The nursing instructor observes several nursing students administer medications to their assigned patients. The instructor would stop what student from administering the medication until the error was corrected?
A) The student checks the label on the medication against the administration record three times.
B) The student enters the patient's room and asks the patient "Are you Mr. Jones?"
C) The student checks the drug's brand name and generic name before taking it to the patient.
D) The student documents the medication upon exiting the patient's room.
B
Feedback:
When the student asks the patient, "Are you Mr. Jones" the patient may nod in agreement, even if that is not his name. Perhaps he misheard, or maybe he wasn't paying attention to the name, or he may just want to be agreeable but this manner of ensuring the right patient receives a medication often results in errors. The student is correct to check the medication name against the medication administration record (MAR) three times to ensure the right drug is administered. The student who checks brand name and generic name is accurate in making sure the correct drug is prepared. Medication should be documented as soon as they are given so this student is also correct.
You might also like to view...
A charge nurse overhears a nursing assistive personnel (NAP) speaking harshly to a patient who has an expressive aphasia and a left hemiparesis from a stroke
When the NAP leaves the room, the charge nurse decides to speak with her. How should the nurse respond to the situation? A. "I have decided to change your assignment from Mr. Hernandez to Mrs. Hopkins." B. "I am concerned because it sounded to me as though you might be losing patience with Mr. Hernandez." C. "You need to watch your tone of voice, as it sounded very harsh." D. "Perhaps you need to consider attending a training session on communication skills."
An interdisciplinary team is assigned to work on patient safety concerns for the pediatric unit on a large urban not-for-profit hospital
Two of the team members are complaining that one nurse is taking charge and assigning duties to everybody randomly without consulting any of the other nurses on the team. One nurse pushes back and says, "You can't tell me what to do. You are not my manager!" Which stage of group process is the team in? a. norming c. informing b. forming d. storming
The nurse is caring for a patient with a urinary stoma. In which order should the nurse provide care?
Choice 1. Cleanse the skin around stoma with soap and water, rinse, and pat or air-dry. Choice 2. Assess the stoma, noting color and moisture. Choice 3. Remove the old pouch; use warm water to loosen the seal. Choice 4. Use the stoma guide to determine the size of the bag opening and/or protective ring. Trim as needed. Choice 5. Apply the bag with an opening no more than 1–2 mm wider than the outside of the stoma. Choice 6. Apply a skin barrier; allow the skin to dry, then connect the bag to the urine-collection device.
Martin is a 60-year-old patient with hypertension. The first-line decongestant to prescribe would be:
1. Oral pseudoephedrine 2. Oral phenylephrine 3. Nasal oxymetazoline 4. Nasal azelastine