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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Phase III clinical trials involve large groups of human participants and focus on confirming the drug's effectiveness and monitoring for adverse effects. The nurse plays a key role in observing and documenting any side effects experienced by the patients.
b) Working with animals is part of preclinical trials, not phase III studies. By the time a drug reaches phase III, it has already undergone animal testing.
c) While data collected in phase III trials contribute to determining a drug’s effectiveness, the decision-making is primarily done by researchers and regulatory agencies, not individual nurses.
d) Selection of appropriate clients for a drug study is generally determined by researchers and trial coordinators based on inclusion and exclusion criteria, rather than by nurses directly.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
