A nurse is administering a client's morning oral medications.

Which of the following actions should the nurse take?

Verify the medication three times with the medication administration record.

Document medication administration prior to administering medication.

Administer time-critical medication 60 min before or after the scheduled time.

Identify the client by using one identifier before giving the medication.

Answer and Explanation

The Correct Answer is A

a. Verify the medication three times with the medication administration record.

When administering oral medications, the nurse should verify the medication three times with the medication administration record to ensure that the correct medication is being given to the correct client at the correct time. This is known as the "three checks" and is an important step in preventing medication errors.

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Correct Answer is D

Explanation

Informed consent is a critical step before any invasive procedure, including an EGD. The nurse should confirm that the client has received the necessary information about the procedure, its risks and benefits, and has given their consent voluntarily. This ensures that the client understands the procedure and its implications, making it an essential part of their rights and safety.

A. Wipe from the outer to the inner canthus after administering the drops B. Apply pressure to the lacrimal punctum after administering the drops. C. Position the child side-lying on the bed before administering the drops. D. Rush the eye with normal saline solution before administering the drops.

Correct Answer is B

Explanation

Choice A Reason:

Wiping from the outer to the inner canthus is not necessary and may cause contamination.

Choice B Reason:

Apply pressure to the lacrimal punctum after administering the drops. After administering eye drops to a child, it is important to gently apply pressure to the lacrimal punctum (located in the inner corner of the eye) for about 1-2 minutes. This helps prevent systemic absorption of the medication and reduces the risk of it going into the nasopharynx and digestive system. The other options are not recommended:

Choice C Reason:

Positioning the child side-lying is not typically required for administering eye drops.

Choice D Reason:

Rinsing the eye with normal saline before administering the drops is not a standard practice and is not recommended unless there is a specific reason to do so, such as eye irritation or foreign body removal.

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A nurse is administering a client's morning oral medications. Which of the following actions should the nurse take?

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A nurse is administering a client's morning oral medications.

Which of the following actions should the nurse take?