The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?
At the end of her shift
Before she enters the room to give the medications
Immediately following administration of the medications
Whenever she has time
The Correct Answer is C
A. Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B. Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C. Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D. Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Checking the pulse rate for 30 seconds and multiplying by 2 may not be accurate enough for a medication like digoxin, which requires precise monitoring.
B. Increasing sodium intake is not recommended for heart failure patients as it can worsen fluid retention and exacerbate symptoms.
C. Digoxin can cause bradycardia; therefore, it is crucial for clients to monitor their heart rate and contact their healthcare provider if it falls below 60/min to avoid adverse effects.
D. Taking digoxin with food can help with nausea but is not as critical as monitoring heart rate for potential toxicity.
Correct Answer is B
Explanation
A. This right involves informing the patient about participation in research, not relevant to the patient's refusal of the medication. It is important but does not apply to the patient's immediate concern about the medication's side effect.
B. Patients have the right to refuse any medication, regardless of potential consequences, and this right must be respected. Respecting this right involves acknowledging the patient’s autonomy and addressing their concerns.
C. This right involves educating the patient about their medications, which may help them make informed decisions about their treatment. While important, it is not directly related to the patient's immediate refusal of the medication.
D. This right ensures that patients are not given medications that are not clinically indicated. It is important for preventing overmedication but is not directly related to the patient's refusal of the medication due to side effects.
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