Examkin

Soru

Zorluk: OrtaPharmacological Therapies

A practical nurse (PN) is assigned to care for a client who is receiving multiple pharmacological therapies for a severe respiratory infection. Which of the following actions by the PN are appropriate? (Select all that apply.)

  1. Verify the client's identity using two distinct identifiers prior to administering an oral antibiotic.Cevap
  2. Monitor the client's peripheral intravenous (IV) site for redness or swelling during a piggyback antibiotic infusion.Cevap
  3. Reinforce the registered nurse's teaching regarding the common adverse effects of the prescribed medications.Cevap
  4. D
    Leave a prescribed oral antipyretic on the bedside table for the sleeping client to take upon waking.
  5. E
    Administer a scheduled live-attenuated influenza vaccine while the client is experiencing a severe acute illness.
  6. F
    Accept a delegated task to administer a prescribed intravenous push (IVP) analgesic for the client's pain.

Cevap

The appropriate actions are: verifying the client's identity using two distinct identifiers, monitoring the peripheral IV site during the infusion, and reinforcing teaching regarding medication adverse effects.
The correct actions align with the practical nurse's scope of practice and strict medication administration standards. Verifying two unique identifiers ensures the medication is given to the correct client. Monitoring an IV site during a piggyback infusion is a required safety check to detect infiltration or phlebitis early. Reinforcing teaching that was initially provided by the registered nurse or provider is a primary educational responsibility of the practical nurse.

Adım Adım Çözüm

1
Analyze the clinical scenario and the role of the nurse.
The scenario involves a practical nurse caring for a client receiving pharmacological therapies for an acute infection.
Understanding the client's condition (acute infection) and the nurse's specific scope of practice (PN) is necessary to evaluate the appropriateness of each intervention.
2
Evaluate each option based on established medication safety principles.
Verifying two identifiers promotes safety. Leaving medications at the bedside violates the rights of medication administration.
Adhering to the rights of medication administration prevents errors and ensures client safety.
3
Evaluate each option against the legal scope of practice for a practical nurse.
Reinforcing teaching and monitoring an IV site are within the PN scope. Administering an IV push medication is generally outside the PN scope.
Delegated tasks must match the nurse's licensure, education, and competency level.
4
Evaluate options involving pharmacological contraindications.
Administering a live-attenuated vaccine is inappropriate for a client currently suffering from a severe acute illness.
Recognizing contraindications prevents serious adverse therapeutic reactions.

Anahtar Kavram

Safe Medication Administration and Practical Nurse Scope of Practice
Tahmini Süre:1m 30s
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Konular

Pharmacological Therapies

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