Practice Question
A nurse is monitoring a client in the emergency department
Answer Choices:
Rationale:
💠 1. Reviewing the allergy list
💠 The nurse must carefully review the client’s documented allergy list before administering any medication.
💠 This step ensures awareness of all known drug allergies or hypersensitivity reactions that could endanger the client.
💠 Reviewing this list helps prevent the administration of drugs that might cause anaphylaxis, rash, or respiratory distress.
💠 It also maintains continuity and accuracy of care by keeping all healthcare team members informed about potential medication risks.
💠 2. Confirming with the client
💠 The nurse should always verify allergies directly with the client to confirm the accuracy of medical records.
💠 This step allows the nurse to obtain details such as the type, severity, and timing of allergic reactions.
💠 Confirmation ensures that any new allergies or outdated entries are updated promptly in the client’s chart.
💠 It reinforces effective communication and patient safety, helping to prevent unnecessary exposure to harmful medications.
💠 3. Ensuring the medication is not contraindicated
💠 Before administration, the nurse must confirm that the prescribed drug is not related to any known allergens on the list.
💠 Certain medications share cross-reactive properties (e.g., penicillin and cephalosporins), increasing the risk of allergic reactions.
💠 This action helps prevent recurrent hypersensitivity or anaphylaxis and ensures adherence to safe medication practices.
💠 It also upholds the five rights of medication administration, particularly the right drug and right patient.
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This question is from ATI Medical surgical content assessment 1 which contains 44 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 0