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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Throw the catheter away and begin again:
While starting again is necessary, this choice omits using the first catheter as a landmark, which helps prevent repeated misplacement.
B. Fill the balloon with the recommended sterile water:
The balloon should never be inflated unless urine flow is observed, confirming placement in the bladder.
C. Remove the catheter, wipe with alcohol, and reinsert after lubrication:
Once contaminated, the catheter must not be reused. Alcohol cleaning does not sterilize it.
D. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter:
This is the correct nursing action. It prevents repeated misplacement by using the misplaced catheter as a guide.
Correct Answer is A
Explanation
A. Pull the auricle down and back to straighten the ear canal:
In children under 3 years old, the ear canal is straighter when the auricle is pulled down and back. This ensures proper instillation.
B. Pull the auricle upward and outward to straighten the ear canal:
This is appropriate for adults and children over 3 years old, not a 2-year-old.
C. Sit the child up for 2 to 3 minutes after instilling drops in ear canal:
The child should be kept in a side-lying position, not upright, to allow medication to remain in the ear canal.
D. Sit the child up to insert the cotton ball into the innermost ear canal:
Cotton should be placed gently at the outermost part, not deeply, and inserting it too far can damage the ear.
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