A nurse is preparing to administer an IM medication to a client. The nurse is unfamiliar with this medication. Which of the following actions should the nurse take?
Check the medication label twice before administering it.
Review the client's medication reconciliation record.
Draw up the medication dose and ask the charge nurse to administer it.
Use a medication reference book to look up the medication.
The Correct Answer is D
A. Check the medication label twice before administering it: Verifying the label is an essential safety step, but it does not provide the nurse with information about the medication’s purpose, dosage, administration route, or potential side effects. This action alone is insufficient when unfamiliar with a drug.
B. Review the client's medication reconciliation record: Reviewing the reconciliation ensures the medication aligns with the client’s current prescriptions, but it does not provide information about how to safely administer a medication the nurse does not know.
C. Draw up the medication dose and ask the charge nurse to administer it: Delegating administration without first understanding the medication compromises client safety and violates the nurse’s responsibility to ensure safe administration. The nurse must gain knowledge before handling the medication.
D. Use a medication reference book to look up the medication: Consulting a reputable medication reference allows the nurse to obtain critical information about indications, dosage, side effects, contraindications, and administration guidelines. This step ensures safe and informed medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "Adolescents should increase their daily sodium intake to more than 2,800 milligrams.": This is incorrect because adolescents should limit sodium intake to less than 2,300 milligrams per day to reduce the risk of hypertension and cardiovascular issues. Excess sodium intake is associated with negative health outcomes rather than benefits.
B. "Adolescents should aim to consume at least 1,300 milligrams of calcium each day.": This is correct because adolescents require adequate calcium to support rapid bone growth and peak bone mass development. Meeting calcium needs during adolescence helps prevent future osteoporosis and supports overall skeletal health.
C. "Adolescent males require more iron than females due to the increase in their muscle mass.": This is incorrect because adolescent females typically require more iron than males due to menstrual blood loss. Iron is essential for hemoglobin production, and females are at higher risk for iron deficiency during adolescence.
D. "Adolescent females should consume 200 micrograms of folic acid every day.": This is inaccurate because the recommended daily allowance (RDA) for folic acid in adolescents is 400 micrograms per day, not 200. Adequate folic acid is critical for DNA synthesis and overall growth during adolescence.
Correct Answer is {"dropdown-group-1":"C"}
Explanation
Rationale for correct choice
• Fall risk: The client experiences sudden episodes of leg weakness, intermittent muscle spasms, and gait changes, all of which significantly increase the risk of falls. Falls in clients with multiple sclerosis can lead to serious injury and further functional decline. Addressing safety and fall prevention is the most immediate priority to prevent harm while other concerns, such as memory or employment, are addressed.
Rationale for incorrect choices
• Memory: Although the client reports struggling to remember things, cognitive issues are not immediately life-threatening. Memory deficits should be addressed through ongoing assessment and cognitive support interventions, but they are not the first priority compared with safety risks.
• Blood pressure: Vital signs are within normal limits, and there is no evidence of hypertensive crisis or acute cardiovascular instability. Blood pressure monitoring remains part of routine care but does not require immediate intervention.
• BMI: The client’s BMI indicates overweight status but does not pose an immediate safety threat. Weight management is important for long-term health but is not the first priority in the context of neurological deficits and fall risk.
• Employment: Reduced work hours due to exacerbation episodes reflect functional limitations and psychosocial impact. Employment concerns are important for quality of life but are secondary to preventing physical injury from falls.
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