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Zorluk: OrtaPharmacological and Parenteral Therapies

A nurse is preparing to administer a prescribed parenteral medication from a glass ampule. Arrange the following actions in the correct chronological order to ensure safe preparation. (Place the first action at the top and the final action at the bottom.)

  1. 1Tap the upper chamber of the ampule lightly to clear medication from the stem.
  2. 2Wrap a sterile gauze pad or unopened alcohol swab around the neck of the ampule.
  3. 3Snap the neck of the ampule firmly and quickly away from the body.
  4. 4Attach a filter needle to a sterile syringe and withdraw the prescribed amount of medication.
  5. 5Remove the filter needle and attach an appropriate administration needle or needleless access device.

Cevap

The correct sequence is to tap the ampule to clear the stem, protect the fingers with gauze, snap the neck away from the body, draw the medication using a filter needle, and finally replace the filter needle with a standard administration device.
Safe medication preparation from a glass ampule requires a specific sequence to prevent injury and contamination. The medication must first be cleared from the stem to ensure accurate dosing. A barrier (gauze or alcohol swab) is then placed around the neck to protect the nurse's fingers before snapping the top away from the body to protect the face and eyes. A filter needle is essential to draw up the medication safely, preventing microscopic glass shards from entering the syringe. Finally, the filter needle must be discarded and replaced with a standard administration device, as using the same filter needle for injection would deliver trapped glass particles into the client.

Adım Adım Çözüm

1
Tap the upper chamber of the ampule lightly.
Trapped medication falls into the lower chamber of the ampule.
This ensures the entire volume of medication is accessible for withdrawal and prevents dosing errors.
2
Wrap a sterile gauze pad or unopened alcohol swab around the neck of the ampule.
The nurse's fingers are shielded by a physical barrier.
This minimizes the risk of laceration from glass shards during the snapping motion.
3
Snap the neck of the ampule firmly and quickly away from the body.
The ampule is safely opened.
Directing the breaking force away from the body protects the nurse's face and eyes from flying glass fragments.
4
Attach a filter needle to a sterile syringe and withdraw the medication.
The prescribed dose is drawn into the syringe free of glass contamination.
When a glass ampule is broken, microscopic shards inevitably fall into the fluid. The filter needle traps these particles.
5
Remove the filter needle and attach an appropriate administration device.
The syringe is safely prepared for client administration.
Using the filter needle for client injection is strictly contraindicated, as it would introduce the trapped glass particles into the client.

Anahtar Kavram

Safe medication preparation from a glass ampule
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