answer this question. It is important to remember that a 1-inch border around a drape is to be considered contaminated. If you had difficulty with this question, review the principles of aseptic technique. Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 669). St. Louis: Mosby. Cognitive Ability: Understanding Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Infection Control Incorrect Question 79 0 / 1 pts A nurse employed on a medical care unit is administering medications. She tells a client that she is going to administer his furosemide (Lasix) through his intravenous (IV) line. The client tells the nurse that he takes this medication orally at home every day and is concerned that it is being administered by way of a different route. The nurse should take which most appropriate action? Sitting and talking to the client to alleviate his concern 1
Explaining to the client that the oral route will not permit the medication to exert an adequate effect Letting the client know that most medications are administered by way of the IV route when a client is hospitalized Verifying the physician’s prescription Rationale: If the client questions a physician's prescription, the nurse must verify the prescription. This is the most appropriate action. Although it is appropriate to talk to the client and alleviate concerns, this is not the most appropriate action of those provided. Although in some client situations the IV route of administration of certain medications is more effective than the oral route, providing the client with this information is not the most appropriate action of the options provided. Critical care units in the hospital may administer most medications by way the IV route, but this is not necessarily the situation in a medical care unit. Test-Taking Strategy: Use the process of elimination, focusing on the data in the question. Noting that the client is questioning the route of administration of the medication will direct you to the correct option. Remember to always verify a prescription if the client questions it. If you had difficulty with this question, review nursing responsibilities related to the administration of medications. Reference: Potter, P., & Perry, A. (2009). Fundamentals of nursing (7th ed., p. 336). St. Louis: Mosby. Cognitive Ability: Applying Client Needs: Safe and Effective Care Environment Integrated Process: Nursing Process/Implementation Content Area: Ethical/Legal Partial Question 80 0.67 / 1 pts At the beginning of the 7 am–3 pm shift, the nurse checks her assigned clients and notes that a client with diabetes mellitus has an intravenous (IV) bag of 5% dextrose in water hanging and infusing instead of the prescribed 0.9% normal saline. The nurse
verifies the prescription and changes the IV solution to the correct one. The nurse
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