A nurse has prepared the 0900 dose of medication and is called to another patient's room for a cardiac arrest.
Who may administer the medication?
The charge nurse.
Only the nurse who prepared them.
Any RN or LPN on the unit who is familiar with the patient and their condition.
The pharmacy technician.
Correct Answer : A,C
Choice A rationale
The charge nurse, by virtue of their leadership role and oversight of unit operations, is typically authorized to ensure patient safety and continuity of care. This includes re-verifying and administering medications in urgent situations when the preparing nurse is unavailable, adhering to established protocols and double-checking the medication before administration to prevent errors.
Choice B rationale
Limiting medication administration solely to the preparing nurse could delay critical treatment, especially during emergencies. While optimal, this practice is superseded by the need for timely patient care and adherence to a "second nurse check" policy, which enhances safety by having an additional qualified professional verify the medication.
Choice C rationale
Any licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN) on the unit, if familiar with the patient and their condition, possesses the scope of practice and clinical competency to administer medications. This ensures patient safety through appropriate verification, patient identification, and adherence to the "rights" of medication administration, maintaining continuity of care.
Choice D rationale
Pharmacy technicians are not licensed healthcare professionals authorized to administer medications directly to patients. Their scope of practice is limited to preparing, packaging, and distributing medications under the supervision of a licensed pharmacist, lacking the clinical assessment and administration privileges of nursing staff.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["5"]
Explanation
Step 1 is: Calculate the volume to administer. 75 mg ÷ (15 mg/mL) = 5 mL.
Correct Answer is B
Explanation
Choice A rationale
Metabolism is primarily carried out by the liver, involving enzymatic biotransformation of drugs into more hydrophilic metabolites for excretion. While liver function can be impacted by systemic illness, renal failure's direct effect on drug metabolism is less significant than its impact on elimination. The liver's cytochrome P450 system typically remains functional.
Choice B rationale
Excretion is the primary elimination pathway for many drugs and their metabolites, mainly via the kidneys. In end-stage renal disease, glomerular filtration rate and tubular secretion are severely impaired, leading to accumulation of drugs and their toxic metabolites, necessitating dose adjustments or alternative elimination methods. Normal creatinine clearance is 80-120 mL/min.
Choice C rationale
Absorption refers to the movement of a drug from its administration site into the bloodstream. While renal failure can indirectly affect absorption through gastrointestinal changes (e.g., uremia-induced nausea), it is not the primary pharmacokinetic phase directly compromised by impaired kidney function. Bioavailability might be altered but not the fundamental absorption process.
Choice D rationale
Distribution involves the reversible movement of a drug from the systemic circulation into the interstitial and intracellular fluids. Renal failure can impact drug distribution due to fluid imbalances, altered protein binding (e.g., hypoalbuminemia), and changes in tissue perfusion, but it is not the most significant or direct pharmacokinetic impairment compared to excretion.
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