The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?
At the end of her shift
Before she enters the room to give the medications
Immediately following administration of the medications
Whenever she has time
The Correct Answer is C
A. Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B. Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C. Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D. Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
B. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
C. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
D. To achieve the prescribed dose of 75 mg and since Lopressor is available in 50 mg tablets, the nurse should administer 1 tablet (50 mg) plus another half tablet to make up the remaining 25 mg, totaling 1.5 tablets.
Correct Answer is B
Explanation
A. Trouble sleeping the previous night may not be directly related to the decision to withhold antihypertensive medication.
B. Dizziness when ambulating could indicate hypotension, which can be exacerbated by antihypertensive medication. The nurse should collect further data to ensure the patient's blood pressure is safe for medication administration.
C. Urine output is important to monitor but does not directly indicate a need to withhold antihypertensive medication unless associated with other symptoms.
D. Eating 60% of breakfast does not indicate a need to collect further data before administering antihypertensive medication.
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