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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- Potter, content area, cognitive ability, Integrated Process , Case Studies on Infection Control , Infection Control