A nurse is administering medication at the bedside. Which of the following actions should be the first priority?

Establish the identity of the client

Document the administration of the medication

Recheck the medication label

Obtain orange juice for the client to take with the medication

Answer and Explanation

The Correct Answer is A

a. The first priority when administering medication is to ensure the right patient is receiving the correct drug. This follows the "rights" of medication administration, which include right patient, right drug, right dose, right route, and right time. Identifying the patient prevents medication errors.

b. Documentation is essential but should occur after administering the medication, not before confirming the correct patient and drug.

c. Rechecking the medication label is important, but it should be done before reaching the patient’s bedside. Once at the bedside, patient identification takes priority.

d. Obtaining orange juice may be necessary if the medication requires it, but ensuring the right patient receives the correct medication is the most critical initial step.

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Correct Answer is C

Explanation

A. The Drug Regulation and Reform Act focuses on expediting drug approval processes and does not specifically govern drug administration by nurses.

B. The FDA Amendments Act primarily expands the authority of the FDA over drug safety and post-marketing surveillance but does not directly regulate nursing drug administration.

C. Nurse Practice Acts (NPAs) are state laws that define the scope of nursing practice, including drug administration. These laws outline nurses' responsibilities, legal limitations, and requirements for safe medication administration.

D. The Controlled Substances Act regulates the manufacture, distribution, and classification of controlled substances but does not govern all aspects of drug administration by nurses.

A. Teaching the patient how to cope with therapy to ensure the best outcome. B. Providing therapy as well as medications. C. Evaluating the effectiveness of therapy. D. Altering the drug regimen to optimize outcome. E. Recommending appropriate over-the-counter medications to treat adverse effects of prescription drug therapy.

Correct Answer is ["A","C"]

Explanation

a) Teaching the patient how to cope with therapy is part of the nurse's responsibility to ensure the patient understands the treatment regimen, side effects, and how to manage any challenges, thus improving outcomes.

b) Providing therapy refers to administering medications, but nurses generally do not "provide therapy" in the broader sense (such as deciding what therapy a patient needs beyond the prescribed drug regimen).

c) Evaluating the effectiveness of therapy is the nurse's responsibility as part of the ongoing assessment. The nurse should monitor how well the drug is working and identify any adverse effects.

d) Altering the drug regimen is outside the nurse’s scope of practice. Nurses can suggest changes or communicate concerns, but altering drug regimens requires a healthcare provider’s approval.

e) Recommending over-the-counter medications for adverse effects is not within the nurse's scope unless advised by a healthcare provider. Nurses should guide patients based on provider orders and not independently suggest over-the-counter remedies.

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A nurse is administering medication at the bedside. Which of the following actions should be the first priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which law(s) govern all drug administration by nurses?

Correct Answer is C

Explanation

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Correct Answer is ["A","C"]

Explanation

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