Author Question: The nurse is making her first set of rounds in the morning. In doing so, she meets a patient whom ... (Read 88 times)

robinn137 · **on:** Jul 22, 2018

The nurse is making her first set of rounds in the morning. In doing so, she meets a patient whom she has never worked with before. She introduces herself and explains the plan of the day.

She also asks the patient how he normally takes his morning medications, such as before breakfast, after breakfast, or during breakfast. She does this because most of the morning medications in that institution are scheduled by pharmacy for 0900 . Getting to know her patient will allow her to a. Choose the most appropriate time to give the medication.
b. Explain to the patient that he will not get his medication at his usual time.
c. Know what information to put on the medication error report form.
d. Evaluate whether or not the patient is taking his medication correctly at home.

Question 2

Which of the following nursing actions would most increase a patient's risk for developing a health careassociated infection?

a. Use of surgical aseptic technique to suction an airway
b. Urinary catheter drainage bag placed below the level of the bladder
c. Clean technique for inserting a urinary catheter
d. Use of a sterile bottled solution more than once within a 24-hour period

Ashley I · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Knowing the patient is at the core of the process nurses use to make clinical decisions. Knowing when the patient normally takes his medication will allow the nurse to keep him on as near normal a schedule as possible. Nothing in this question infers that the patient will not get his medications on time, or that a medication error report will need to be completed. Although the nurse can be using this opportunity to evaluate whether or not the patient is taking the medication correctly at home, the main purpose, within this context, is to determine the most appropriate time to administer the medication.

Answer to Question 2

C
Using clean technique (medical asepsis) to insert a urinary catheter would place the patient at risk for a health careassociated infection. Urinary catheters need to be inserted using sterile technique, also referred to as surgical asepsis. This involves eliminating all microorganisms, including pathogens and spores, from an object or area. Placing a catheter into a sterile body cavity such as the bladder requires sterile technique. Surgical aseptic technique (also called sterile technique) should be used when suctioning an airway because it is considered a sterile body cavity. Keeping the urinary catheter drainage bag below the bladder helps decrease the risk of developing a health careassociated infection because it prevents reflux of urine from the bag back into the bladder. Bottled solutions may be used repeatedly during a 24-hour period; however, special care is needed to ensure that the solution in the bottle remains sterile. After 24 hours, the solution should be discarded.