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Zorluk: OrtaPharmacological Therapies

During a busy morning shift at a community health clinic, a registered nurse (RN) delegates several medication administration tasks to the practical nurse (PN). Which of the following tasks should the PN accept and perform safely?

  1. Providing a scheduled oral opioid analgesic to a client with chronic pain after verifying their name and date of birth.Cevap
  2. B
    Administering a live attenuated influenza vaccine to a client who is currently receiving immunosuppressive chemotherapy.
  3. C
    Calculating a weight-based dose and delivering a prescribed intravenous (IV) push antibiotic to a pediatric client.
  4. D
    Giving a routine oral antihypertensive medication to a familiar client without checking the identification band.

Cevap

The practical nurse should safely accept the task of providing a scheduled oral opioid analgesic to a client with chronic pain after properly verifying their name and date of birth.
Administering scheduled oral medications is a fundamental skill within the practical nurse's scope of practice. Furthermore, strictly verifying two client identifiers (such as name and date of birth) before administration demonstrates adherence to essential patient safety protocols.

Adım Adım Çözüm

1
Analyze each delegated task against the practical nurse (PN) scope of practice and safety protocols.
The oral analgesic task aligns with PN scope, while the IV push antibiotic task exceeds it.
It is the PN's responsibility to refuse assignments that require RN-level interventions (like IV push medications).
2
Evaluate the remaining tasks for adherence to safe medication administration principles.
Checking two client identifiers is a required safety step, making the option that bypasses this step unsafe.
Bypassing identifier checks, even for familiar clients, introduces a high risk of medication error.
3
Review the clinical appropriateness of the medications being administered based on client conditions.
Giving a live vaccine to an immunosuppressed client is a critical contraindication.
Live vaccines can cause active infection in clients with compromised immune systems, such as those on chemotherapy.

Anahtar Kavram

Delegation, Scope of Practice, and Safe Medication Administration
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