The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when
assessing the patient for a history of drug-related allergies
educating patients about the purpose and side efforts of their medications
confirming the patients identity prior to providing the medication
implementing the 5 rights of medication administration routinely
The Correct Answer is D
A. Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B. Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C. Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D. The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While this question may provide some insight into the patient's drinking habits, it is not as direct and informative as asking about the quantity of alcohol consumed.
B. This question may reveal a history of alcohol-related problems, but it does not provide information about the patient's current drinking habits.
C. While this question may be relevant in some cases, it is not a universal indicator of alcohol abuse. Many people may drink alone without having a problem with alcohol.
D. To assess an older adult's risk potential for alcohol abuse, it is important to get a sense of their drinking habits. Asking about the number of alcoholic drinks consumed each week is a direct and informative way to assess their drinking patterns.
Correct Answer is C
Explanation
A. While these symptoms can be associated with alcohol withdrawal, they are not as indicative of an immediate medical emergency as tachycardia and hypertension.
B. While these symptoms may suggest cognitive impairment, they are not as indicative of impending alcohol withdrawal syndrome as tachycardia and hypertension.
C. Alcohol withdrawal can lead to various physiological changes, including increased heart rate and blood pressure. A pulse of 118 beats/min and a blood pressure of 160/90 indicate a significant increase in both vital signs, which could be a sign of impending alcohol withdrawal syndrome.
D. These vital signs are within normal limits and do not indicate a significant risk of alcohol withdrawal syndrome.
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