When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:
After showing the drug label to the client
Before returning the drug container to the client’s medication drawer
Before calling the pharmacy
After checking the drug container with a colleague
The Correct Answer is B
Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.
Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.
Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.
Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Blood indicates vascular entry; discarding prevents unintended IV delivery of an IM drug, avoiding rapid absorption risks and ensuring proper route administration.
Choice B reason: Giving with blood risks IV administration; IM drugs aren’t formulated for this, potentially causing embolism or toxicity, violating safety administration principles.
Choice C reason: Changing the needle leaves contaminated medication; blood-mixed drugs are unsafe, and this fails to address the compromised dose integrity fully.
Choice D reason: Omitting skips treatment needlessly; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.
Correct Answer is C
Explanation
Choice A reason: Body fat levels influence subcutaneous absorption but are not the primary reason for choosing IM over SC injection in this scenario.
Choice B reason: Needle size varies by medication and patient factors, but this is not the defining reason for selecting IM over SC injection.
Choice C reason: IM injections deliver medication directly to muscle tissue with a rich vascular supply, ensuring faster absorption and onset compared to subcutaneous administration.
Choice D reason: IM injections are not inherently safer for patients at risk of bleeding; they carry similar risks and require proper assessment before administration.
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