A nurse is attempting to administer a medication to a client who is currently ambulating with physical therapy. Which of the following actions should the nurse plan to take?

Leave the medication at the client's bedside.

Come back in a few minutes to administer the medication in order to allow the client to finish with therapy.

Prepare the medication in the medication room to quickly administer to the client once finished with therapy.

Document the medication was given because the client will take it when they return to their room.

Answer and Explanation

The Correct Answer is B

Leaving medication at the client's bedside is unsafe as it can lead to medication errors, missed doses, or accidental ingestion.
B. Coming back in a few minutes to administer the medication respects the client’s therapy schedule and ensures the nurse can directly observe the client taking the medication, ensuring proper administration and adherence.
C. Preparing the medication in the medication room ahead of time can be efficient but doesn’t address the need to personally administer the medication and confirm the client takes it.
D. Documenting the medication was given without actually administering it is unethical and against best practices as it assumes the client will take the medication without verification.

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Correct Answer is D

Explanation

A. A serum potassium level of 4.8 mEq/L is within the normal range and would not warrant withholding furosemide.
B. A serum sodium level of 140 mEq/L is within the normal range and would not warrant withholding furosemide.
C. An oxygen saturation of 95% is normal and would not warrant withholding furosemide.
D. A blood pressure of 80/40 mm/Hg is very low and administering furosemide, a diuretic, could further decrease blood pressure, posing a risk to the client. The nurse should withhold the medication and consult the provider.

A. Planning B. Data collection C. Evaluation D. Implementation

Correct Answer is A

Explanation

A. Planning involves setting goals and desired outcomes for the client's care.
B. Data collection, or assessment, involves gathering information about the client’s health status.
C. Evaluation involves determining if the goals have been met.
D. Implementation involves carrying out the interventions to achieve the goals.

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A nurse is attempting to administer a medication to a client who is currently ambulating with physical therapy. Which of the following actions should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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