A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.

(Move the steps placing them in the order of performance. Use all the steps.)

Remove the medication from the dispensing system.

Compare the client's wristband to the medication administration record.

Open the medication package.

Document administration of the medication.

Answer and Explanation

The Correct Answer is A,B,C,D

Choice A rationale:

The first step is to remove the medication from the dispensing system. This ensures that the nurse has the right medication and dose for the client. The nurse should also check the label of the medication against the medication administration record (MAR) at this point. Choice B rationale:

The second step is to compare the client's wristband to the MAR. This verifies the client's identity and prevents medication errors. The nurse should use two identifiers, such as name and date of birth, to confirm the client's identity.

Choice C rationale:

The third step is to open the medication package. This prepares the medication for administration and prevents contamination. The nurse should also check the expiration date of the medication before opening it.

Choice D rationale:

The fourth step is to document administration of the medication. This completes the medication administration process and provides a record of the client's care. The nurse should document the medication name, dose, route, time, and any relevant observations or outcomes.

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Correct Answer is B

Explanation

Choice A rationale:

Weight gain is not typically associated with fluid volume deficit.

Choice B rationale:

Oliguria (reduced urine output) is indicative of fluid volume deficit, as the body conserves fluid by producing less urine.

Choice C rationale:

Nausea may be related to various factors, but it is not a specific sign of fluid volume deficit.

Choice D rationale:

Headaches can occur for various reasons and are not specific to fluid volume deficit.

A. Central venous access device B. Midline catheter C. Subcutaneous D. Intraosseous

Correct Answer is A

No explanation

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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take. (Move the steps placing them in the order of performance. Use all the steps.)

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A nurse is preparing to administer digoxin orally to a client. Identify the sequence of steps the nurse should take.

(Move the steps placing them in the order of performance. Use all the steps.)