Editing Pharmacology – LPN Practice Questions (section)

==Question 11==
'''Select all that apply.''' Which actions are appropriate for the practical nurse when administering medications on a medical-surgical unit?
# Verify the client using two identifiers such as name and date of birth
# Check the medication label three times before administration
# Document the medication in the record immediately after it is given
# Administer a medication that another nurse has already poured into a cup
# Titrate a continuous intravenous heparin infusion based on the aPTT result
# Report a new rash and itching after an antibiotic dose to the registered nurse

'''Answer:''' 1, 2, 3, and 6 (A, B, C, F).

''Rationale:'' Two identifiers, the three label checks, immediate documentation after administration, and prompt reporting of a possible allergic reaction are all core safe-practice actions. Option 4 is never acceptable, because the nurse who administers the medication must be the nurse who prepared and verified it. Option 5 is outside the usual practical or vocational nurse scope; titration of a continuous anticoagulant infusion based on laboratory values requires the assessment and clinical judgment of the registered nurse.