A nurse is unfamiliar with a medication they are preparing to administer to a client. Prior to administering the medication, the nurse should refer to which of the following resources?

Physicians' Desk Reference (PDR).

State Nurse Practice Act (NPA)

Agency for Healthcare Research and Quality (AHRQ)

Quality and Safety Education for Nurses (QSEN)

Answer and Explanation

The Correct Answer is A

A. Physicians' Desk Reference (PDR). The PDR is a comprehensive drug reference that provides essential information on medications, including indications, dosages, contraindications, adverse effects, and interactions. It is a reliable resource for nurses to review before administering an unfamiliar medication.
B. State Nurse Practice Act (NPA). The NPA defines the scope of nursing practice and legal responsibilities but does not provide specific drug information. While it guides nurses on legal and ethical aspects of medication administration, it is not a medication reference.
C. Agency for Healthcare Research and Quality (AHRQ). AHRQ focuses on improving healthcare quality and patient safety but does not serve as a primary source for drug-specific information. It provides guidelines and research on best practices rather than detailed medication data.
D. Quality and Safety Education for Nurses (QSEN). QSEN aims to improve nursing education and competency in patient safety but does not offer detailed drug reference materials. It emphasizes principles such as evidence-based practice and quality improvement rather than specific medication details.

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Correct Answer is C

Explanation

A. A client who is postoperative and has a Jackson-Pratt drain. A Jackson-Pratt drain is a routine postoperative device used to prevent fluid accumulation. Unless there are signs of excessive drainage, infection, or blockage, this client does not require immediate attention.
B. A client who is scheduled for surgery in 2 hr. While preoperative preparation is important, it is not the most urgent concern. This client can be attended to after addressing more pressing clinical issues, such as potential hypertensive complications.
C. A client whose blood pressure is 160/90 mm Hg and reports a headache. A significantly elevated blood pressure with a headache may indicate a hypertensive crisis, which increases the risk of stroke or other complications. This client should be assessed immediately to determine the severity and need for intervention.
D. A client who is postoperative and reports intermittent nausea. Nausea is a common postoperative symptom and can often be managed with antiemetics and dietary modifications. It does not pose an immediate life-threatening risk compared to possible hypertensive emergencies.

A. "Your health care surrogate will make decisions on your behalf if you are unable." B. "Once you have completed a living will, it cannot be changed." C. "You should appoint a family member as your health care surrogate." D. "You will need an attorney to appoint a health care surrogate."

Correct Answer is A

Explanation

A. "Your health care surrogate will make decisions on your behalf if you are unable." A health care surrogate, also known as a durable power of attorney for health care, is a person designated to make medical decisions when the client is unable to do so. This ensures that the client’s wishes are respected in situations where they cannot communicate or make informed choices.
B. "Once you have completed a living will, it cannot be changed." A living will can be revised or revoked at any time as long as the client is mentally competent. Changes may be necessary due to evolving personal beliefs, medical advancements, or changes in health status.
C. "You should appoint a family member as your health care surrogate." While a family member can be chosen, it is not a requirement. The client has the right to appoint anyone they trust to make medical decisions, including a close friend or legal representative, as long as they meet the legal criteria in their state or country.
D. "You will need an attorney to appoint a health care surrogate." An attorney is not required to appoint a health care surrogate. Most states provide standardized forms that can be completed and signed by the client in the presence of witnesses or a notary, depending on local legal requirements.

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A nurse is unfamiliar with a medication they are preparing to administer to a client. Prior to administering the medication, the nurse should refer to which of the following resources?

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