The supervising nurse is watching nurses prepare medications. Which action by one of the nurses will result in the supervising nurse to intervene immediately?

Correct Answer: D

Rationale: The only insulin that can be given IV is regular. NPH cannot be given IV and must be stopped. All the rest demonstrate correct practice. Insulin is supposed to be rolled, not shaken. Glargine is supposed to be given by itself; it cannot be mixed with another medication. Correction insulin, also known as sliding-scale insulin, provides a dose of insulin based on the patient's blood glucose level. The term correction insulin is preferred because it indicates that small doses of rapid- or short-acting insulins are needed to correct a patient's elevated blood sugar.

Correct Answer: C

Rationale: When IV medication is incompatible with IV fluids, stop the IV fluids, clamp the IV line above the injection site, flush with 10 mL of normal saline or sterile water, give the IV bolus over the appropriate amount of time, flush with another 10 mL of normal saline or sterile water at the same rate as the medication was administered, and restart the IV fluids at the prescribed rate. Do not administer the drug slowly with the IV; this is contraindicated when incompatibility exist. Not giving the medication and charting is inappropriate; this is not a prudent or safe action by the nurse.

Correct Answer: C

Rationale: The correct answer is C) to regulate nursing to protect public safety. This option is correct because the primary role of the Nursing Council of New Zealand is to regulate the nursing profession in order to ensure that nurses provide safe and competent care to the public. The Nursing Council sets standards of practice, administers licensure, and enforces regulations to uphold the quality of nursing care in the country. Option A) to protect the unregulated and regulated health workforce is incorrect because the Nursing Council specifically focuses on nursing practice and does not have jurisdiction over other health professions. Option B) to regulate doctors to protect public safety is incorrect as the regulation of doctors falls under the jurisdiction of medical councils and boards, not the Nursing Council. Option D) to protect the nursing workforce is incorrect because while the Nursing Council does support and advocate for nurses, its primary function is to protect the public by regulating nursing practice. Educationally, understanding the role of regulatory bodies such as the Nursing Council of New Zealand is crucial for nurses to comprehend their professional responsibilities and the legal framework within which they practice. By knowing the scope and mandate of regulatory bodies, nurses can ensure they are providing safe and ethical care to their patients, maintaining professional standards, and upholding the integrity of the nursing profession.

Correct Answer: D

Rationale: The correct answer, D) asking what concerns them about having the injection, is the most appropriate response in this situation for several reasons. Firstly, it demonstrates patient-centered care by acknowledging and valuing the patient's autonomy and feelings. By asking about their concerns, the healthcare provider shows empathy and a willingness to address any fears or uncertainties the patient may have. This approach fosters open communication, trust, and collaboration in the patient-provider relationship, ultimately leading to better outcomes. Option A) informing them they must have the injection as prescribed is incorrect because it disregards the patient's right to make informed decisions about their own care. It fails to address the patient's concerns and may lead to resistance or non-compliance. Option B) reassuring them that it is prescribed for everyone who has a surgical procedure is incorrect as it overlooks the individuality of the patient and their specific needs and preferences. It does not encourage open dialogue or address the patient's concerns directly. Option C) saying it is their choice, which you will respect, while acknowledging the patient's autonomy, may not facilitate understanding or address the root of the patient's refusal. It is essential to explore and understand the patient's concerns to provide appropriate education and support. In an educational context, it is crucial for healthcare providers to understand the principles of patient-centered care, respect patient autonomy, and communicate effectively with patients. By recognizing and addressing patient concerns, healthcare providers can build trust, improve patient outcomes, and promote a collaborative approach to care. Encouraging open dialogue and active listening are essential skills for healthcare professionals to practice in medication administration scenarios and beyond.

Correct Answer: A

Rationale: The correct answer is A) All medications. It is crucial for healthcare professionals to understand that all medications, including ointments, creams, and injectables, have expiration dates. This is essential to ensure both the potency and safety of the medication being administered to patients. Medications have expiration dates because over time, their chemical composition can change, leading to a potential loss of efficacy or even harmful effects. Ointments and creams may degrade over time, affecting their consistency and therapeutic properties. Injectables, such as vaccines or insulin, can also lose their potency if used past their expiration date, compromising patient safety and treatment outcomes. Option B) All medications except ointments and creams is incorrect because, as mentioned earlier, even topical medications like ointments and creams can degrade and become less effective over time. Option C) All medications except injectables is also incorrect because injectable medications are not exempt from expiration dates, as their potency can diminish with time, impacting their effectiveness. Understanding the importance of expiration dates on medications is crucial for safe medication administration practices. Healthcare providers must always check expiration dates before administering any medication to ensure that it is both safe and effective for the patient. Adhering to proper medication storage and handling guidelines, including monitoring and disposing of expired medications appropriately, is essential in maintaining patient safety and quality of care.