Author Question: The nurse scans an older male adult's identification band in preparation for medication ... (Read 31 times)

ETearle · **on:** Jul 11, 2018

The nurse scans an older male adult's identification band in preparation for medication administration. Which step should the nurse implement next?

a. Ask the patient to state his name.
b. Check for allergies to medication.
c. Document the medication as given.
d. Administer the patient's medication.

Question 2

The female older adult has diabetes mellitus and requires hemodialysis for renal failure. She is discharged to home to recover from a sternal wound infection and coronary artery bypass graft surgery (CABG). A home care nurse will provide wound care.

Which is the major justification for complete and accurate documentation of this older adult's care? a. Requires complex health care
b. Has needs in multiple settings
c. Is at risk for iatrogenic problems
d. Has significant health care expenses

miss_1456@hotmail.com · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

A

Feedback
A Correct. The nurse verifies the patient's identify to avoid computer errors before proceeding with medication administration. Although computers were intro-duced to reduce documentation errors, verification of computer information is safe, effective nursing care.
B Incorrect. Checking for allergies is a reasonable nursing action; however, if a computer error misidentified the patient, checking allergies of the wrong person can result in misidentification and serious adverse effects for this older adult.
C Incorrect. The nurse avoids documenting the medication as given until after the patient takes or receives the medication.
D Incorrect. The nurse avoids administering the medication until after verifying the patient identity a second time for safety. Further, regulatory agencies can require multiple forms of patient identification.

Answer to Question 2

A

Feedback
A Correct. The major reason that documentation of her health care must be accu-rate and complete is that she has complex health care needs in multiple settings and experiences a high risk for iatrogenic problems and high reimbursement expenses. The duration of her care is likely to be very lengthy because a sternal wound infection following CABG is very serious owing to the potential for sternal osteomyelitis. In addition, individuals with diabetes are at very high risk for infection and are slow to heal.
B Incorrect. The complexity of her care includes receiving care in multiple settings: at home, at dialysis, and in primary care for postdischarge follow-up care. For an older adult with diabetes, coronary artery disease, renal failure, and a serious infection, each facet of her health care depends on complete and accurate data on the other aspects of her care to help her achieve optimal health and wellness.
C Incorrect. This older adult is at risk for iatrogenic problems because of the com-plexity of her care. Each type of care, each illness or condition, and each setting exposes this older adult to a separate set of risks. In addition, individuals with diabetes can have peripheral neuropathies that increase the risk for falls and in-juries.
D Incorrect. This older adult incurs health care expenses dealing with complex health care requirements including a recent hospital stay for surgery and com-plicated by an infection, ongoing needs for hemodialysis, and home care. Be-cause much of the care is nurse driven, documentation is the basis for which reimbursement is provided.