A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

The pharmacist restocks the medication drawer each day.

The nursing supervisor unlocks the medication drawer at the beginning of each shift.

Limit controlled substances in the medication drawer to one dose.

Opened medication in the medication drawer must be disposed of at the end of each shift.

Answer and Explanation

The Correct Answer is A

A. The pharmacist typically restocks the medication drawer each day to ensure that medications are available and up-to-date. This is an essential component of the unit-dose medication system.

B. The nursing supervisor does not usually unlock the medication drawer; this is typically done by the nurse in charge or the individual administering the medications.

C. While it is important to limit the number of controlled substances, the medication drawer is usually stocked in a manner that allows for easy access to necessary medications, and there are regulations that govern this process.

D. Opened medications should not necessarily be disposed of at the end of each shift; they may be retained if they are still within their stability period and are properly stored according to protocols.

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Correct Answer is C

Explanation

A. Applying a warming blanket is not appropriate and may worsen the client’s reaction to the infusion. It does not help prevent infusion-related reactions.

B. Infusing amphotericin B deoxycholate over 1 hour is too fast; the medication should be infused over 2-6 hours to reduce the risk of adverse effects.

C. Administering diphenhydramine prior to administration is recommended to help prevent infusion-related reactions, such as fever and chills, which the client experienced during previous infusions.

D. Monitoring vital signs once per hour is inadequate; vital signs should be monitored more frequently during and immediately after the infusion to promptly identify and manage any adverse reactions.

A. Abbreviate "daily" as "QD" B. Abbreviate "by mouth" as "PO" C. Abbreviate "acetaminophen" as "APAP" D. Abbreviate "at bedtime" as "qhs"

Correct Answer is B

Explanation

A. Abbreviate "daily" as "QD": The abbreviation "QD" is no longer recommended because it can be confused with "QID" (four times daily), potentially leading to dangerous medication errors.

B. Abbreviate "by mouth" as "PO": "PO" is the standard and accepted abbreviation for "by mouth," and it is widely used in medical documentation without ambiguity.

C. Abbreviate "acetaminophen" as "APAP": "APAP" is not universally recognized and may lead to confusion. Using the full name of the drug "acetaminophen" is safer and clearer.

D. Abbreviate "at bedtime" as "qhs": "Qhs" is discouraged as it can be easily misinterpreted. Writing "at bedtime" without abbreviations is the recommended practice to avoid errors.

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A charge nurse is orienting a newly licensed nurse to the unit-dose medication system. Which of the following information should the charge nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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