The nurse receives an order to give morphine 5 mg IV every 2 hours PRN pain. Which action is not part of the six rights of drug administration?
a. Assessing the patient's pain level 15 to 30 minutes after giving the medication
b. Checking the medication administration record to see when the last dose was administered
c. Consulting a drug manual to determine whether the amount the prescriber ordered is appropriate
d. Documenting the reason the medication was given in the patient's electronic medical record
ANS: A
Assessing the patient's pain after administering the medication is an important part of the nursing process when giving medications, but it is not part of the six rights of drug administration. Checking to see when the last dose was given helps ensure that the medication is given at the right time. Consulting a drug manual helps ensure that the medication is given in the right dose. Documenting the reason for a pain medication is an important part of the right documentation—the sixth right.
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In observing the client walk, the nurse notes that the client has a combination of antalgic gait and lurch. What conclusion can the nurse draw from this information?
A. The client has a back injury. B. The client has chronic hip pain. C. The client has an injury to the right leg. D. The client has an injury from vigorous physical exercise.
A strong, overpowering urge to use a drug is called ____________________
Fill in the blank(s) with correct word
An adult client reports to the nurse that she has been experiencing constipation recently and is interested in any suggestions regarding dietary changes she might make
Which of the following suggestions provided by the nurse is most likely to minimize the client's complaint? 1. "Have you tried foods like prunes and bran?" 2. "You might find the new flavored bulk laxatives helpful." 3. "What have you tried in the past that hasn't been helpful?" 4. "Increase your fluid intake; have some juice with breakfast."
Which of the following is an example of an ongoing assessment?
a. Taking the patient's temperature 1 hour after giving acetaminophen (Tylenol) b. Examining the patient's mouth at the time she complains of a sore throat c. Requesting the patient to rate intensity on a pain scale at the first perception of pain d. Asking the patient in detail how he will return to his normal exercise activities