Examkin

Soru

Zorluk: OrtaPharmacological Therapies

During morning rounds, a client is scheduled to receive a daily dose of levothyroxine 75 mcg75\text{ mcg} PO. The practical nurse accesses the automated dispensing cabinet and retrieves a scored tablet labeled 0.15 mg0.15\text{ mg}. Upon seeing the prepared medication, the client remarks, 'I always take a pink pill for my thyroid, but this one is white. Is there a mistake?' Which action should the practical nurse take next?

  1. A
    Reassure the client that hospital pharmacies frequently use different generic manufacturers with different colors and proceed to administer one-half of the tablet.
  2. Withhold the medication and perform a complete verification of the prescription, the medication label, and the dosage calculation.Cevap
  3. C
    Calculate the required dose as two tablets to meet the 75 mcg75\text{ mcg} prescription and administer them to the client.
  4. D
    Leave the prepared medication with the unlicensed assistive personnel (UAP) to observe the client take it while the pharmacy is contacted.

Cevap

The practical nurse should withhold the medication and perform a complete verification of the prescription, the medication label, and the dosage calculation.
When a client questions a medication's appearance or dosage, it is a critical safety alert. The practical nurse must immediately withhold the medication and re-verify the original prescription, the pharmacy label, and the dosage calculation to ensure the 'right drug' and 'right dose' before proceeding.

Adım Adım Çözüm

1
Listen to the client's concern regarding the medication's appearance.
The client actively questions the color of the pill, indicating it differs from their usual home medication.
Client statements about unfamiliar medications are a primary safeguard against medication administration errors.
2
Withhold the scheduled medication.
The administration is safely paused.
The nurse must never administer a medication when there is an unresolved question about its identity or dosage.
3
Re-verify the medication rights.
The prescription, MAR, medication label, and dosage calculation are checked again.
This confirms whether the medication provided is correct (e.g., a generic substitution) or if a dispensing error occurred.

Anahtar Kavram

Safe medication administration and client advocacy
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Konular

Pharmacological Therapies

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