer scheduled medications to a group of clients on a medical-surgical unit. Which actions by the nurse demonstrate adherence to safe medication administration practices? Select all that apply.

  1. Scanning the barcode on the client's identification band prior to drug administration.Cevap
  2. Asking the client to state their full name and date of birth before giving the medication.Cevap
  3. C
    Accepting an assignment to administer an intravenous (IV) push dose of morphine for a client in severe pain.
  4. Withholding a scheduled dose of an antihypertensive drug for a client with a blood pressure of 88/50 mm Hg and notifying the registered nurse (RN).Cevap
  5. E
    Verifying the client's identity by checking the room number and bed assignment before administering a drug.

Cevap

The correct actions are scanning the barcode on the identification band, asking the client to state their full name and date of birth, and withholding the antihypertensive drug for a low blood pressure while notifying the RN.
Safe medication administration requires strict adherence to identification protocols, such as scanning the client's barcode and asking them to state their name and date of birth. These two distinct methods ensure the correct client receives the medication. Furthermore, acting safely within the practical nursing scope involves recognizing when to withhold medications—such as holding an antihypertensive drug for a client with a critically low blood pressure—and promptly reporting the finding to the supervising RN.

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1
Analyze the requirements for safe client identification prior to medication administration.
The nurse must use at least two distinct, client-specific identifiers, such as name, date of birth, or barcode scanning.
Using proper identifiers prevents medication administration to the wrong client. Room numbers are not acceptable.
2
Evaluate the practical nurse's scope of practice regarding medication routes.
Intravenous (IV) push medications are generally outside the practical nurse's scope of practice.
IV push medications require advanced assessment skills and the ability to manage immediate, potentially life-threatening adverse reactions, which falls under the RN role.
3
Assess the appropriate nursing response to abnormal clinical parameters during a medication pass.
The nurse must withhold the antihypertensive medication for a client with hypotension (88/50 mm Hg) and report this finding to the RN.
Administering the medication would further lower the client's blood pressure, potentially causing shock or decreased organ perfusion.

Anahtar Kavram

Safe Medication Administration and Scope of Practice
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Konular

Pharmacological Therapies

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