2 Chapter 2
Answer Key to Chapter 2
You can review additional information regarding these answers in the corresponding section in which the Critical Thinking activities appear.
Critical Thinking Activity Section 2.2a
Before administering the medications with similar mechanisms of action, the nurse should notify both providers to clarify the orders and advocate for patient safety.
Critical Thinking Activity Section 2.2b
The nurse should provide health teaching regarding when to take medication, side effects to watch for, and potential adverse effects. The client should also be educated on any restrictions related to diet, over-the-counter medications, and herbal supplements.
Critical Thinking Activity Section 2.3a
The nurse should clarify the medication order with the provider before administration because pneumonia is not listed as an indication for levofloxacin in the Boxed Warning. Notification of the provider and the provider’s response should be recorded in the client’s medical record.
Critical Thinking Activity Section 2.3b
- The nurse should educate the client that medications should never be shared with others. Sharing medications is not only illegal but also dangerous. The nurse should describe the dangers to the client, including potential drug interactions, dietary interactions, loss of consciousness, or death if inappropriate drugs or dosages are used.
2. An impaired nurse may endanger the lives of their clients or harm themselves. It is a nurse’s professional and ethical responsibility to report a colleague’s suspected drug use to their nurse manager or supervisor and, in some states or jurisdictions, to the Board of Nursing.
Critical Thinking Activities Section 2.3c
- The rights of medication administration the nurse checks before administering any medication include right patient, right medication, right dose, right route, right time, right documentation, right reason, and right response. Checking allergies and the expiration date of the medication are also included when checking the rights of medication administration.
2. Nurses confirm patient identification prior to administering medication by asking the client their name and date of birth, checking the client’s identification band, and by scanning barcodes on the medication and client’s armband. In long-term care settings where clients don’t wear armbands and may not be able to recall their name and date of birth, the nurse may use alternative methods of identification, such as using a client’s picture in the medication record or asking another staff member to confirm the client’s identity.
3. Prior to the administration of morphine, an opioid medication, the nurse should assess the client’s pain level, level of consciousness, respiratory rate, and oxygenation status. If the client exhibits a decreased respiratory rate, decreased oxygenation level, or an increased sedation, the medication should be withheld, and appropriate interventions implemented.
4. After administering an op