A home care nurse prepares to administer intravenous medication to a client. The nurse assesses the site and reviews the client's chart prior to administering the medication:
Client: Thomas Jackson
DOB: 5/3/1936
Gender: Male
January 23 (Today): Right upper extremity PICC is intact, patent, and has a good blood return. Site clean and free from manifestations of infiltration, irritation, and infection. -Sue Franks, RN
January 20: Purulent drainage from sacral wound. Wound cleansed and dressing changed. Dr. Smith notified and updated on client status. New orders received for intravenous antibiotics. -Sue Franks, RN
January 13: Client alert and oriented. Sacral wound dressing changed. -Sue Franks, RN
January 6: Right upper extremity PICC inserted. No complications. Discharged with home health care. -Dr. Smith
Based on the information provided, which action should the nurse take?
a.
Notify the health care provider.
b.
Administer the prescribed medication.
c.
Discontinue the PICC.
d.
Switch the medication to the oral route.
Question 2
A nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next?
a. Begin the prescribed infusion via the new access.
b. Ensure an x-ray is completed to confirm placement.
c. Check medication calculations with a second RN.
d. Make sure the solution is appropriate for a central line.
A medical assistant listening to the patient and physician discuss the patient's care.
Example use of a placeholder (X) and episode of care characters.
Instilling Ear Medication
Apply the substance to the client’s upper chest.
Survey and posture of client: Lateral view
National Patient Safety Goals for Acute-Care Hospitals