Which of the following best explains why a nurse should review the MAR before administering medications?
The correct administration time of the medication
All previous medication errors
The name of the pharmacist who prepared the medication
Orders for therapy
The Correct Answer is A
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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Related Questions
Correct Answer is D
Explanation
A. Demerol (meperidine HCL) 50 mg, IM, prior to surgery.: This order specifies administration before surgery, which serves as its clear endpoint. It is a single preoperative dose and therefore has a defined termination point.
B. Mevacor (lovastatin) 10 mg, po, every 12 hours for 7 days.: The inclusion of “for 7 days” provides a definite duration, meaning the order will automatically terminate after the specified treatment period ends.
C. Lasix (furosemide) 40 mg, IV, STAT.: A STAT order is intended for immediate, one-time administration, so it has an inherent termination after that single dose is given.
D. Motrin (ibuprofen) 400 mg, po, daily.: This order does not specify a stop date or duration of therapy, meaning it would continue indefinitely until changed or discontinued by the provider. It is therefore written without a termination.
Correct Answer is B
Explanation
A. Determine your opinion of the best route for giving the medications: The nurse must always follow the prescribed route as ordered by the healthcare provider to ensure therapeutic effectiveness and patient safety.
B. Chart only those medications that she or he personally gave the patient: Each nurse is responsible for documenting only the medications they personally administer, maintaining accountability and accurate medical records.
C. Chart all the medications given for the day at one time: Medications should be documented immediately after administration, not in bulk, to prevent omissions or duplications.
D. Chart medications before administering them: Documenting before administration can lead to serious errors if the medication is withheld or refused by the patient.
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