Which is the first action of the nurse when starting care for the patient at the beginning of the shift?
Perform a focused patient assessment.
Conduct the patient’s health history.
Create the nursing care plan for the patient.
Administer prescribed medications.
The Correct Answer is A
Choice A reason: This is the correct choice because performing a focused patient assessment is the first action of the nurse when starting care for the patient at the beginning of the shift. A focused patient assessment involves collecting data about the patient's current condition, needs, and preferences. This data helps the nurse to identify any changes, problems, or risks that require immediate attention or intervention.
Choice B reason: This is an incorrect choice because conducting the patient’s health history is not the first action of the nurse when starting care for the patient at the beginning of the shift. A health history involves collecting data about the patient's past and present health status, medical history, family history, and social history. This data helps the nurse to understand the patient's background, risk factors, and health goals. A health history is usually conducted during the admission process or the initial assessment, not at the beginning of each shift.
Choice C reason: This is an incorrect choice because creating the nursing care plan for the patient is not the first action of the nurse when starting care for the patient at the beginning of the shift. A nursing care plan involves developing a set of interventions and outcomes based on the patient's assessment data, diagnosis, and goals. This plan guides the nurse to provide individualized and holistic care for the patient. A nursing care plan is usually created after the initial assessment and updated regularly throughout the care process, not at the beginning of each shift.
Choice D reason: This is an incorrect choice because administering prescribed medications is not the first action of the nurse when starting care for the patient at the beginning of the shift. Administering prescribed medications involves giving the patient the right drug, dose, route, time, and documentation according to the physician's order and the nursing standards. This action requires the nurse to check the patient's assessment data, allergies, vital signs, and laboratory results before giving the medication. Administering prescribed medications is usually done after performing a focused patient assessment, not before.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This is an incorrect choice because exposure-related accident is not the type of error when the wrong type of medication is administered to the patient. Exposure-related accident is an incident that occurs when a person is exposed to a harmful substance or environment, such as radiation, chemicals, or extreme temperatures.
Choice B reason: This is the correct choice because procedure-related accident is the type of error when the wrong type of medication is administered to the patient. Procedure-related accident is an incident that occurs when a person is harmed by a medical or surgical procedure, such as a wrong-site surgery, a medication error, or a catheter infection.
Choice C reason: This is an incorrect choice because organization-related accident is not the type of error when the wrong type of medication is administered to the patient. Organization-related accident is an incident that occurs due to a failure of the system or the management of an organization, such as a lack of communication, a poor policy, or a staffing shortage.
Choice D reason: This is an incorrect choice because equipment-related accident is not the type of error when the wrong type of medication is administered to the patient. Equipment-related accident is an incident that occurs due to a malfunction or misuse of a device or a machine, such as a ventilator, a defibrillator, or a syringe.
Correct Answer is B
Explanation
Choice A reason: This is incorrect. Hydromorphone 0.5 mg IV is not the best option for providing consistent control of the patient's chronic pain. Hydromorphone is a potent opioid analgesic that can relieve severe pain, but it has a short duration of action. It is given intravenously, which means it has a rapid onset and peak, but also a rapid decline and elimination. The patient may experience fluctuations in pain relief and need frequent doses.
Choice B reason: This is correct. Fentanyl transdermal patch 25 mcg is the best option for providing consistent control of the patient's chronic pain. Fentanyl is a potent opioid analgesic that can relieve severe pain, but it has a long duration of action. It is given transdermally, which means it is absorbed through the skin and released slowly and steadily into the bloodstream. The patient may experience continuous and stable pain relief and need less frequent doses.
Choice C reason: This is incorrect. Fentanyl oral lozenge 200 mcg is not the best option for providing consistent control of the patient's chronic pain. Fentanyl is a potent opioid analgesic that can relieve severe pain, but it has a short duration of action. It is given orally, which means it has to pass through the digestive system and the liver before reaching the bloodstream. The patient may experience delayed and variable pain relief and need frequent doses.
Choice D reason: This is incorrect. Morphine sulfate liquid 10 mg is not the best option for providing consistent control of the patient's chronic pain. Morphine is a moderate opioid analgesic that can relieve moderate to severe pain, but it has a short duration of action. It is given orally, which means it has to pass through the digestive system and the liver before reaching the bloodstream. The patient may experience delayed and variable pain relief and need frequent doses.
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