Chapter 12 - Prioritization, Delegation, and Assignment Q&A 100% Verified 2023

Chapter 12 - Prioritization, Delegation, and Assignment Q&A 100% Verified 2023 The charge nurse is reviewing the medication administration records for several clients. Which situation needs to be brought to the attention of the prescribing health care provider? •A client with gastroesophageal reflux disease is receiving magnesium hydroxide •An older adult client with new-onset constipation is getting psyllium three times a day •A client who needs a bowel prep is getting polyethylene glycol-electrolyte solution •A client with abdominal pain secondary to diverticulitis is receiving bisacodyl - ANS-•A client with abdominal pain secondary to diverticulitis is receiving bisacodyl •Laxatives should not be administered to clients with undiagnosed abdominal pain, cramps, or nausea. Appendicitis, diverticulitis, ulcerative colitis, acute surgical abdomens, and bowel obstruction are also contraindications. The other clients are receiving medications that are appropriate for their conditions. When a client is being prepared for a colonoscopy procedure, which task is *most* suitable to delegate to unlicensed assistive personnel (UAP)? •Explaining the need for a clear liquid diet •Reinforcing "NPO" status •Administering laxatives as needed •Administering an enema to prepare the bowel - ANS-•Reinforcing "NPO" status •The UAP can reinforce dietary and fluid restrictions after the RN has explained the information to the client. It is also possible that the UAP can administer the enema; however, special training is required, and policies may vary among institutions. Medication administration should be performed by licensed personnel. The nurse is reviewing medication lists for clients who are being treated for peptic ulcer disease (PUD). The nurse is *most* likely to question the use of which medication? •Ibuprofen •Omeprazole •Amoxicillin •Clarithromycin - ANS-•Ibuprofen •Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID), and NSAIDs are thought to be one of the aggravating factors of PUD. Omeprazole, amoxicillin, and clarithromycin are used as a triple combination therapy for treatment of PUD. The nurse would be *most* concerned about a prescription for a total parenteral nutrition (TPN) fat emulsion for a client with which condition?...