A nurse is administering medication at the bedside. Which of the following actions should be the first priority?
Establish the identity of the client
Document the administration of the medication
Recheck the medication label
Obtain orange juice for the client to take with the medication
The Correct Answer is A
a. The first priority when administering medication is to ensure the right patient is receiving the correct drug. This follows the "rights" of medication administration, which include right patient, right drug, right dose, right route, and right time. Identifying the patient prevents medication errors.
b. Documentation is essential but should occur after administering the medication, not before confirming the correct patient and drug.
c. Rechecking the medication label is important, but it should be done before reaching the patient’s bedside. Once at the bedside, patient identification takes priority.
d. Obtaining orange juice may be necessary if the medication requires it, but ensuring the right patient receives the correct medication is the most critical initial step.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Assessment involves gathering and analyzing data about the patient, such as their living situation, memory issues, and medication regimen, but it does not include developing a strategy to address these concerns.
b) Planning is the phase where the nurse develops interventions to help the patient manage their medications safely. By creating a medication chart and involving a family member, the nurse is ensuring adherence to the prescribed regimen.
c) Evaluation occurs after implementation to assess the effectiveness of the plan, such as checking if the patient is taking the medications correctly.
d) Implementation involves carrying out the planned interventions, such as physically setting up the pill organizer or educating the patient on medication use.
Correct Answer is ["A","B","C","D"]
Explanation
a) Administering medications correctly is a fundamental part of the intervention stage, ensuring safe and effective drug therapy.
b) Monitoring the patient for therapeutic and adverse effects is essential to assess the drug’s effectiveness and identify any potential complications.
c) Educating the patient about the medications helps promote adherence and ensures the patient understands the drug’s purpose, potential side effects, and proper administration.
d) Documenting the administration and effects of the medications is crucial for maintaining accurate medical records, tracking patient response, and ensuring continuity of care.
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