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 B
Explanation
a) The Physician's Desk Reference (PDR) is a valuable resource but is primarily designed for physicians. It contains drug manufacturer information but may lack nursing-specific details like patient education, nursing interventions, and administration guidelines.
b) A Nurse's Drug Guide/Handbook is the best resource for nurses because it includes essential nursing considerations such as patient education, side effects, contraindications, nursing interventions, and administration tips.
c) A drug package insert provides useful information but is not comprehensive and does not include nursing-specific recommendations. It primarily contains manufacturer-provided details on indications, dosing, and warnings.
d) Drug Facts and Comparisons is a resource primarily used by pharmacists for comparing medications rather than providing nursing-focused drug information.
Correct Answer is D
Explanation
a) While men and women may metabolize drugs differently, this is not the primary reason why women are often excluded from Phase I drug trials.
b) Women are not necessarily more prone to adverse effects, but concerns about fetal exposure and reproductive risks have historically limited women's participation in early trials.
c) This statement is incorrect and misleading. Drug trials are not based on strength but rather on safety, ethical concerns, and risk of reproductive harm.
d) Phase I studies test drugs on healthy volunteers, and historically, women of childbearing age were excluded due to concerns about potential teratogenic effects and unknown risks to a developing fetus. Although regulations have changed, caution is still exercised when including women in early-stage drug trials.
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