Nursing Pain Medication Scenarios

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Questions and Answers

What should the newly hired nurse do when a code blue is called while preparing a pain medication injection?

  • Hold the medication until the experienced nurse completes the code blue.
  • Administer the medication if the client's pain level is 8 or above. (correct)
  • Administer the medication since it was prepared by an experienced nurse.
  • Recheck the medication administration record (MAR) and prepare new medication.

What is the first priority for the nurse after a client develops an itchy rash and reports feeling uneasy post-intramuscular injection?

  • Assess if the client is experiencing any breathing difficulties. (correct)
  • Obtain an order for medication to relieve the symptoms.
  • Document the reaction as a side effect in the client's chart.
  • Immediately notify the primary health care provider and pharmacist.

If a nurse is unsure about the medication an experienced nurse prepared for injection, what should the nurse do?

  • Seek clarification from the experienced nurse about the medication. (correct)
  • Double-check with the primary health care provider before administration.
  • Assume the medication is correct if it matches the client's previous prescriptions.
  • Administer the medication without questioning.

During a code blue, what is the main consideration for administering pain medication when another nurse is involved?

<p>Maintaining client safety while addressing severe pain. (B)</p> Signup and view all the answers

What appropriate action should the nurse take after documenting an adverse reaction in the client's chart?

<p>Notify the primary health care provider about the adverse reaction. (D)</p> Signup and view all the answers

Flashcards

Administering Medication During Code Blue

A newly hired nurse should never administer medication that was prepared by another nurse, even if the experienced nurse is busy with a code blue. The newly hired nurse should check the medication administration record (MAR) and prepare the medication themselves.

Medication Administration Record (MAR)

Before administering any medication, nurses should always review the medication administration record and prepare the medication themselves, regardless of the situation.

Monitoring for Adverse Reactions

When administering a medication, nurses should carefully monitor the client for any adverse reactions or side effects.

Allergic Reaction to IM Injection

If a client experiences an allergic reaction after receiving an intramuscular injection, the first priority for the nurse is to assess the client's airway and breathing.

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Reporting Adverse Reactions

In case of an allergic reaction, the nurse should immediately report the findings to the primary health care provider and the pharmacist. This helps ensure timely intervention and prevents further complications.

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Study Notes

Pain Medication Injection Scenarios

  • A nurse, preparing a pain injection, is interrupted by a code blue. A newly-hired nurse is asked to administer the medication. The proper action is to consult the medication administration record (MAR) and prepare the necessary medication.

  • Giving medication only if the client's pain rating is 8 or higher, using a 0-10 scale.

  • Holding the medication until the code blue is resolved.

  • Administering the medication immediately after the experienced nurse has completed the preparation.

  • After intramuscular (IM) medication, a client develops an itchy rash and feels “uneasy.” The immediate priority is determining if breathing difficulties are present.

Client Reaction to Medication

  • Documenting the reaction in the client's chart.

  • Obtaining an order for a treatment (like hydrocortisone cream).

  • Reporting to the primary healthcare provider (PHCP) and pharmacist.

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