Which of the following is a true statement regarding drug diversion?
Incidents are overestimated, but it is good to be cautious
The risks to the provider who is diverting drugs is the main priority
The risks to the client is the main priority
Waste is usually documented accurately in situations where drug diversion have occurred
The Correct Answer is C
A. Incidents are overestimated, but it is good to be cautious: Drug diversion is a significant concern in healthcare settings, and underestimating its occurrence can compromise patient safety. Believing it is overestimated may lead to complacency and inadequate safeguards.
B. The risks to the provider who is diverting drugs is the main priority: While diversion has serious legal and professional consequences for the provider, the primary concern is the safety and well-being of the patient receiving care. Protecting patients from harm is always the priority.
C. The risks to the client is the main priority: Drug diversion can lead to incorrect dosing, missed medications, or administration of compromised drugs, directly jeopardizing patient safety. Ensuring the client receives the prescribed medication as intended is the central goal of diversion prevention.
D. Waste is usually documented accurately in situations where drug diversion have occurred: In cases of diversion, waste is often falsified or misrepresented. Accurate documentation cannot be assumed in such situations, which is why strict monitoring and double verification are required.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Site of administration is rotated frequently: Rotating insulin injection sites is essential to prevent lipohypertrophy and lipoatrophy, which can impair insulin absorption and lead to glycemic variability. Consistent rotation within the same anatomical region (such as the abdomen) promotes more predictable absorption while protecting subcutaneous tissue integrity.
B. Angle of insertion is always 45 degrees: The angle of insulin injection depends on needle length and the patient’s body habitus. Many insulin syringes today use short needles that are administered at a 90-degree angle. A 45-degree angle may be used in very thin individuals but is not universally required.
C. Site is massaged after administration: Massaging the injection site is contraindicated because it can accelerate insulin absorption unpredictably, potentially leading to hypoglycemia. Gentle pressure may be applied if needed, but rubbing the area should be avoided.
D. Injection must be given close to the umbilicus: Insulin should not be injected within approximately 2 inches (5 cm) of the umbilicus because absorption may be inconsistent. The abdomen is preferred for consistent absorption, but injections should be spaced appropriately away from the navel.
Correct Answer is C
Explanation
A. A 50-year-old with hearing impairment: Hearing impairment does not interfere with the coordination of inhaler use or the ability to generate an effective inhalation. This patient would not specifically benefit from a spacer for delivery efficiency.
B. A 25-year-old with multiple sclerosis: While MS can affect coordination, the degree and type of impairment would need to be evaluated. Not all patients with MS require a spacer, so this patient may or may not benefit depending on hand and respiratory control.
C. A 62-year-old with left-sided hemiparesis: Hemiparesis can limit hand strength and coordination, making it difficult to coordinate actuation and inhalation of a metered-dose inhaler. Using a spacer with a mouthpiece reduces the need for precise timing and ensures more medication reaches the lungs effectively, improving therapeutic outcomes.
D. A 2-year-old with a cleft palate: While young children typically require a spacer, a cleft palate may prevent effective mouthpiece use. Instead, a mask attachment on the spacer would be necessary. Therefore, this patient would not benefit from a standard mouthpiece spacer.
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