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A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

"We use an automated dispensing device to track the use of controlled substances."

"You are required to have a second nurse witness disposal of a controlled substance."

“If a client refuses a medication, you can place it in your pocket to administer later."

"Activities of the automated dispensing machine will be reviewed periodically."

"We count the amount of a controlled substance available before removal from a medication drawer.”

Answer and Explanation

Correct Answer : A,B,D,E

Explanation:

A. "We use an automated dispensing device to track the use of controlled substances."

This is a valid statement. Automated dispensing devices (ADDs) help track the use of controlled substances by requiring users to log in, record transactions, and provide an audit trail of medication access.

B. "You are required to have a second nurse witness disposal of a controlled substance."

Having a second nurse witness disposal of controlled substances is a common practice to ensure accountability and prevent diversion. This statement aligns with safety protocols.

C. “If a client refuses a medication, you can place it in your pocket to administer later."

This statement is incorrect and potentially dangerous. Controlled substances should never be pocketed or carried around for later administration, as this increases the risk of diversion and compromises medication safety.

D. "Activities of the automated dispensing machine will be reviewed periodically."

Reviewing the activities of the automated dispensing machine is an essential part of medication safety and helps detect any discrepancies or irregularities in medication access and administration.

E. "We count the amount of a controlled substance available before removal from a medication drawer."

Counting the amount of controlled substances before removal from a medication drawer is a standard procedure to ensure accurate inventory management and detect any discrepancies or losses promptly.

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Correct Answer is D

Explanation

Explanation:

A. Evaluating the collected data:

This step in EBP involves assessing and analyzing the data that has been gathered through research or other sources. It includes examining the quality, relevance, and reliability of the data to determine its applicability to the clinical question or problem being addressed. Evaluation of data is crucial in EBP to ensure that decisions and interventions are based on sound evidence.

B. Implementing recommendations:

Implementing recommendations is a later step in EBP that comes after evaluating the evidence. Once credible sources have been identified, and the data has been analyzed, recommendations or interventions based on the best available evidence are put into practice. This step involves applying evidence-based guidelines, protocols, or interventions to patient care to improve outcomes and quality of care.

C. Identifying a problem:

This is the initial step in the EBP process where a specific clinical problem or question is identified. It involves recognizing gaps in knowledge, areas of uncertainty, or issues that require improvement in clinical practice. Identifying a problem is essential as it sets the stage for formulating focused research questions and seeking relevant evidence to address the problem effectively.

D. Searching for credible sources:

Searching for credible sources is a critical step in EBP where healthcare professionals gather evidence from reputable and reliable sources. This includes conducting literature searches, accessing databases, and reviewing published studies, clinical guidelines, systematic reviews, and other scholarly sources. The goal is to find the best available evidence to answer clinical questions, guide decision-making, and inform evidence-based practice.

A. "There are 4 rights of delegation." B. “The nurse manager is responsible for delegating nursing tasks during each shift." C. "It is the duty of the delegatee to perform a task without asking questions when it is delegated." D. “I am responsible for ensuring that a delegated task is completed."

Correct Answer is D

Explanation

Explanation:

A. "There are 4 rights of delegation."

This statement is not entirely accurate. Delegation involves several principles, including the right task, right circumstances, right person, right direction/communication, and right supervision/evaluation. Therefore, simply stating "4 rights" does not fully encompass the principles of delegation.

B. “The nurse manager is responsible for delegating nursing tasks during each shift."

This statement is incorrect. While the nurse manager may have oversight and authority regarding delegation policies and procedures, it is typically the responsibility of the delegating nurse (the one assigning tasks) to delegate appropriate tasks to qualified individuals based on their competency and scope of practice.

C. "It is the duty of the delegatee to perform a task without asking questions when it is delegated."

This statement is not accurate and could lead to misunderstandings or errors. Effective delegation involves clear communication, which includes the opportunity for the delegatee to ask questions if they are unsure about any aspect of the delegated task. Encouraging questions helps ensure that the task is understood and performed safely and appropriately.

D. “I am responsible for ensuring that a delegated task is completed."

This statement demonstrates understanding of delegation principles. The delegating nurse (the one assigning tasks) is indeed responsible for ensuring that delegated tasks are appropriate, communicated effectively, and completed according to established standards. This includes providing necessary guidance, supervision, and follow-up to ensure task completion and quality of care.

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A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

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