Which of the following best describes the "right documentation" of medication administration?
Document the medication before giving it.
Document only if the patient refuses.
Document the medication only if it caused side effects.
Document after the medication is administered.
The Correct Answer is D
A. Document the medication before giving it: Documenting before administration risks recording a medication that may not actually be given, leading to errors and inaccurate medical records.
B. Document only if the patient refuses: Documentation is required for all administered medications, not just when a patient refuses, to ensure accurate tracking, legal compliance, and continuity of care.
C. Document the medication only if it caused side effects: Side effects must be documented, but documentation of the administration itself is always necessary, regardless of the patient’s reaction, to maintain an accurate record.
D. Document after the medication is administered: Recording the medication after administration ensures that the entry reflects an actual event, confirming that the patient received the correct drug, dose, route, and time. This practice aligns with safe and legal nursing standards.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Ondansetron 4 mg IVP stat: This is a standard antiemetic order with a clear dose, route, and timing. There is no ambiguity, so clarification is not required before administration.
B. Benadryl 50 mg PO PRN every 6 hr for itching: The dose, route, and frequency are clearly specified, and PRN parameters are provided. The order is safe to administer as written.
C. Enoxaparin 80 mg SUBQ every 12 hours: This is a typical prophylactic or therapeutic anticoagulant dose with a clear route and schedule. No immediate clarification is needed unless there are patient-specific concerns.
D. Regular insulin 5 u SUBQ now: Insulin orders, especially when written with “u” for units, carry a high risk of dosing errors. The nurse should clarify with the prescriber or pharmacy to confirm the dose and prevent potential hypoglycemia.
Correct Answer is D
Explanation
A. The tall man lettering helps to quickly identify that the drug is an injectable drug: Tall man lettering does not indicate the route of administration. Injectable and oral forms can both use tall man lettering if name confusion is possible.
B. The tall man lettering means that this drug contains a boxed warning: Boxed warnings are indicated separately on labeling and in the prescribing information, not by tall man lettering. Tall man lettering addresses name confusion, not risk level.
C. The tall man lettering means this is a high-alert drug: High-alert medications are identified by special warnings, not by tall man lettering. Tall man lettering specifically targets drugs with look-alike or sound-alike names.
D. The tall man lettering helps to distinguish this drug from other drugs that have similar names: Tall man lettering emphasizes differences in similar drug names (e.g., “predniSONE” vs. “prednisoLONE”) to prevent medication errors. This strategy is designed to reduce confusion and improve patient safety.
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