Question

3 Right room number 4. Right to refuse 5. Right dooumentation Key Points Legal, Re Drug Ad Use the nine rights mach and every time you give a drug to a patient Nursing asse e uing your observational, questioning and about the p that can be used to ensure you are safely ng a patient, always ask carefully about 6. Right reason 4. Which of the following examples would be considered a contraindication? 1. Giving a drug for nausea to a patient who has jusa vomited ng skills to m information uas. 2. Giving a drug that causes birth defects to a patient who is 12 weeks pregnant 3. Giving a drug that may cause dizziness to a patient with high blood pressure. 4. Giving a drug that may cause an increase in heart rate to a patient who has asthma. 5. The LPNVN is giving a patient her morning drugs due at 9:00 a.m. After you have already prepared the drug. the patient states, "No. I don't want that pill today." What is your best first action? 1. Tell the patient she has to take the drug because it was ordered by the doctor. 2. Ask the patient to tell you her reason for not taking the drug. 3. Teach the patient why she needs it and give the drug 4. Ask the patient if she has any questions about the drug. any ourt health problems, history of anesses, history of urgerie aken both now and ncluding OTC and herbals) Always know why you are giving the patient the drug. Check the label of each drug you are giving three times to ensure it is the right drug. Do not give a drug that was made for one route by any When ae and drugs in the past Learning O 1. Dencrbe the of a rume 2. Explain drugs 3. Descrt substand other route When giving a one-time-only drug, take extra precautions to make certain that it has not already been given by someone else. Never record drugs that were not given or record them before they are given. Always use two unique patient identifiers when giving a patient a drug . if a patient refuses to take a drug, clarify the patient's reason and make sure to document the refusal. All drugs have side effects, but not all patients have every side effect listed for any single drug. Any questions about whether a drug is appropriate or safe for that patient must be answered before the drug Key Ter as neede drug to of sate black be FDA 6. What is considered the best resource for current use of drugs at admission to the healthcare setting? 1. The patient 2. The medical record caus add contre Dre 3. The caregiver 4. The prescriber is given. If you suspect a patient is having an adverse effect, make sure to report to the RN or the healthcare provider immediately. Never leave a drug at the patient's bedside for him or eme 7. The LPNN is assessing a patient before giving a drug to manage his blood pressure and notes the hig blood pressure to be 90/50 mm Hg. What is the nurse's best action? 1. Hold the drug and report to the RN in charge. 2. Give the patient a cup of coffee and give the drug. 3. Come back in 30 minutes and recheck the blood. her to take later. In the hospital, never give a drug to a patient who is not wearing an identification band. le- pressure. 4. Tell the patient to walk in the hall and give the drug. 8. What is the best way to check that you are giving the drug to the right patient? 1. Ask the patient's name. 2. Compare the patient with the room number. 3. Check the patient's wristband. 4. Check two unique patient identifiers. 9. Which of the following nine rights should you apply inimdiateahr you give a drug? 1. Right cr 2. Raht patic 3. Right docur 4 Right dos Review Questions for the NCLEX Examination 1. What is the most appropriate measurement to determine the therapeutic response of an antipyretic drug? 1. Blood pressure 2. Respiratory rate 3. Temperature 4. Radial pulse 2. Which of the following examples would be considered objective data? (Select all that apply.) 1. "I have pain in my abdomen." 2. Blood pressure is 160/90. 3. Skin is mottled. 4. "I had a lab test last week at my doctor's office." 5. Child's mother states, "His temperature was 102 degrees before we came to the hospital." 6. Weight gain of 2 pounds in 4 days. 7. Patient states she has trouble breathing or "catching" her breath. 3. Which of the following would be considered examples of the nine rights? (Select all that apply.) 1. Right patient 2. Right time 10. Which priority essimant must you make before giving any n drug by mouth? 1. Quiz the patio it about the action of each drug. 2. Make sure the patient can swallow. 3. Find out whether the patient prefers cold or room temperature liquids. 4. Ask the patient to repeat his or her name and birthdate.

Answer 1

Answers for the review questions of NCLEX Examination:

1. Ans.3. Temperature

Rationale:

Antipyretic are medical substances used to reduce the temperature of the patient in case of fever. So the nurse has to monitor the measurement of temperature after administration of an antipyretic drug.

2. Ans 2. Blood pressure is 160/90

  3. Skin is mottled

6. weight gain of 2 pounds in 4 days.

Rationale:

The assessment of a patient is done based on the subjective data and the objective data. Subjective data is the data given by the patient which is perceived by them. These are called symptoms. e.g pain, breathing difficulty. Objective data are the one which is observed directly on the patient by the health care member. These are called signs. The blood pressure cannot be expressed by the patient and it can be only be measured. In the same way, through physical examination, the change in the skin can be observed. The gain of patient weight can be identified through daily weight monitoring.

3.Ans. 1. Right patient

2. Right time

4. Right to refuse

  5. Right to documentation.

Rationale:

The nine rights are followed to reduce the errors in patients such as Right patient, Right medication, Right dose, Right Route, Right Time, Right documentation, Right to Refuse, Right assessment, Right to evaluation. So the right room number and right reason will not be included in this.

4.Ans. 2. Giving a drug that causes the birth defect to a patient who is 12 weeks pregnant.

Rationale:

Giving drug for nausea for a patient who has vomited is the right approach. Giving a drug that causes dizziness and increases heart rate is considered an adverse effect of the drug and it can be managed through effective monitoring of the patient. But the drug that causes birth defects is irreversible that complicates both the child and mother. It will be considered an illegal action.

5. Ans. 3. Teach the patient why see need it and give the drug.

Rationale:

The patient has the right to accept or reject the medicine. But it is necessary the patient must understand the proper use of medication and its necessity for the speedy recovery. So that the patient can get a relevant decision.