A nurse is preparing to administer an oral medication. Which of the following is the priority safety steр?

Ask the patient if they want to take the medication.

Identify the patient using two identifiers.

Tell the patient the medication is safe.

Verify the medication with another nurse.

Answer and Explanation

The Correct Answer is B

A. Ask the patient if they want to take the medication: While obtaining the patient’s cooperation is important, it does not ensure that the right patient receives the correct medication. Patient preference cannot substitute for proper identification and safety checks.

B. Identify the patient using two identifiers: Correct patient identification using two unique identifiers, such as name and date of birth, is the most critical safety step before administering any medication. It prevents medication errors and ensures that the drug reaches the intended recipient.

C. Tell the patient the medication is safe: Providing reassurance is important for patient comfort, but it does not guarantee safety. Safety is ensured through verification of the medication, dose, and patient identity before administration.

D. Verify the medication with another nurse: Double-checking is essential for high-risk medications, but for routine oral medications, the initial priority is accurate patient identification. Verification with another nurse is secondary to confirming the correct patient.

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Correct Answer is C

Explanation

A. 2 mg: 2 :: 1 mg: x: This setup is incorrect because it compares the prescribed dose to itself, rather than relating the known concentration of the medication to the desired dose.

B. 2 mg: x mL :: 5 mL: 1 mg: This proportion incorrectly places the known concentration on the right side and the desired dose on the left, making the calculation confusing and prone to error.

C. 1 mg: 5 mL :: 2 mg: x mL: This setup correctly compares the known concentration (1 mg per 5 mL) to the prescribed dose (2 mg) using a proportion. Solving for x gives the accurate volume to administer.

D. 5 mL: 1 mg :: 2 mg: x mL: This setup inverts the known concentration, placing volume before dose, which can lead to miscalculation. Correct proportional setup keeps the dose first and volume second.

A. Injected into the subcutaneous tissue B. Placed between the gum and lining of the cheek C. Placed under the tongue D. Inhaled through the nasal mucosa

Correct Answer is C

Explanation

A. Injected into the subcutaneous tissue: Subcutaneous injections deliver medication into the fatty tissue under the skin. This route is not appropriate for a sublingual order and would prevent rapid absorption through the oral mucosa.

B. Placed between the gum and lining of the cheek: This describes the buccal route, which allows absorption through the cheek lining. While similar to sublingual, it is not the intended route for a sublingual medication, which must be placed under the tongue for rapid systemic absorption.

C. Placed under the tongue: Sublingual administration involves placing the medication beneath the tongue, allowing it to dissolve and absorb directly into the bloodstream. This route bypasses the gastrointestinal tract and first-pass metabolism, providing rapid onset of action.

D. Inhaled through the nasal mucosa: Nasal administration delivers medication through the respiratory mucosa and is not appropriate for sublingual drugs. Using this route would result in improper absorption and therapeutic effect.

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A nurse is preparing to administer an oral medication. Which of the following is the priority safety steр?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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