When administering a new medication to a client, the nurse logs in the electronic medication administration record (eMAR). Which action should the nurse take next?

Verify client's identification by scanning the barcode on the armband.

Reconcile the medication to be administered with the initial client prescription.

Remove the medication from the unit dose packaging while verifying the dose.

Scan the medication barcode to document administration on the eMAR.

Answer and Explanation

The Correct Answer is A

A. Verify client's identification by scanning the barcode on the armband is correct because verifying the client’s identity is the next step after accessing the eMAR. This ensures that the right medication is given to the right client, following the “rights” of medication administration.

B. Reconcile the medication to be administered with the initial client prescription is important but should already have been completed during the medication preparation and verification process.

C. Remove the medication from the unit dose packaging while verifying the dose is part of the preparation process but occurs after confirming the client’s identity.

D. Scan the medication barcode to document administration on the eMAR is done after verifying the client’s identity and ensuring the medication is correct. It is not the immediate next step after logging into the eMAR.

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Correct Answer is A

Explanation

A. Notify information services department of the situation is the correct first step. The nurse should immediately report the issue to the information services department to resolve the problem with the computer system. This ensures that the issue is addressed promptly and minimizes any delays in documentation or patient care.

B. Wait for notification that the system has been rebooted is not the best action. While waiting for the system to reboot might be necessary, the nurse should first notify the information services department to expedite the resolution of the issue.

C. Identify information as late entry in the record may be necessary once the system is restored, but the immediate priority is to report the system failure so that it can be addressed and the documentation can be completed correctly.

D. Print electronic medical record (EMR) from backup server may be an option if the system cannot be restored, but the first step should be to notify the information services department. The backup server can be used if needed after the issue is reported.

A. Adjust the flow rate to the prescribed liters per minute. B. Assess the position of the mask on the client's face. C. Attach the flowmeter to a humidification canister. D. Release and reinsert the flowmeter in the wall outlet.

Correct Answer is D

Explanation

A. Adjust the flow rate to the prescribed liters per minute is not the first action to take. The loud hissing sound indicates a potential issue with the connection of the flowmeter, so the nurse should first address that before adjusting the flow rate.

B. Assess the position of the mask on the client's face is important, but the loud hissing sound suggests a problem with the oxygen delivery system rather than with the mask itself. The nurse should check the flowmeter connection first.

C. Attach the flowmeter to a humidification canister is unnecessary unless the prescription specifically includes humidification. The priority is to ensure the flowmeter is properly inserted into the wall outlet and the oxygen system is functioning correctly.

D. Release and reinsert the flowmeter in the wall outlet is the correct action. The loud hissing sound may be caused by an improper or loose connection between the flowmeter and the wall outlet. The nurse should ensure the flowmeter is securely attached to prevent leakage and ensure proper oxygen delivery.

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Naxlex Comprehensive Predictor Exams

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