The nurse answers a patient's call light and finds the patient sitting up in bed and requesting pain
medication. What will the nurse do first?
ANSWER A - Check the orders and give the patient the requested pain medicat
...
The nurse answers a patient's call light and finds the patient sitting up in bed and requesting pain
medication. What will the nurse do first?
ANSWER A - Check the orders and give the patient the requested pain medication.
ANSWER B - Provide comfort measures to the patient.
ANSWER C - Assess the patient's pain and pain level.
ANSWER D - Evaluate the effectiveness of previous pain medications. - ✔✔ANSWER C -
Assess the patient's pain and pain level.
THE NURSE SHOULD ALWAYS ASSESS A PATIENT BEFORE ANY INTERVENTION.
ALTHOUGH THE NURSE WILL CHECK THE ORDERS AND POSSIBLY GIVE THE
MEDICATION (AND POSSIBLY EVEN PERFORM THE ACTIONS IN RESPONSES B
AND D), THE FIRST PRIORITY IS ASSESSMENT.
The patient's medication administration record lists two antiepileptic medications that are due at
0900, but the patient is NPO for a barium study. The nurse's coworker suggests giving the
medications VIA IV because the patient is NPO. What will the nurse do?
ANSWER A - Give the medications with a small sip of water.
ANSWER B - Give the medications via the IV route because the patient is NPO.
ANSWER C - Hold the medications until after the test is completed.
ANSWER D - Call the health care provider to clarify the instructions. - ✔✔ANSWER D - Call
the health care provider to clarify the instructions.
THE DOSAGE FOR THE IV ROUTE WOULD NOT BE THE SAME AS FOR THE PO
ROUTE. HOLDING THE MEDICATIONS MAY CAUSE DRUG LEVELS TO DROP AND
RESULT IN SEIZURE ACTIVITY, AND GIVING THE MEDICATIONS PO WITHOUT
CONSENT MAY ALTER THE TEST RESULTS. THE NURSE MUST NEVER ASSUME
THE ROUTE OF MEDICATION ADMINISTRATION AND SHOULD CONSULT THE
PHYSICIAN FOR CLARIFICATION OF THE ORDERS.The day shift charge nurse is making rounds. A patient tells the nurse that the night shift nurse
never gave him his medications, which was due at 2100. What will the nurse do first to
determine whether the medication was given?
ANSWER A - Call the night nurse at home.
ANSWER B - Check the medication administration record.
ANSWER C - Call the pharmacy.
ANSWER D - Review the nurse's documentation. - ✔✔ANSWER D - Review the nurse's
documentation.
THE MEDICATION ADMINISTRATION RECORD IS THE LEGAL DOCUMENTATION
THAT THE PROFESSIONAL NURSE USES TO SIGN OFF MEDICATIONS THAT ARE
GIVEN, SO IT SHOULD BE CHECKED FIRST
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