A nurse has prepared the 9:00 AM client medications for administration but is called off the unit briefly. Who can distribute these medications to clients?
A pharmacy technician.
The nurse who prepared them.
The head nurse.
Any licensed nurse (LPN or RN) assigned to the unit.
The Correct Answer is B
Choice A reason: Pharmacy technicians are not authorized to administer medications. Their scope involves preparation and dispensing under supervision, ensuring safety and compliance.
Choice B reason: Safe practice standards dictate that the preparing nurse administers the medications to ensure accuracy and accountability, minimizing potential errors.
Choice C reason: Delegating to the head nurse violates medication administration protocols, as accountability rests with the nurse who prepared the medications.
Choice D reason: Allowing other licensed nurses to distribute medications increases the risk of errors due to lack of firsthand knowledge of preparation specifics.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Waiting delays care; illegible orders risk errors, and timely clarification ensures the patient receives accurate treatment without unnecessary postponement.
Choice B reason: Direct prescriber contact resolves ambiguity; it ensures the order’s intent, aligning with safety protocols to prevent misinterpretation or harm.
Choice C reason: Colleagues may guess incorrectly; peer opinion lacks authority, risking errors in dosage or drug, compromising patient safety over prescriber intent.
Choice D reason: Patient recall is unreliable; home meds may differ from admission orders, and this doesn’t clarify the prescriber’s handwritten instruction accurately.
Correct Answer is B
Explanation
Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.
Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.
Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.
Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.
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