After instruction on medication administration, which statement by the student nurse indicates that they have understood the proper procedures for administering medications?
I will ensure the tablet is the same color as the tablets the client takes at home.
I will only ask the client's name to verify I have the right client.
I will give HS medications each morning.
I will be sure to check for the right dose of medication.
The Correct Answer is D
A. I will ensure the tablet is the same color as the tablets the client takes at home.: Tablet color can vary between manufacturers, even for the same medication and dosage. Relying on color for verification is unsafe and can lead to medication errors; nurses must always verify the label and order instead.
B. I will only ask the client's name to verify I have the right client.: Using only the client’s name fails to meet the safety standard for patient identification. At least two identifiers, such as name and date of birth or medical record number, must be used to ensure accurate patient verification.
C. I will give HS medications each morning.: HS stands for “at bedtime,” so giving such medications in the morning represents a timing error. Administering medications at the wrong time can reduce therapeutic effectiveness or cause unintended side effects.
D. I will be sure to check for the right dose of medication.: Checking the correct dosage is one of the essential “rights” of medication administration. Verifying the dose helps prevent underdosing or overdosing and ensures safe and effective therapeutic outcomes for the client.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Capsule.: Most capsules should not be crushed because they are designed to release the drug in a specific way, such as extended or delayed release. Crushing or opening them can alter absorption, reduce effectiveness, or increase the risk of side effects.
B. Enteric-coated tablet.: Enteric-coated tablets must not be crushed as their coating protects the drug from stomach acid and prevents gastric irritation. Crushing removes this protective layer, causing premature drug release in the stomach and potential mucosal damage.
C. Buccal tablet.: Buccal tablets are formulated to dissolve slowly in the mouth for direct absorption through the oral mucosa. Crushing them would destroy their delivery mechanism and render them ineffective.
D. Scored tablet.: Scored tablets are specifically designed to be safely split or crushed when necessary. The score mark indicates that the medication can be divided without affecting its stability or pharmacologic properties.
Correct Answer is D
Explanation
A. 1 lb.: One pound is significantly less than one kilogram, as 1 lb equals approximately 0.45 kg. Using this conversion would result in underestimating a client’s weight, leading to potential medication dosing errors.
B. 22 lbs.: This value is far too high; 22 lbs equals roughly 10 kilograms. Such a miscalculation would cause a serious overdose if medication doses were calculated based on weight.
C. 0.22 lbs.: This figure underestimates the conversion by a factor of ten. One kilogram is much heavier than 0.22 lbs, and using this value could lead to dangerous underdosing of weight-based medications.
D. 2.2 lbs.: One kilogram equals 2.2 pounds, which is the correct conversion. This standard ratio is essential for accurate medication calculations, particularly in pediatrics and clinical settings where weight-based dosing is required.
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