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. Reinforcing dietary teaching with a client who has heart disease: This task is within the scope of the LPN
B. Providing postmortem care for a client who has just died: Postmortem care involves emotional and physical aspects that are typically performed by registered nurses.
C. Accompanying a client who just had a wound debridement to physical therapy: This task may require assessment and coordination of care, which are typically performed by registered nurses.
D. This task can be done by a UAP
Correct Answer is ["B","C","D","E"]
Explanation
A. While nurse managers may make decisions on the unit, decision-making is not solely the responsibility of the nurse manager. Decisions are often made collaboratively with input from other team members.
B. Nurse managers are responsible for monitoring the overall functions of the unit, including staffing, patient care, and adherence to policies and procedures.
C. Nurse managers delegate tasks to assistive personnel based on their scope of practice and competency, ensuring that patient care needs are met efficiently.
D. Nurse managers are responsible for managing staff performance, which includes rewarding positive behavior and addressing disciplinary issues when necessary.
E. Nurse managers ensure that the goals and objectives of the facility are being met within their unit, working collaboratively with other departments to achieve organizational objectives.
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