Clinical judgment / Next Gen NCLEX case studies · practice question

A client in an unfolding case study is being evaluated for nursing care related to take action. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Before a medication-related action, what must the nurse verify?

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Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.Delegate medication judgment to UAP to save time.Administer on schedule even when the client is unarousable.Skip allergy checks if the drug was given previously without reaction.

Answer and explanation

Correct answer

A. Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.

Why

Medication safety requires full rights verification and monitoring; shortcuts increase error risk on the NCLEX and at the bedside.

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A client in an unfolding case study is being evaluated for nursing care related to take action. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Before a medication-related action, what must the nurse verify?

Correct answer

Why

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