At which point of preparing medication from an ampule does the ...

[pepyto]

At which point of preparing medication from an ampule does the nurse anticipate using a filter needle?
 
  1. Filter needles are not used for this preparation.
  2. When drawing the medication from the ampule.
  3. When administering the medication to the client.
  4. Both for drawing up the medication and for administering the medication.

Question 2

The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the unlicensed assistive personnel (UAP) who is also caring for this client?
 
  1. Have the UAP assess for any unexpected effects from the medication.
  2. Tell the UAP to teach the client's family what to expect from the medication.
  3. Have the UAP look the medication up in a drug reference book to read about drug actions and possible side effects.
  4. Give the UAP specific instructions regarding what drug actions or side effects to report to the nurse.

[xthemafja]

Answer to Question 1

Correct Answer: 2
Rationale 1: A filter needle is used to draw medication from an ampule.
Rationale 2: The nurse uses a filter needle to draw medication up from an ampule to remove any possible shards of glass from the liquid.
Rationale 3: If the filter needle was used to inject the client, the trapped shards of glass would be injected into the muscle.
Rationale 4: The nurse uses a filter needle to draw medication up from an ampule to remove any possible shards of glass from the liquid. The filter needle is then changed to a regular needle prior to administering the liquid to the client. If the filter needle was used to inject the client, the trapped shards of glass would be injected into the muscle.

Answer to Question 2

Correct Answer: 4
Rationale: The nurse should give the UAP specific instructions about what drug actions or side effects should be reported to the nurse. The UAP does not have the skills or legal responsibility to assess the client, but can collect data to report to the nurse. It is also the nurse's responsibility to teach the client or family about the medications. The nurse should not expect that the UAP can determine from the drug reference book what drug actions and possible side effects are pertinent to this client.