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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: An ID number alone lacks context; without name confirmation, it risks mismatching if wristbands are swapped, missing a critical identity check.
Choice B reason: Name alone may coincide with common names; without a unique identifier like a hospital number, this method risks errors in a busy unit.
Choice C reason: Name and hospital number provide dual identifiers; this matches the MAR precisely, ensuring accuracy for an unconscious patient per safety standards.
Choice D reason: Calling an unconscious patient is futile; they can’t respond, making this impractical and unreliable compared to objective wristband verification.
Correct Answer is A
Explanation
Choice A reason: Deltoid and vastus lateralis are large muscles with good vascularity; they safely absorb IM injections, minimizing nerve damage or tissue irritation risks.
Choice B reason: Chest and abdomen lack sufficient muscle mass for IM; these are subcutaneous or IV sites, risking poor absorption or injury if used intramuscularly.
Choice C reason: Forearm and scapula are too thin or bony; IM injections here risk nerve or bone damage, lacking the muscle bulk needed for safe drug delivery.
Choice D reason: Lower leg (e.g., calf) has small muscles and major vessels; IM use risks vascular injury or slow absorption, making it an unsafe injection site.
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