A nurse is observing a newly licensed nurse prepare a medication from an ampule for a client's injection. For which of the following actions by the newly licensed nurse should the nurse intervene?
Withdraws the medication from the ampule using a subcutaneous needle
Breaks the top of the ampule using an antiseptic wipe
Performs 3 checks of the medication before administration
Disposes of the ampule by placing it in a sharps container
The Correct Answer is A
A. Withdrawal of medication from an ampule should be done using a filter needle or a needle with a filter straw to prevent glass particles from being drawn into the syringe. Using a subcutaneous needle is not appropriate for this purpose and may lead to contamination or injury.
B. Breaking the top of the ampule using an antiseptic wipe is an acceptable method to access the medication within the ampule.
C. Performing 3 checks of the medication before administration is a standard safety practice to ensure the correct medication, dose, and route.
D. Disposing of the ampule by placing it in a sharps container is the correct method for safe disposal of glass ampules after use.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Verify the spelling of the medication with the provider: This is important to ensure accuracy in transcription and to prevent medication errors. Verifying the spelling of the medication with the provider helps confirm the correct medication is being prescribed.
B. Transcribe prescriptions received via a voicemail recording: Transcribing prescriptions from voicemail recordings may introduce errors and is not a recommended practice due to potential misinterpretation or misunderstanding of the information.
C. Use standard abbreviations when obtaining a telephone prescription: While using standard abbreviations is generally encouraged in healthcare documentation, it's essential to prioritize clarity and accuracy when transcribing prescriptions, especially over the phone.
D. Request that the provider call prescriptions in to the pharmacy: While this may be a part of the process, it does not address the essential step of verifying the medication details with the provider to ensure accuracy.
Correct Answer is B
Explanation
A. The client’s aPTT is within the therapeutic range for heparin, so immediate interdisciplinary discussion is not required.
B. Clients using insulin pumps require coordination between the nurse, endocrinologist, and diabetes educator to ensure safe insulin administration and blood glucose management, making an interdisciplinary conference appropriate.
C. Orthostatic hypotension being managed with IV fluids can typically be addressed within routine nursing care without needing an interdisciplinary meeting.
D. The client’s albumin level is within normal limits, and risk for pressure injuries can be managed with standard nursing interventions without requiring a conference.
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