A patient has a nasogastric tube because of temporary swallowing difficulties. The nurse needs to administer a medication that is only available in pill form
Using a mortar and pestle to crush this medication, the nurse invokes which one of the six rights of medication administration? A. Time
B. Drug
C. Route
D. Patient
C
Knowing why a medication is ordered for a certain time requires clinical judgment. Nurses are responsible for administering medications after the medication administration record and physician's or health care provider's orders have been verified. An important step in administering medications safely is to ensure the right patient receives the medication.
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While assisting with a routine physical examination of an adolescent, the mother asks if there are any immunizations due during the teen years. The nurse's most accurate response is:
1. "No booster immunizations are necessary during the teen years." 2. "Only the pneumonia vaccine and the flu vaccine are needed." 3. "A second MMR (measles, mumps, and rubella) is needed." 4. "Hepatitis A and B are required at this period in life."
The nurse knows that standard precautions are indicated for: (Select all that apply.)
a. all patients. b. patients with HIV. c. patients with MRSA. d. patients with tuberculosis.
Which of the following examples of patient data needs to be validated? Select all that apply
A) A patient has trouble reading an informed consent, but states he does not need glasses. B) An elderly patient explains that the black and blue marks on his arms and legs are due to a fall. C) A nurse examining a patient with a respiratory infection documents fever and chills. D) A patient in a nursing home states that she is unable to eat the food being served. E) A pregnant patient is experiencing contractions that are 2 minutes apart. F) Following a MVA, the teenage driver with alcohol on his breath states that he was not drinking.
When preparing to do a comprehensive health assessment, the nurse obtains the client's permission based on an understanding of which of the following?
A) The client has the right to refuse. B) Permission maintains the client's confidentiality. C) It ensures that the client will answer personal questions. D) The client's level of comfort will be increased