A nurse is caring for a client who reports his medication was not given during the night shift for the past 3 nights. The medication administration record indicates the medication was given. Which of the following actions by the nurse is appropriate?
Report the concern to the charge nurse.
Question the nurse who worked the shifts in question.
Notify the pharmacy that the medication was not given.
Document the client's claim in the nurses' notes.
The Correct Answer is A
A. Reporting the concern to the charge nurse is the appropriate action, as it ensures that the issue is addressed through proper channels. The charge nurse can investigate and determine if further action is needed, such as reviewing the medication administration process.
B. Questioning the nurse directly could lead to confrontations and is not the correct procedure for handling potential discrepancies in medication administration.
C. Notifying the pharmacy is unnecessary at this point because the issue concerns administration rather than medication supply or errors with the prescription.
D. While documenting the client’s report is important, simply documenting the client’s claim without notifying the charge nurse does not fully address the concern.
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Correct Answer is C
Explanation
A. An abdominal CT scan with contrast typically requires specific informed consent due to the use of contrast material and potential risks associated with it.
B. An esophagogastroduodenoscopy is an invasive procedure that necessitates special informed consent due to its risks and potential complications.
C. The insertion of an NG tube to low intermittent suction is considered a routine procedure that is generally included under the client's general consent for treatment.
D. The administration of fresh frozen plasma involves specific risks and usually requires informed consent because of the implications of blood product administration.
Correct Answer is D
Explanation
A. Investigating home care services covered by insurance is not the primary focus of a nurse preparing for an interprofessional meeting.
B. Developing a nutritional teaching plan, while beneficial, is more specific to nursing care and may not require input from the entire interprofessional team.
C. Creating a collaborative plan of care is a goal of the meeting itself rather than an individual preparation task.
D. Collecting data on the client’s required assistance level provides valuable input on the client’s current functional status, enabling a more comprehensive team discussion and planning for appropriate interventions.