NCLEX-PN

not align harmoniously, it becomes imperative for the nurse to raise questions about the order and engage in a dialogue with the prescribing physician or other licensed independent practitioners, such as physician assistants or nurse practitioners. Moreover, the nurse's responsibilities extend beyond mere administration . Vigilance remains integral post-administration, necessitating close monitoring of the client for any emergence of side effects or adverse events. This comprehensive oversight underscores the nurse's accountability and commitment to ensuring the client's safety and well-being. In this context, it's essential to be aware of the Institute for Safe Medication Practices (ISMP) and its 2022-2023 Targeted Medication Safety Best Practices for Hospitals. These Best Practices aim to identify, inspire, and mobilize widespread, national adoption of consensus-based strategies in hospitals to address recurring problems that continue to cause fatal and harmful errors. They represent high-leverage error-reduction strategies, many of which have already been successfully adopted by hospitals. The 2022-2023 list includes 19 Best Practices , including three new ones: Best Practice 1 : Dispense vinCRIStine and other vinca alkaloids in a minibag of a compatible solution and not in a syringe. Best Practice 2 : ●​ Use a weekly dosage regimen default for oral methotrexate in electronic systems when medication orders are entered. ●​ Require a hard stop verification of an appropriate oncologic indication for all daily oral methotrexate orders. ●​ Provide specific client and/or family education for all oral methotrexate discharge orders. Best Practice 3 : ●​ Weigh each client as soon as possible on admission and during each appropriate* outpatient or emergency department encounter. Avoid the use of a stated, estimated, or historical weight. ●​ Measure and document client weights in metric units only. Best Practice 4 : Oral liquid medications not commercially available in unit dose packaging are dispensed by pharmacy in an oral/ENFit syringe. (Archived) Best Practice 5 : Purchase oral liquid dosing devices (oral syringes/cups/droppers) that only display the metric scale. (Archived) Best Practice 6 : Eliminate glacial acetic acid from all areas of the hospital. (Archived) Best Practice 7 : Segregate, sequester, and differentiate neuromuscular blocking agents from other medications, wherever they are stored.

389

© 2025 ACHIEVE ULTIMATE CREDIT-BY-EXAM GUIDE | NCLEX-PN ​

​

​

​

​