A nurse is preparing to administer an IM medication to a client. The nurse is unfamiliar with this medication. Which of the following actions should the nurse take?
Check the medication label twice before administering it.
Review the client's medication reconciliation record.
Draw up the medication dose and ask the charge nurse to administer it.
Use a medication reference book to look up the medication.
The Correct Answer is D
A. Check the medication label twice before administering it: Verifying the label is an essential safety step, but it does not provide the nurse with information about the medication’s purpose, dosage, administration route, or potential side effects. This action alone is insufficient when unfamiliar with a drug.
B. Review the client's medication reconciliation record: Reviewing the reconciliation ensures the medication aligns with the client’s current prescriptions, but it does not provide information about how to safely administer a medication the nurse does not know.
C. Draw up the medication dose and ask the charge nurse to administer it: Delegating administration without first understanding the medication compromises client safety and violates the nurse’s responsibility to ensure safe administration. The nurse must gain knowledge before handling the medication.
D. Use a medication reference book to look up the medication: Consulting a reputable medication reference allows the nurse to obtain critical information about indications, dosage, side effects, contraindications, and administration guidelines. This step ensures safe and informed medication administration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Syphilis: Syphilis is a nationally notifiable disease in the United States. Healthcare providers are required to report cases to local or state public health authorities to facilitate disease tracking, outbreak management, and public health interventions.
B. Trichomoniasis: Trichomoniasis is not a nationally notifiable disease. While it is a common sexually transmitted infection, reporting is not required by law at the national level, though some states may have local reporting requirements.
C. Genital herpes: Genital herpes is not nationally reportable because it is highly prevalent and often managed in outpatient settings without mandatory reporting. Surveillance focuses on population studies rather than individual case reporting.
D. Human papillomavirus (HPV): HPV infections are not nationally notifiable. Although HPV is common and associated with cancers, individual cases are not reported to public health authorities. Reporting is limited to cancer registries for HPV-related malignancies.
Correct Answer is C
Explanation
A. Avoid oral sucrose: Oral sucrose is actually an effective nonpharmacologic pain management strategy for infants. It should not be avoided; small amounts can help reduce procedural pain during circumcision.
B. Provide IV morphine: IV morphine is not routinely indicated for circumcision in healthy term infants due to the risk of respiratory depression and because less invasive pain control methods are effective.
C. Swaddle the infant: Swaddling provides comfort and a sense of security, reducing pain and distress after circumcision. It is a safe, nonpharmacologic intervention that helps calm the infant during recovery.
D. Apply petroleum daily: Petroleum jelly is typically applied to the circumcision site to prevent the diaper from sticking and protect the healing tissue. However, it is usually applied with each diaper change, not just once daily, to ensure proper care and healing.
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