A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
At the end of the shift
When removing the medication from the medication drawer
Directly before administering the medication
When reconciling counts of controlled substances
When preparing the medication dosage
Correct Answer : B,C,E
A. At the end of the shift is incorrect. Medication verification is done before administration, not at the end of the shift.
B. When removing the medication from the medication drawer is correct. This is the first check to ensure the correct medication is selected.
C. Directly before administering the medication is correct. This is the final check to verify that the correct medication, dose, route, and time match the prescription before giving it to the client.
D. When reconciling counts of controlled substances is incorrect. While controlled substances require counting and verification, this is separate from the three medication checks performed during administration.
E. When preparing the medication dosage is correct. This is the second check, ensuring that the correct medication and dose are prepared accurately before administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Holding bottles of sterile solution with the label in the palm of the hand prevents the liquid from running down the side of the bottle and staining or obscuring the label if any fluid drips during pouring. This preserves the readability of medication or solution information.
B. Liquids should be poured into containers that are already placed inside the sterile field. Pouring liquids outside the sterile field requires moving the container into the field afterward, which risks breaking the sterile chain and contaminating the field.
C. A sterile field must be placed at or above the level of the nurse's waist. Anything below the waist is considered unsterile because it cannot be kept in the nurse's direct line of vision, increasing the risk of unobserved contamination.
D. When opening a sterile kit, the nurse must open the outermost flap away from the body first. Opening it toward the body forces the nurse to reach back over the open sterile contents later to open the remaining side and top flaps, which causes contamination by reaching over the sterile field.
Correct Answer is B
Explanation
A. Delivering a series of high-pitched sounds at random intervals is not related to the Weber's test.
B. Weber's testis performed by striking the tuning fork and placing it against the middle of the forehead. Ask the patient if the tone is equal in both ears. Diminution in the affected ear indicates sensorineural hearing loss.
C. Placing an activated tuning fork on the client's mastoid process is not part of the Weber's test.
D. Whispering a series of words softly into one ear is unrelated to the Weber's test; it's a test for assessing auditory acuity.
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