What is the primary objective of the joint Commission's National Patient Safety Goal related to medication safety?
To ensure that all medications are administered by a physician
To improve the safety of using medications through accurate medication reconciliation
To ensure that patients receive medications on time.
To reduce the cost of medications for parents
The Correct Answer is B
A. To ensure that all medications are administered by a physician: Medications are administered by licensed nurses, pharmacists, and other qualified healthcare professionals, not exclusively by physicians. This is not the focus of the National Patient Safety Goals.
B. To improve the safety of using medications through accurate medication reconciliation: The primary objective is to prevent medication errors by ensuring accurate and complete medication information is communicated across transitions of care. Medication reconciliation reduces errors such as omissions, duplications, dosing mistakes, and drug interactions, thereby improving patient safety.
C. To ensure that patients receive medications on time: Timely administration is important for efficacy but is not the main goal of the Joint Commission’s medication safety standards. The emphasis is on accuracy and safety rather than scheduling.
D. To reduce the cost of medications for patients: Cost reduction is not addressed by the Joint Commission’s National Patient Safety Goals. The focus is strictly on safe medication practices to prevent harm.
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Related Questions
Correct Answer is B
Explanation
A. Administering medication from the nurse's personal supply: Administering prescription medication outside of a formal healthcare setting can exceed the scope of Good Samaritan protections and may be considered practicing without authorization.
B. Performing CPR on an unconscious victim: Good Samaritan laws protect healthcare providers who voluntarily provide emergency care, such as CPR, in good faith and without expectation of compensation. This includes basic life-saving measures at the scene of an accident.
C. Providing a ride to the hospital for the victim: Transporting a patient in a personal vehicle may create liability if harm occurs during transit. Good Samaritan laws typically do not cover providing personal transportation unless part of formal emergency response.
D. Offering legal advice to the victim regarding the accident: Providing legal advice is outside a nurse’s professional scope and is not covered under Good Samaritan protections. Only appropriate medical interventions performed in good faith are protected.
Correct Answer is A
Explanation
A. Reassess blood pressure using a manual cuff and notify the provider: Confirming the reading ensures accuracy and rules out equipment error. Notifying the provider allows timely assessment and intervention for potential hypotensive complications, which is critical for patient safety.
B. Measure oxygen saturation to rule out hypoxia: While monitoring oxygenation is important, hypotension can exist independently of oxygen saturation. Addressing low blood pressure takes priority to prevent organ hypoperfusion.
C. Administer intravenous fluids to correct hypotension: Fluid resuscitation may be indicated, but the nurse should first verify the blood pressure reading and follow provider orders. Administering fluids without confirmation or orders could cause harm.
D. Position the client in a semi-Fowler's position to improve circulation: Semi-Fowler’s position may not optimize perfusion in hypotensive patients. Trendelenburg or supine positioning is typically more effective, but proper intervention requires provider guidance after assessment.
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