A new patient on the unit is scheduled to take two medications at 0900.
Prior to giving the medications, the nurse is going over her medication rights and checks.
Which of the following options are NOT included in the 10 rights of safe medication administration? (Select All That Apply)

Choice A rationale

Insulin is a medication used to manage blood sugar levels in clients with diabetes. It is not appropriate for the management of deep vein thrombosis (DVT) as it has no anticoagulant properties.

Choice B rationale

Warfarin (Coumadin) is an oral anticoagulant commonly prescribed for the long-term management of DVT. It is suitable for clients who are unable to self-administer injections, making it a practical option for discharge.

Choice C rationale

Heparin is an anticoagulant that is typically administered via injection or IV. For clients unable to self-inject at home, it is not the best choice for managing DVT after discharge.

Choice D rationale

Enoxaparin (Lovenox) is a low-molecular-weight heparin that is also administered via injection. For clients unable to perform self-injections, this medication would not be the most appropriate option for home management of DVT.

Condition: Post-operative pain.

2 actions:

Administer acetaminophen (Tylenol) for mild pain,

Apply a warm compress to the surgical site.

2 parameters:

Pain level on a 0-10 scale,

Surgical site appearance.

Rationale for correct condition: Post-operative pain is expected after surgery and the client reports mild pain (2 out of 10). Managing pain is crucial for recovery and mobility. Mild pain indicates the need for non-opioid analgesics. Pain management enhances comfort and healing. Addressing pain prevents complications.

Rationale for actions: Administering acetaminophen targets mild pain effectively. It is appropriate for the reported pain level. Warm compresses can soothe soreness and reduce pain without medication. Encourages blood flow and healing. Encouraging ambulation prevents DVT but is not pain-focused. Monitoring for infection is important but not the priority for mild pain. Ondansetron treats nausea, not pain.

Rationale for parameters: Pain level on a 0-10 scale assesses pain management effectiveness. Monitoring pain ensures appropriate interventions. Surgical site appearance checks for complications affecting pain, like infection. Respiratory rate is stable and less relevant. Oxygen saturation is normal, unrelated to pain. Urine output monitors hydration, not pain.

Rationale for incorrect conditions: Post-operative nausea and vomiting is not reported. Surgical site infection would show signs like redness or fever. DVT focuses on circulation, not pain.