Chapter 07.rtf - Basic Nursing, Thinking, Doing and Caring,...

Basic Nursing, Thinking, Doing and Caring, 2nd Edition
Chapter 7. Implementation & Evaluation
MULTIPLE CHOICE
1.
A client is prescribed oral aripiprazole 10 mg daily; however, the nurse is unfamiliar with the
medication and cannot find it in the hospital formulary. Which action should the nurse take?
1) Administer the medication as prescribed.
2)
Hold the medication and notify the prescriber.
3) Consult with a pharmacist before administering it.
4) Ask the client’s nurse for information about the medication.
ANS: 3
Chapter number and title: 7, Implementation & Evaluation
Chapter learning objective: Describe what nurses do in the implementation phase of the
nursing process.
Chapter page reference: p. 110
Heading: Preparing for Implementation
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Application [Applying]
Concept: Patient-Centered Care
Difficulty: Difficult
Feedback
1
Administering the medication as prescribed, without knowing its expected
actions and side effects, at the least prevents adequate reassessment; at the most,
it is dangerous.
2 Holding the medication and notifying the prescriber prevents the client from
receiving timely treatment—many drugs are less effective if a consistent
schedule is not maintained.
3 The nurse must recognize when she does not have the knowledge or skill needed
to implement an order. Because the nurse is unfamiliar with the medication, that
does not mean she should hold it and delay patient treatment. It is wisest to first
consult with the pharmacist for information before administering the medication
to ensure safe practice.
4 Asking another nurse to administer the medication is also unsafe because it
cannot be assumed that the other nurse has the correct knowledge. In addition,
the nurse caring for the client must assess for adverse reactions to the
medication.
PTS: 1 CON: Patient-Centered Care
2.
Which task can be delegated to nursing assistive personnel (NAP)?

Basic Nursing, Thinking, Doing and Caring, 2nd Edition
Chapter number and title: 7, Implementation & Evaluation
Chapter learning objective: Identify and describe the “five rights” of delegation.
Chapter page reference: p. 113
Heading: What Should I Know About Delegation and Supervision?
Integrated Processes: Nursing Process
Client Need: Safe and Effective Care Environment: Management of Care
Cognitive level: Application [Applying]
Concept: Leadership and Management
Difficulty: Moderate
Feedback
1 The nurse can delegate turning the client every 2 hours to the NAP.
2 Assessing the client’s skin condition requires nursing knowledge and judgment.
3
Changing pressure ulcer dressings requires nursing knowledge and judgment.