A nurse is administering a client's morning oral medications.
Which of the following actions should the nurse take?
Verify the medication three times with the medication administration record.
Document medication administration prior to administering medication.
Administer time-critical medication 60 min before or after the scheduled time.
Identify the client by using one identifier before giving the medication.
The Correct Answer is A
a. Verify the medication three times with the medication administration record.
When administering oral medications, the nurse should verify the medication three times with the medication administration record to ensure that the correct medication is being given to the correct client at the correct time. This is known as the "three checks" and is an important step in preventing medication errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
"I should discuss this document with my family after I sign it. “This statement is accurate because it reflects the importance of discussing the advance directive document and the client's preferences with their family and healthcare providers after it has been signed. Advance directives are not set in stone, and clients can change their preferences or modify their advance directives if needed. It is essential for healthcare providers and family members to be aware of the client's wishes regarding medical decisions in case they are unable to communicate or make decisions in the future.
Choice B Reason:
"An attorney will need to notarize this document for it to be valid." While it's true that some legal documents may require notarization, advance directives typically don't need to be notarized to be valid. They often require witnesses rather than notarization.
Choice C Reason:
"I am not allowed to change my mind once I sign this document. “This statement is not accurate. Clients can change their minds and modify their advance directives at any time, as long as they have the capacity to do so. Advance directives are intended to reflect a person's current healthcare preferences.
Choice D Reason:
"My partner needs to be present when I sign this document." While it's important for the client to discuss their advance directives with their family or loved ones, the presence of a partner is not a requirement for the document to be valid. Advance directives primarily focus on the individual's healthcare preferences and choices.
Correct Answer is C
Explanation
Choice A Reason:
A. Irregular menses is incorrect. Oral contraceptives are often prescribed to regulate menstrual cycles and can be a suitable option for clients with irregular menses.
Choice B Reason:
Vaginal yeast infection is incorrect. Vaginal yeast infections do not generally contraindicate the use of oral contraceptives.
Choice C Reason:
Hypertension (high blood pressure) is a contraindication for the use of oral contraceptives. Women with hypertension are at an increased risk of cardiovascular complications when taking hormonal contraceptives. It is important to assess and manage blood pressure before considering the use of oral contraceptives. If a client has hypertension, alternative methods of contraception should be discussed with the healthcare provider.
Choice D Reason:
History of ectopic pregnancy is incorrect. A history of ectopic pregnancy may not be a contraindication for oral contraceptives, but it is essential for the healthcare provider to assess the client's individual medical history and discuss the risks and benefits.
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