Some of the rights of medication administration are: Select all that apply.
Right Time
Right Pharmacy
Right Patient
Right Route
Right Color
Correct Answer : A,C,D
A. Right Time.: Administering medication at the correct time ensures that therapeutic drug levels are maintained and treatment effectiveness is achieved. Timing is especially critical for antibiotics, insulin, and pain medications to prevent complications or loss of efficacy.
B. Right Pharmacy.: While obtaining medications from a reliable pharmacy is important, it is not one of the official “rights” of medication administration. The rights focus on safe nursing practices during medication delivery rather than procurement sources.
C. Right Patient.: Verifying the right patient prevents administration errors and potential harm. This is typically done by checking at least two identifiers, such as the client’s full name and date of birth, before giving any medication.
D. Right Route.: Ensuring the correct route of administration (e.g., oral, IV, IM) guarantees that the medication reaches the intended site of action. Administering a drug via the wrong route can alter absorption and lead to serious adverse effects.
E. Right Color.: The color of a medication is not part of the medication administration rights. Color can vary among brands and formulations, and relying on appearance instead of proper verification increases the risk of medication errors.
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Related Questions
Correct Answer is D
Explanation
A. Enteric coated baby Aspirin.: Enteric-coated tablets are designed to dissolve in the small intestine rather than the stomach to prevent gastric irritation. Crushing or breaking them destroys this coating, leading to stomach upset and reducing the drug’s intended protective effect.
B. XR Depakote capsule.: XR (extended-release) formulations are made to release the drug gradually over time. Crushing or opening these capsules disrupts the time-release mechanism, resulting in rapid absorption, possible toxicity, and loss of therapeutic control.
C. Gabapentin capsule.: Gabapentin capsules should not be opened or crushed, as doing so alters drug stability and can cause mucosal irritation. The nurse should request a liquid formulation if the patient cannot swallow capsules safely.
D. Scored Tylenol tablet.: Scored tablets are specifically designed to be safely split or crushed without altering drug absorption or efficacy. Dividing a scored Tylenol tablet allows for easier swallowing and accurate dosing, making it appropriate for patients with swallowing difficulties.
Correct Answer is A
Explanation
A. Call the physician and have the order clarified: Ambiguous or unclear medication orders must always be clarified directly with the prescribing provider to prevent medication errors and ensure patient safety.
B. Administer the medication twice a day and as needed: Giving medication without clarification risks overdose or underdose due to unclear dose range.
C. Talk to the unit secretary on the floor who is good at reading the physician's handwriting: Only the prescriber can legally clarify or change an order, not clerical staff.
D. Consult a pharmacist to interpret the order: While pharmacists can offer guidance, they cannot confirm intent; the prescriber must clarify the specific dose and frequency.
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