A nurse is preparing to administer insulin to a diabetic client. What is the most appropriate action for ensuring patient safety?
Use a standardized pediatric medication reference guide.
Rely on memory for dosage calculations.
Ask another nurse to double-check calculations.
Perform dosage calculations manually.
The Correct Answer is C
Choice A rationale
Using a standardized pediatric medication reference guide is not appropriate for administering insulin to a diabetic client. Insulin dosages are typically based on the client’s blood glucose levels and individual needs, not standardized pediatric references. Ensuring patient safety requires accurate and individualized dosage calculations.
Choice B rationale
Relying on memory for dosage calculations is not a safe practice. Human memory is fallible, and errors in dosage calculations can have serious consequences for the client. It is essential to use reliable methods and double-check calculations to ensure accuracy and patient safety.
Choice C rationale
Asking another nurse to double-check calculations is the most appropriate action for ensuring patient safety. This practice helps to catch any potential errors and ensures that the correct dosage is administered. Double-checking calculations is a standard safety measure in medication administration.
Choice D rationale
Performing dosage calculations manually is important, but it should be combined with double- checking by another nurse. Manual calculations alone do not provide an additional layer of verification to catch potential errors. Ensuring patient safety requires both accurate calculations and verification by another healthcare professional.
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Correct Answer is B
Explanation
Choice A rationale
Implementing the order immediately without verifying is unsafe and can lead to errors. Nurses must ensure clarity and accuracy before carrying out any orders.
Choice B rationale
Writing down the order and reading it back to the physician is the correct action. This ensures that the order is understood correctly and reduces the risk of errors.
Choice C rationale
Asking the physician to repeat the order multiple times is unnecessary and can be seen as unprofessional. Writing down and reading back the order is a more effective method.
Choice D rationale
Ignoring the order if it seems unclear is not appropriate. Nurses have a responsibility to clarify any unclear orders to ensure patient safety.
Correct Answer is C
Explanation
Choice A rationale
Speaking loudly can be counterproductive as it may distort the sound and make it harder for the client to understand. Using hand gestures can be helpful, but it should be combined with clear, simple sentences.
Choice B rationale
Standing with the light behind you can create shadows on your face, making it difficult for the client to read your lips. It is better to face the client directly with good lighting on your face.
Choice C rationale
Using short, simple sentences is effective for communicating with clients who are hard of hearing. It helps ensure that the client can understand the information being conveyed.
Choice D rationale
Avoiding the use of written communication is not advisable. Written communication can be a helpful tool for clients who are hard of hearing, as it provides a visual aid to support verbal communication.
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