The nurse prepares a pain injection for a patient but had to check on another patient and asks a new nurse to give the medication. Which action by the new nurse is best?

Do not give the medication.

Administer the medication just this once.

Give the medication for any pain score greater than 8.

Avoid the issue and pretend to not hear the request.

Answer and Explanation

The Correct Answer is A

A. Do not give the medication:
Nurses should never administer medications prepared by someone else, as this violates the “right medication” and “right patient” principles.

B. Administer the medication just this once:
Even a one-time exception is unacceptable and compromises patient safety and nurse accountability.

C. Give the medication for any pain score greater than 8:
This does not address the issue of medication verification and safety.

D. Avoid the issue and pretend to not hear the request:
This is unprofessional. The nurse should actively refuse and explain the rationale.

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Correct Answer is A

Explanation

A. Flex the knees and keep the feet apart:
This provides a stable base of support and reduces strain on the back when lifting or moving a patient.

B. Assume a position far enough away from the client:
Standing too far away increases the leverage and strain on muscles and makes lifting more dangerous.

C. Twist the body in the direction of movement:
Twisting should be avoided as it can injure the spine. Always pivot or turn with the whole body.

D. Use the strong back muscles for lifting or moving:
The legs, not the back, should do most of the work when lifting to prevent back injuries.

A. 300-450 ml B. 450-600 ml C. 750-1000 ml D. 200-500 ml

Correct Answer is C

Explanation

A. 300–450 mL:
This amount is acceptable to drain at one time. It is not considered excessive or dangerous.

B. 450–600 mL:
This is within a safe limit and does not pose risk for bladder spasms or hypotension.

C. 750–1000 mL:
Draining more than 750–1000 mL at once can lead to bladder spasms, hypotension, and hematuria due to rapid decompression of a distended bladder. This is too much to drain at once.

D. 200–500 mL:
This range is considered a safe and appropriate amount to drain in one go for most patients.

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