A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?

Read the medication label twice prior to administration.

Use one patient identifier prior to medication administration.

Access the online drug formulary for an unfamiliar medication.

Ask the client if they have ever taken a similar medication.

Answer and Explanation

The Correct Answer is A

A. Read the medication label twice prior to administration.

This action is crucial to ensure that the nurse correctly identifies the medication and verifies the dosage before administering it to the patient. By double-checking the medication label, the nurse can confirm that they have the right medication, in the correct dose, for the correct patient, and via the correct route. This practice helps prevent medication errors and promotes patient safety.

B. Use one patient identifier prior to medication administration.

Explanation: Using at least one patient identifier, such as the patient's name or date of birth, is a standard safety practice to confirm the patient's identity before administering any medication. This helps ensure that the medication is given to the right patient, reducing the risk of administering medications to the wrong individual.

C. Access the online drug formulary for an unfamiliar medication.

Explanation: While it's essential to be knowledgeable about medications, relying solely on an online drug formulary for unfamiliar medications may not be sufficient for safe administration. Online resources can provide valuable information, but they should supplement, not replace, comprehensive education and understanding of medications. Nurses should have a solid understanding of the medications they administer and consult additional resources as needed.

D. Ask the client if they have ever taken a similar medication.

Explanation: While it's important to gather information from the patient about their medical history and previous experiences with medications, solely relying on the patient's response may not be sufficient for ensuring safe medication administration. Patients may not always accurately recall or provide complete information about their medication history. Nurses should verify medication orders through appropriate channels and rely on documented medical records whenever possible to confirm medication history and suitability for administration.

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Correct Answer is A

Explanation

A. Use trochanter rolls beside the client's legs.

Trochanter rolls are supportive devices placed alongside the client's hips and thighs to prevent external rotation of the hips and maintain proper alignment of the legs. They help prevent hip abduction and rotation, which can lead to hip dislocation or pressure injuries, especially in immobile clients. Therefore, using trochanter rolls is essential in the care of immobile clients to maintain proper alignment and prevent complications.

B. Place the client's arms at their side when turning them: Placing the client's arms at their side during turning may limit movement and comfort. Instead, the nurse should support the client's arms in a position that promotes comfort and maintains proper alignment.

C. Cross the client's ankles when lying supine: Crossing the client's ankles can lead to compromised circulation and pressure on the bony prominences of the ankles, increasing the risk of pressure injuries. It is not recommended to cross the client's ankles in the supine position.

D. Logroll the client every 4 hr: Logrolling is a technique used to move clients with suspected spinal cord injuries while maintaining spinal alignment. However, it is not necessary to logroll an immobile client every 4 hours unless there are specific indications, such as suspicion of a spinal injury. Frequent repositioning, including the use of trochanter rolls, is essential to prevent pressure injuries and maintain skin integrity but should be individualized based on the client's needs and condition.

A. Family history B. Fasting glucose level C. History of hyperlipidemia D. History of rheumatoid E. History of hypertension F. Cholesterol level

Correct Answer is ["A","B","C","E","F"]

Explanation

A. Family history: A family history of heart disease can increase an individual's risk of developing heart disease themselves, as genetic factors play a role in cardiovascular conditions.

B. Fasting glucose level: Elevated fasting glucose levels, indicative of diabetes or prediabetes, can contribute to heart disease risk. Diabetes is a significant risk factor for heart disease and can lead to complications such as atherosclerosis and coronary artery disease.

C. History of hyperlipidemia: Hyperlipidemia refers to elevated levels of lipids (cholesterol and triglycerides) in the blood. High levels of LDL cholesterol ("bad" cholesterol) and low levels of HDL cholesterol ("good" cholesterol) are associated with an increased risk of heart disease.

D. History of rheumatoid arthritis: Rheumatoid arthritis is an autoimmune condition that involves inflammation in the joints. Chronic inflammation associated with rheumatoid arthritis can affect blood vessels and increase the risk of heart disease and cardiovascular events.

E. History of hypertension: Hypertension, or high blood pressure, is a major risk factor for heart disease. It puts added strain on the heart and blood vessels, increasing the risk of atherosclerosis, heart attacks, and other heart-related complications.

F. Cholesterol level: Elevated levels of LDL cholesterol ("bad" cholesterol) and triglycerides, as well as low levels of HDL cholesterol ("good" cholesterol), are associated with an increased risk of heart disease.

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A nurse is preparing to administer a medication to a client for the first time. Which of the following actions should the nurse take to help ensure safe medication administration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a client who is immobile. Which of the following actions should the nurse include in the plan of care?

Correct Answer is A

Explanation

Correct Answer is ["A","B","C","E","F"]

Explanation

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