A nurse is administering medication to a patient using bar code scanning technology. What is the first step to ensure safe medication administration according to the Six Rights?
Administer the medication immediately after scanning the bar code.
Report any medication concerns to the pharmacist.
Check the drug label for storage instructions.
Verify the right patient using two identifiers.
The Correct Answer is D
Rationale:
A. Administer the medication immediately after scanning the bar code: Administering without confirming the patient could result in a medication error. Scanning alone does not replace patient verification.
B. Report any medication concerns to the pharmacist: While reporting concerns is important, this step occurs after identifying issues, not as the initial action to ensure safe administration.
C. Check the drug label for storage instructions: Checking storage conditions ensures medication integrity but does not verify the patient or prevent administration errors.
D. Verify the right patient using two identifiers: Confirming the patient’s identity using two identifiers (such as name and date of birth) is the first critical step in the Six Rights of medication administration. This ensures the correct patient receives the correct medication and prevents errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. The medication's effectiveness is not affected by liver function: Medications with a high first-pass effect are significantly metabolized by the liver, so liver function directly affects their bioavailability and effectiveness.
B. The medication should be given at bedtime to minimize side effects: Timing may be relevant for side effects but does not address the core issue of first-pass metabolism affecting drug levels.
C. The medication should be administered with food to enhance absorption: Food can affect absorption for some drugs, but first-pass metabolism primarily impacts the fraction of the drug reaching systemic circulation, regardless of food intake.
D. The medication may require a higher oral dose to achieve the desired effect: Because a large portion of the drug is metabolized in the liver before reaching systemic circulation, oral doses often need to be higher than parenteral doses to achieve therapeutic levels. Understanding this is critical for accurate dosing and effectiveness.
Correct Answer is C
Explanation
Calculation:
Ordered Dose = 750 mg
Available Dose = 250 mg
Available Volume = 2 mL
Volume to administer = (Ordered Dose / Available Dose) × Available Volume
= (750 / 250) × 2
= 3 × 2
= 6 mL
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