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A nurse is preparing to administer a pre-packaged oral medication to a client and complete the final medication check. At which of the following times or places should the nurse perform this final check?

A.

In the area where the nurse obtained the medication.

B.

At the time of documentation.

C.

At the client's bedside before administration.

D.

At the nurses' station while reviewing the provider's prescription.

Answer and Explanation

The Correct Answer is C

A. Performing the final medication check in the area where the medication was obtained does not ensure the correct patient is receiving the medication.  

 

B. Documenting after administration does not allow for a final check of the medication against the patient’s identity and allergies.  

 

C. Performing the final check at the client's bedside before administration allows the nurse to confirm the patient's identity, the medication's appropriateness, and the dosage immediately before giving it.  

 

D. Reviewing the prescription at the nurses' station may not account for patient-specific factors that need to be confirmed at the bedside.


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Correct Answer is B

Explanation

A. Using an alcohol rub when hands are visibly soiled is incorrect; hands should be washed with soap and water in such cases.

B. Rubbing all surfaces of the hands with an alcohol rub for 20 to 30 seconds is an appropriate practice for effective hand hygiene when hands are not visibly soiled, ensuring thorough coverage of all hand surfaces.

C. Gloves are not a substitute for hand hygiene; hands should be washed before putting on gloves and after removing them to prevent contamination.

D. Even if an individual does not have an infection, they can still carry pathogens on their hands that may infect others, highlighting the necessity of proper hand hygiene.

Correct Answer is A

Explanation

A. A private, negative-pressure room is essential for clients suspected of having tuberculosis (TB) to prevent airborne transmission. This setup helps contain airborne pathogens and protects other clients and staff.

B. A private, positive-pressure room is inappropriate for this situation because it is designed for immunocompromised patients, not those with potential infectious diseases.

C. A semi-private, negative-pressure room would not provide adequate isolation for a client with suspected TB, increasing the risk of transmission to another patient.

D. A semi-private, positive-pressure room is also inappropriate, as it poses a risk of spreading infectious agents to others in the facility.

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