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.

Answer and Explanation

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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Correct Answer is C

Explanation

Choice A reason: One 5-mg tablet provides only 5 mg, far below the 15 mg ordered; this underdose fails to control hypertension effectively, risking cardiovascular complications like stroke or heart failure.

Choice B reason: Two tablets yield 10 mg, still short of 15 mg; this insufficient dose wouldn’t achieve therapeutic blood pressure reduction, leaving the patient at risk for hypertensive damage.

Choice C reason: Three 5-mg tablets equal 15 mg, matching the order precisely; this dose effectively inhibits angiotensin-converting enzyme, lowering blood pressure to a therapeutic range safely.

Choice D reason: Four tablets deliver 20 mg, exceeding the order; this overdose could cause hypotension, dizziness, or renal impairment due to excessive ACE inhibition beyond therapeutic needs.

A. Place the tablet in the patient's mouth next to the cheek. B. Have the patient swallow the tablet with a sip of water. C. Crush the tablet and dissolve it in a teaspoon of water. D. Place the tablet under the patient's tongue.

Correct Answer is D

Explanation

Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.

Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.

Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.

Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.

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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?

Nursing Test Bank

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