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 B

Explanation

A. Duration of action refers to the length of time a drug remains effective after reaching the MEC, but it does not describe the time required to reach this threshold.

B. Onset of action is the time it takes for a drug to reach the minimum effective concentration (MEC) and begin producing a therapeutic effect. This is influenced by factors such as drug absorption and distribution.

C. Peak action time refers to the time at which the drug reaches its highest concentration in the bloodstream, not the time required to reach the MEC.

D. The time response curve is a graphical representation of a drug's effects over time but does not specifically define the time needed to reach the MEC.

A. Ask the pharmacist if the drug may be crushed. B. Crush the tablet and mix it with pudding. C. Insist that the tablet must be chewed as ordered. D. Request a liquid form of the medication from the pharmacy.

Correct Answer is A

Explanation

a) The safest action is to consult the pharmacist to determine if the chewable tablet can be crushed without affecting its efficacy or safety. Some chewable tablets must be chewed for proper absorption, while others may be safely crushed.

b) Crushing the tablet without verifying its safety could alter the drug's effectiveness or cause adverse effects, so it should not be done without confirmation.

c) Insisting that the tablet be chewed disregards the child’s potential difficulty with chewing, which may lead to refusal or improper administration.

d) Requesting a liquid form could be an alternative, but it is not the immediate next step. Some medications may not be available in liquid form, so checking with the pharmacist first is the appropriate action.

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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

The nurse understands that the length of time needed for a drug to reach the minimum effective concentration (MEC) is the

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