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Zorluk: OrtaPharmacological Therapies

While assigned to a medical-surgical unit, a practical nurse prepares to administer medications to multiple clients. Which actions represent safe pharmacological practices within the practical nursing scope of practice? Select all that apply.

  1. Scanning the client's identification band and the medication barcode prior to administering oral digoxin.Cevap
  2. B
    Measuring the liquid dose of an anticonvulsant using a standard household teaspoon provided by the client.
  3. C
    Administering scheduled metoprolol to a client with a resting heart rate of 54 beats per minute without consulting the registered nurse.
  4. Checking the medical record for documented penicillin allergies before administering a newly prescribed dose of amoxicillin.Cevap
  5. E
    Delegating the administration of a routine oral docusate sodium dose to the unlicensed assistive personnel (UAP).
  6. Documenting the administration of a prescribed opioid analgesic immediately after the client swallows the tablet.Cevap

Cevap

The correct actions include scanning the identification band and medication barcode, checking the medical record for allergies before administering amoxicillin, and documenting the medication administration immediately after the client swallows the tablet.
Safe pharmacological practice requires strict adherence to the rights of medication administration and the practical nursing scope of practice. This includes verifying the client's identity using approved identifiers like a barcode scanner, checking for allergies prior to giving new medications to prevent anaphylaxis, and documenting the administration immediately after the client takes the medication to maintain accurate records and prevent duplicate dosing.

Adım Adım Çözüm

1
Evaluate each medication administration action against the standard rights of medication administration.
Scanning barcodes, verifying allergies, and performing immediate documentation align with the rights of medication administration.
These actions prevent common errors such as giving the wrong drug, causing severe allergic reactions, or double-dosing a client.
2
Identify actions that fall outside the practical nursing scope of practice or violate established safety protocols.
Delegating medication administration to a UAP, ignoring bradycardia before giving a beta-blocker, and using uncalibrated household spoons are identified as unsafe and incorrect practices.
UAPs cannot legally administer medications, beta-blockers require careful parameter checks to prevent cardiovascular collapse, and household spoons lead to inaccurate dosing.

Anahtar Kavram

Safe Medication Administration and Scope of Practice
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Konular

Pharmacological Therapies

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