A nurse is preparing to administer medication to a client who has a new prescription. Which of the following actions should the nurse take first?
Validate the prescription with the available medication.
Calculate the correct amount of the medication
Document the time of the medication administration.
Identify the client using two means of identification
The Correct Answer is D
D. Before administering any medication, the nurse should positively identify the client using at least two unique identifiers (e.g., name, date of birth, medical record number). Positive identification helps prevent medication errors and ensures that the medication is administered to the intended recipient.
A. Validating the prescription with the available medication is an important step to ensure that the correct medication is being administered. However, before doing so, it's essential to confirm the identity of the client and the correct time for administration.
B. Calculating the correct amount of medication is necessary to ensure that the client receives the appropriate dose. However, before performing this calculation, it's essential to confirm the identity of the client and the correct time for administration.
C. Documenting the time of medication administration is important for maintaining an accurate record of the client's medication administration history. However, before documenting, it's crucial to confirm the identity of the client and the correct time for administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. When administering a TST, the nurse should select an injection site that is free of scar tissue and areas with excessive hair, veins, or visible lesions. The preferred site for TST administration is the volar aspect of the forearm, approximately 2-4 inches below the elbow.
B. After administering the TST, the nurse should not massage or manipulate the injection site. Massaging the site can cause irritation or spread the solution, leading to inaccurate results.
C. he TST is administered intradermally, typically with a 27-gauge needle. The needle should be inserted with the bevel facing upward at a 5-15-degree angle.
D. The standard dose of tuberculin solution (e.g., purified protein derivative, PPD) for a TST is 0.1 mL containing 5 tuberculin units (TU).
Correct Answer is ["1.2"]
Explanation
Toddler's weight: 26.4 lb
1 lb = 0.453592 kg (conversion factor)
Weight in kilograms = 26.4 lb × 0.453592 kg/lb ≈ 11.979 kg
Calculate the total dosage based on the toddler's weight:
Total dosage = 10 mg/kg × 11.979 kg
≈ 119.79 mg
Determine the volume of acetaminophen solution needed based on the concentration provided: Available concentration: 80 mg/0.8 mL
Dosage required: 119.79 mgUsing the formula:
Volume (mL) = Dosage required (mg) / Concentration (mg/mL)
= 119.79 mg / 80 mg/0.8 mL
≈ 1.2 mL
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