Which of these is the correct way for a nurse to document medication administration?
Record the drugs given during the shift before the shift ends.
Record the drugs given by the client's pharmacy technician.
Record the drugs immediately after administration to clients.
Record the drugs given by any member of the client-care team.
The Correct Answer is C
Choice A reason: Recording at shift’s end risks memory errors or omissions; delayed documentation compromises accuracy and legal accountability for controlled substances and patient care.
Choice B reason: Pharmacy technicians don’t administer drugs; nurses document their own actions, ensuring responsibility and precision in the medication administration record.
Choice C reason: Immediate recording post-administration ensures accuracy, timeliness, and compliance with standards; it reflects real-time events, reducing errors in patient care documentation.
Choice D reason: Recording others’ actions is inaccurate and unethical; nurses must document only their administrations, maintaining individual accountability and patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: 60 gtts/min assumes 100 mL in 100 minutes; this underestimates the 1-hour order, delivering Levaquin too slowly, risking subtherapeutic antibiotic levels.
Choice B reason: 100 gtts/min is correct; 100 mL over 1 hour (60 min) with 60 gtts/mL equals 6000 gtts total, divided by 60 minutes matches the ordered rate.
Choice C reason: 120 gtts/min overestimates; it implies 100 mL in 50 minutes, infusing too fast, potentially causing Levaquin-related side effects like tachycardia or irritation.
Choice D reason: 200 gtts/min is excessive; 100 mL in 30 minutes doubles the rate, risking toxicity or infusion reactions, far exceeding the 1-hour prescription safely.
Correct Answer is A
Explanation
Choice A reason: Respiratory depression from high morphine doses signals toxicity; opioids suppress the brainstem’s respiratory center, exceeding safe therapeutic levels at this extent.
Choice B reason: Allergic reactions involve immunity (e.g., rash, anaphylaxis); slowed breathing isn’t allergic, but a dose-dependent opioid effect on respiration.
Choice C reason: Idiosyncratic means unexpected (e.g., paradoxical excitement); respiratory depression is a predictable morphine overdose sign, not an unusual reaction.
Choice D reason: Therapeutic effects relieve pain; 8 breaths/minute is dangerously low, beyond intended analgesia, indicating a harmful, not beneficial, outcome.
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