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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 B

Explanation

Explanation:

A. Have a pen and paper.

Having a pen and paper can be helpful during the conversation as it allows the nurse to jot down important points, keywords, or reminders. However, it's not directly related to active listening itself but can aid in retaining and recalling information.

B. Use intermittent eye contact.

Intermittent eye contact is a crucial aspect of active listening. It shows that the nurse is engaged and attentive to the client's communication. However, it's essential to maintain a balance and avoid prolonged staring, which can be perceived as intimidating or intrusive.

C. Sit side-by-side with the client.

Sitting side-by-side with the client can create a sense of partnership and equality in the conversation. It can also help in establishing a comfortable and open environment for communication, which is beneficial for active listening.

D. Lean back in the chair.

Leaning back in the chair can convey a relaxed and open posture, which can contribute to a positive communication atmosphere. However, it's crucial to maintain an attentive posture and avoid appearing disinterested or unengaged.

A. DNR B. ONG C. ac D. Tx

Correct Answer is C

Explanation

Explanation:

A. DNR:

DNR stands for "Do Not Resuscitate." It is a medical order that indicates a patient's preference not to receive cardiopulmonary resuscitation (CPR) in case of cardiac or respiratory arrest. This abbreviation is unrelated to medication administration instructions and does not indicate "to administer medications before meals."

B. ONG:

The abbreviation ONG is not commonly used in medical contexts to indicate medication administration instructions or timing. It does not specifically relate to the administration of medications before meals.

C. ac:

The abbreviation "ac" is derived from the Latin term "ante cibum," which translates to "before meals." In medical orders, "ac" is used to indicate that a medication should be taken or administered before meals. For example, "Take 1 tablet ac" means to take one tablet before meals.

D. Tx:

The abbreviation "Tx" is commonly used in medical contexts to denote treatment or therapy. However, it does not specifically indicate "to administer medications before meals." It is a broader term that can refer to various aspects of patient care and interventions.

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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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