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 B

Explanation

Soiled dressings, which may contain infectious materials, should be disposed of in a biohazardous waste container to prevent the spread of infection.

According to standard precautions, a 1:10 bleach solution (1 part bleach to 10 parts water) is recommended for cleaning up blood spills.

Alcohol-based hand rubs are not effective against Clostridium difficile. Handwashing with soap and water is necessary to remove the spores.

Droplet precautions typically require wearing a surgical mask, not a gown and gloves. Gowns and gloves are used in contact precautions.

A. "I'll take him back to the nursery, so you can get some rest." B. "Let me show you how to swaddle and cuddle him, then you try." C. "Babies need to cry soon after they are born to develop their lungs. D. "If I turn him on his side, maybe he'll go back to sleep."

Correct Answer is B

Explanation

This response acknowledges the client's concern and offers support and guidance. By demonstrating and encouraging the client to participate in swaddling and cuddling the newborn, the nurse promotes bonding, provides a practical solution for soothing the baby, and empowers the client to actively engage in caring for her child.

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

Nursing Test Bank

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

Which of the following actions should the nurse take?