medium · NCLEX-RN basic-care
The registered nurse is preparing to program a patient-controlled analgesia (PCA) pump with a new prefilled syringe of hydromorphone for a postoperative client.
According to high-alert medication safety guidelines, which process represents a true, valid independent double-check?
- A second nurse watches the administering nurse program the pump to ensure no programming steps are skipped.
- The administering nurse programs the pump, and a second nurse reviews the settings after they have already been submitted, as the next nursing response.
- Two nurses independently calculate the dose, verify the provider's order, confirm the client's identity, and verify pump settings before administration.
- The administering nurse calls out the dose and concentration to a second nurse, who verifies them verbally against the electronic record, for this client.
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