A client is prescribed a medication that the nurse has never ...

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A client is prescribed a medication that the nurse has never administered and information about the medication is not in the drug reference manual. What should the nurse do?
 
  1. Follow the physician's orders as written and give the medication.
  2. Call the pharmacy and do further investigating before administering the medication.
  3. Ask the client about this medication.
  4. Call the physician and ask what the medication is and what it is for.

Question 2

On one of the first days working alone, the new nurse with limited patient teaching experience needs to instruct tracheostomy care to a client and spouse. What action should the nurse take?
 
  1. Ask the nurse mentor to assist with the teaching after reviewing the procedure.
  2. Read the policy and procedure manual before the teaching session.
  3. Do the best the nurse can by remembering what was taught in nursing school.
  4. Ask for a different assignment until the nurse feels comfortable with this one.

[mammy1697]

Answer to Question 1

Correct Answer: 2
Rationale 1: Following the physician's order is important, but the nurse is still responsible to know and understand the medication, its action, and its adverse actions as well as its interactions with other medications.
Rationale 2: The nurse should clearly understand all nursing interventions to be implemented and question any that are not understood. The nurse is responsible for intelligent implementation of medical and surgical plans of care. The pharmacist would be the most appropriate reference point for this nurse to begin to research this problem.
Rationale 3: The client should be informed about the medications and treatments, but the nurse does not utilize the client for scientific knowledge and professional standards of care.
Rationale 4: The pharmacist would be the most appropriate reference point for this nurse to begin to research this problem.

Answer to Question 2

Correct Answer: 1
Rationale 1: When implementing some nursing interventions, the nurse may require assistance. In this case, the nurse lacks the knowledge or skills to implement a particular nursing activity (teaching).
Rationale 2: Reading and reviewing the policy and procedure are important, but should be followed up with asking for assistance.
Rationale 3: Doing the best the nurse can would not be acceptable.
Rationale 4: Asking for a different assignment would not be acceptable.

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TYSM

[triiciiaa]

Excellent