When administering topical medications, which is an important nursing action?
Encourage the patient to self-apply the medication.
Wear treatment gloves during the entire application process.
Change gloves between prepping the skin and applying the medication.
Perform effective hand hygiene before and after applying the medication.
The Correct Answer is D
a) Encouraging self-application is beneficial in some cases, but it is not always appropriate. The nurse must ensure the medication is applied correctly and safely, especially if the patient has mobility or cognitive impairments.
b) Wearing treatment gloves is important when handling certain medications, but it is not required for all topical applications. Some medications, such as nitroglycerin ointment, require gloves to prevent nurse exposure, but others do not.
c) Changing gloves between skin preparation and medication application is not a universal requirement. In most cases, the same pair of gloves can be used unless contamination occurs.
d) Performing effective hand hygiene before and after applying the medication is the most essential action to prevent infection and cross-contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Herbs are not classified as medications under the Dietary Supplement Health and Education Act of 1994. The law classifies them as dietary supplements, which are not subject to the same rigorous safety and efficacy standards as medications.
b) Discussing herbal remedies with the patient's provider is essential. Herbs can interact with prescribed medications, and their safety and effectiveness can vary. It is important for providers to be aware of any herbal remedies the patient is using to avoid potential harmful interactions.
c) Herbs are not regulated by the government in the same way as pharmaceuticals. The FDA does not determine their safety before marketing, and manufacturers are not required to prove safety or efficacy before selling them.
d) Herbs are not harmless. Some herbs may be ineffective, but others can cause adverse effects, especially when taken alongside other medications. Therefore, it's important to consider their safety in the context of the patient’s overall treatment plan.
Correct Answer is B
Explanation
A. Washing hands before handling medications is essential for infection control but is not the priority action in this scenario. Ensuring drug compatibility is crucial to prevent adverse interactions.
B. When administering two drugs simultaneously, the nurse’s priority is to determine if they are compatible, particularly for IV medications. Some medications can precipitate or cause harmful interactions when mixed, leading to reduced efficacy or adverse effects. Consulting a drug guide ensures safe administration.
C. Checking for drug allergies is important before giving any medication, but it is not the priority in this specific situation. Compatibility must be assessed first to ensure the drugs can be given together safely.
D. Identifying the patient is always necessary for safe medication administration, but in this case, ensuring drug compatibility is the first step before proceeding with administration. If the drugs are incompatible, the nurse must take alternative actions before giving them to the patient.
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