A nurse is administering medication to a patient with a known allergy to penicillin. Which right of medication administration is being violated if the nurse proceeds?
Right medication
Right dose
Right time
Right client
The Correct Answer is A
A. Right medication: Administering a penicillin-containing medication to a patient with a known allergy violates the right medication. Ensuring the correct medication includes verifying that it is safe for the client, taking into account allergies, contraindications, and potential adverse reactions.
B. Right dose: The right dose refers to giving the correct amount of a medication prescribed. In this scenario, the issue is not the amount but the type of medication, so the right dose is not violated.
C. Right time: The right time ensures medications are given at the prescribed schedule to maintain therapeutic effect. Administering penicillin to an allergic patient is unrelated to timing.
D. Right client: The right client ensures the medication is given to the correct patient. While critical, in this scenario, the patient receiving the medication is correct; the violation relates to the safety of the specific medication, not client identification.
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Related Questions
Correct Answer is B
Explanation
A. Graduated cylinder and a funnel: While a graduated cylinder can measure liquid medications, a funnel is not practical for nasogastric tube administration and may increase the risk of spillage or contamination.
B. Syringe without a needle: A syringe without a needle is essential for safely delivering medications through a nasogastric tube. It allows controlled administration directly into the tube without causing injury or clogging.
C. Needle and syringe: Needles are not used for nasogastric tube administration because they can damage the tube and pose a risk of injury; medication should be delivered directly via the syringe.
D. Pill crusher and a stethoscope: A pill crusher may be used to prepare solid medications for tube administration, but a stethoscope is unnecessary for the act of administering medication itself. The syringe is the primary equipment needed.
Correct Answer is C
Explanation
A. 1 mg = 100 mcg: One milligram equals 1,000 micrograms, not 100. Using 100 would underestimate the dose by tenfold, potentially leading to medication errors.
B. 1 mcg = 1,000 mg: One microgram is much smaller than a milligram; 1 mcg equals 0.001 mg. This option greatly overstates the amount, which could result in dangerous dosing errors.
C. 1 mg = 1,000 mcg: One milligram is equal to 1,000 micrograms. This is the correct conversion and is essential for accurate medication calculations, particularly for drugs that require very small doses.
D. 1 mcg = 100 mg: One microgram is far smaller than a milligram; this option reverses the relationship and exaggerates the amount, which is unsafe for clinical dosing.
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