The responsibilities of the nurse regarding medication administration in the acute care setting include all except:
Having up-to-date knowledge about medications
Administering medications
Prescribing medications
Preparing medications
The Correct Answer is C
A. Having up-to-date knowledge about medications.: Nurses must maintain current knowledge of pharmacologic principles, including indications, contraindications, side effects, and interactions, to ensure safe and effective medication administration.
B. Administering medications.: Administering medications is a core nursing responsibility in the acute care setting. The nurse ensures the right drug, dose, route, time, and patient, while also monitoring for therapeutic effects and adverse reactions.
C. Prescribing medications.: Nurses generally do not prescribe medications unless they hold advanced practice roles with prescriptive authority, such as nurse practitioners. In most settings, prescribing is the responsibility of physicians or qualified prescribers.
D. Preparing medications.: Preparing medications accurately is part of the nurse’s role to ensure proper dosing and prevent administration errors. This includes verifying orders, calculating doses, and maintaining aseptic technique during preparation.
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Correct Answer is A
Explanation
A. Stating the name and action or use of each medication before administering it.: This approach promotes client education, safety, and informed participation in care. Explaining the name and purpose of each drug enhances understanding, fosters adherence.
B. Telling the client to swallow all the medications at once with a small sip of water.: Taking multiple pills together can increase the risk of choking or irritation of the esophagus. Some medications may also require separation or specific timing to prevent drug interactions.
C. Instructing the client they can leave their medications on their bedside table and take them whenever they would like.: Allowing unsupervised self-administration in a healthcare setting increases the risk of missed doses, accidental overdose, or medication mix-ups. Nurses must directly observe and verify each administration to ensure accuracy.
D. Advising the client to take each medication with 8 oz of water.: While adequate hydration is important, not all medications should be taken with a full glass of water. Some require administration on an empty stomach, with food, or with limited fluids to achieve proper absorption and effectiveness.
Correct Answer is A
Explanation
A. The correct administration time of the medication: Reviewing the Medication Administration Record (MAR) ensures accuracy in timing, dosage, route, and patient identity, preventing medication errors.
B. All previous medication errors: The MAR does not contain a record of prior medication errors; this information is found in incident reports or quality assurance logs.
C. The name of the pharmacist who prepared the medication: The MAR lists medications ordered and administered, not the individual pharmacist responsible for dispensing them.
D. Orders for therapy: Although the MAR may reflect therapeutic orders indirectly, its primary purpose is to guide safe and accurate medication administration.
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