Podcast
Questions and Answers
When preparing to administer a new medication, what would the nurse do first to ensure the patient’s safety?
When preparing to administer a new medication, what would the nurse do first to ensure the patient’s safety?
What is the most important step the nurse can take to ensure that the patient is getting the correct medication?
What is the most important step the nurse can take to ensure that the patient is getting the correct medication?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in medication administration?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in medication administration?
As the nurse is administering medication to a patient, the patient states, “I’ve never seen that pill before.” What is the nurse’s most appropriate response?
As the nurse is administering medication to a patient, the patient states, “I’ve never seen that pill before.” What is the nurse’s most appropriate response?
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What is the nurse’s best response after noticing that the route of administration has been omitted from a medication order?
What is the nurse’s best response after noticing that the route of administration has been omitted from a medication order?
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When is a patient at a higher risk for a medication administration error?
When is a patient at a higher risk for a medication administration error?
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As the nurse is giving a patient his medications, he remarks, “I’ve never seen this blue pill before.” What is the nurse’s correct response?
As the nurse is giving a patient his medications, he remarks, “I’ve never seen this blue pill before.” What is the nurse’s correct response?
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What is the best way for the nurse to ensure that the patient does not receive the wrong dose because of a calculation error?
What is the best way for the nurse to ensure that the patient does not receive the wrong dose because of a calculation error?
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Which of the following nursing actions will reduce the risk of “wrong route” when administering a medication?
Which of the following nursing actions will reduce the risk of “wrong route” when administering a medication?
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What is the most appropriate way for the nurse to split an unscored tablet?
What is the most appropriate way for the nurse to split an unscored tablet?
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As the nurse is at the bedside preparing to administer a new medication, the patient mentions that he is allergic to the drug. What will the nurse do first?
As the nurse is at the bedside preparing to administer a new medication, the patient mentions that he is allergic to the drug. What will the nurse do first?
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As the nurse prepares to administer oral acetaminophen, the patient refuses to accept the drug because it doesn’t look like the Tylenol she takes at home. After verifying that the medication and dosage are correct, what is the nurse’s best response?
As the nurse prepares to administer oral acetaminophen, the patient refuses to accept the drug because it doesn’t look like the Tylenol she takes at home. After verifying that the medication and dosage are correct, what is the nurse’s best response?
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What is the nurse’s first response when a patient requests another dose of narcotic pain medication before it is time for the next dose?
What is the nurse’s first response when a patient requests another dose of narcotic pain medication before it is time for the next dose?
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The patient has requested a PRN medication for nausea. Which of the following should the nurse do first?
The patient has requested a PRN medication for nausea. Which of the following should the nurse do first?
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After requesting a narcotic pain medication, the patient refuses it after the nurse prepares the injection. What is the nurse’s best initial response?
After requesting a narcotic pain medication, the patient refuses it after the nurse prepares the injection. What is the nurse’s best initial response?
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What is the nurse’s first step in preparing to administer a prescribed medication using an automated medication dispensing system?
What is the nurse’s first step in preparing to administer a prescribed medication using an automated medication dispensing system?
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Which precaution should the nurse observe to ensure patient safety when using an automated medication dispensing system?
Which precaution should the nurse observe to ensure patient safety when using an automated medication dispensing system?
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Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in using automated medication dispensing systems?
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in using automated medication dispensing systems?
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Which action by the nurse is most important in protecting the safety of patients and staff when using an automated medication dispensing system?
Which action by the nurse is most important in protecting the safety of patients and staff when using an automated medication dispensing system?
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While preparing a patient's oral medication dispensed from an automated medication dispensing system, the nurse realizes that the pill dispensed is twice the correct dose. What is the nurse’s best action at this time?
While preparing a patient's oral medication dispensed from an automated medication dispensing system, the nurse realizes that the pill dispensed is twice the correct dose. What is the nurse’s best action at this time?
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A nurse is preparing to withdraw medication from an open multi-dose vial. After confirming that the vial contains the appropriate medication and checking the expiration date, what would the nurse do next?
A nurse is preparing to withdraw medication from an open multi-dose vial. After confirming that the vial contains the appropriate medication and checking the expiration date, what would the nurse do next?
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What would the nurse do to remove air trapped in a syringe before withdrawing the syringe from the vial?
What would the nurse do to remove air trapped in a syringe before withdrawing the syringe from the vial?
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How can the nurse prevent negative pressure from building up in the vial when preparing an injection?
How can the nurse prevent negative pressure from building up in the vial when preparing an injection?
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How can the nurse ensure that medication from a single-dose vial is used appropriately?
How can the nurse ensure that medication from a single-dose vial is used appropriately?
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What will the nurse do after opening a multi-dose vial and withdrawing a dose of medication from it?
What will the nurse do after opening a multi-dose vial and withdrawing a dose of medication from it?
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When preparing an injection from an ampule, what will the nurse do if liquid is trapped in the neck of the ampule?
When preparing an injection from an ampule, what will the nurse do if liquid is trapped in the neck of the ampule?
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What is the greatest safety concern when withdrawing medication from an ampule?
What is the greatest safety concern when withdrawing medication from an ampule?
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How does the nurse minimize the risk of patient infection when preparing medication from an ampule?
How does the nurse minimize the risk of patient infection when preparing medication from an ampule?
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Which action minimizes the risk of introducing glass particles into the syringe when drawing medication from an ampule?
Which action minimizes the risk of introducing glass particles into the syringe when drawing medication from an ampule?
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Which action might the nurse take when drawing up medication from an ampule?
Which action might the nurse take when drawing up medication from an ampule?
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Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a patient with a dressed central venous access device (CVAD) site?
Which statement might the nurse make to nursing assistive personnel (NAP) when caring for a patient with a dressed central venous access device (CVAD) site?
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Which action would the nurse take to minimize the patient’s risk for infection when changing the dressing on a CVAD?
Which action would the nurse take to minimize the patient’s risk for infection when changing the dressing on a CVAD?
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How can the nurse minimize the risk of dislodging the catheter when removing a dressing?
How can the nurse minimize the risk of dislodging the catheter when removing a dressing?
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What will the nurse do after removing the soiled dressing from a patient’s CVAD device?
What will the nurse do after removing the soiled dressing from a patient’s CVAD device?
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What is the most important way in which the nurse can reduce the risk for infection in a patient with a CVAD that has a gauze dressing?
What is the most important way in which the nurse can reduce the risk for infection in a patient with a CVAD that has a gauze dressing?
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After the removal of a PICC, the patient becomes hypotensive, lightheaded, confused, tachycardic, anxious, and short of breath. What should the nurse do next?
After the removal of a PICC, the patient becomes hypotensive, lightheaded, confused, tachycardic, anxious, and short of breath. What should the nurse do next?
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While discontinuing a PICC, the nurse meets resistance and the catheter appears stuck. What should be the nurse’s next action?
While discontinuing a PICC, the nurse meets resistance and the catheter appears stuck. What should be the nurse’s next action?
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Upon removal of a PICC, the nurse notices that the catheter length is less than the original insertion length. What should the nurse do first?
Upon removal of a PICC, the nurse notices that the catheter length is less than the original insertion length. What should the nurse do first?
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Before removing a PICC, the nurse should give what instructions to the patient?
Before removing a PICC, the nurse should give what instructions to the patient?
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A nurse is providing a patient with instructions about PICC removal. The nurse knows the patient understood the postprocedure instructions when he makes which of the following statements?
A nurse is providing a patient with instructions about PICC removal. The nurse knows the patient understood the postprocedure instructions when he makes which of the following statements?
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The nurse is removing a PICC from a patient being treated for glaucoma. Which instruction should the nurse give this patient?
The nurse is removing a PICC from a patient being treated for glaucoma. Which instruction should the nurse give this patient?
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A nurse is teaching a student nurse about the type of dressing to place on the insertion site after removing a PICC. Which statement would indicate the student nurse understood the information?
A nurse is teaching a student nurse about the type of dressing to place on the insertion site after removing a PICC. Which statement would indicate the student nurse understood the information?
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Study Notes
Medication Administration Safety
- Verify patient allergies before administering a new medication.
- Always confirm the right medication is given to the patient, especially if they question the appearance of the pill.
- If a medication order omits the route of administration, consult a physician before proceeding.
Patient Risk Factors
- Patients are at a higher risk for medication administration errors when they have multiple medications, are unfamiliar with their medications, or have a language barrier.
- Always reassess before administration if a patient expresses uncertainty about the medication being given.
Responses to Patient Concerns
- Respond to a patient questioning a medication’s appearance by reassuring them while confirming the medication is what was ordered.
- If a patient refuses a medication, clarify their concerns and double-check that the medication is correct before offering an explanation or alternative.
Using Automated Medication Systems
- When preparing to administer medication with an automated system, ensure proper identification of the patient and medication.
- To ensure safety, always check the medication dispensed to prevent overdose.
- Nursing assistive personnel (NAP) can assist in medication administration but do not administer the medications themselves.
Multi-Dose and Single-Dose Vials
- Check the expiration date on multi-dose vials before drawing medication.
- To prevent air bubbles in the syringe, draw back slightly on the plunger after inserting the needle into the vial.
- After opening a multi-dose vial, label it with the date of opening and ensure it is stored correctly to prevent contamination.
Ampule Preparation
- When drawing from an ampule, tap the ampule to move liquid down into the body, ensuring it is clear before breaking.
- Use a filter needle or filter straw to avoid glass particles when withdrawing medication from an ampule.
- To minimize infection risk, clean the top of the ampule before drawing.
Central Venous Access Devices (CVAD) Care
- Use sterile technique when changing dressings on CVAD to reduce infection risk.
- Secure the catheter properly to reduce the chance of dislodgment during dressing changes.
- After removing a soiled dressing, inspect the site for any signs of infection or complications.
PICC Line Removal Procedures
- If resistance is felt when removing a PICC line, stop and assess the situation before proceeding.
- Monitor the patient for vital sign changes like hypotension or confusion after PICC removal, which could indicate complications.
- Instruct patients to perform specific actions, such as holding their breath, during the removal process to prevent complications.
Patient Education and Understanding
- Reinforce post-procedure instructions by asking patients to repeat what they have learned.
- Use clear and engaging methods to convey information regarding care for their CVAD site after dressing changes.
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Description
Ensuring the Six Rights of Medication Administration Preventing Medication Errors Handling Medication Variations Using Automated Medication Dispensing Systems Preparing Injections from a Vial Preparing Injections from an Ampule Performing Dressing Care for a Central Venous Access Device (CVAD) Peripherally Inserted Central Catheter: Removal
