A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

Ask another nurse to check the medication dosage prior to administration.

Verify a written order with the medication administration record.

Use two client identifiers prior to administering the medication.

Document the full name of the prescribed medication after administration.

Answer and Explanation

The Correct Answer is C

A- Confirming with another nurse ensures right dosage is not necessary. Dosage should be confrimed with the prescription and proper calculation

B-Verification with the administration record ensures that the prescribed medication is the one given. This is important as it ensures that the client receives the right medications for the illness. However, it is not part of the rights of medication administration

C-Use of 2 identifiers ensures right client which is part of the rights of medication administration

D-Documenting full names is important for record-keeping but not part of the rights of medication administration

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Correct Answer is A

Explanation

Nifedipine is a calcium channel blocker is used in the management of hypertension. It leads to vasodilation of blood vessels lowering blood pressure. Nifedipine is a calcium channel blocker commonly used to treat hypertension and angina. Therefore, the nurse should assess the client's blood pressure prior to administering nifedipine to ensure that it is within the therapeutic range and not too low, as nifedipine can cause hypotension (as a side effect.

B,C, D- Nifedipine has no effect on respiratory rate, temperature and oxygen saturation

A. Blood pressure 140/86 mm Hg B. Temperature 37.50 C (99.50 F) C. Heart rate 65/min D. Respiratory rate 10/min

Correct Answer is D

Explanation

Respiratory rate of 10/min indicates respiratory depression which a potential adverse effect of morphine. Opioids suppress the central respiratory centers leading to respiratory depression. Use of two opioids increases their levels in blood raising the risk of respiratory depression even higher which is fatal.
A.- Elevated blood pressure is not directly related to morphine use . Could be an indication of pain
B.-Normal temperature
C.-Normal heart rate

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A nurse is preparing to administer a medication to a client. Using the rights of medication administration. Which of the following actions should the nurse take to ensure the right medication is administered to the client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a prescription for nifedipine. Which of the following findings should the nurse assess prior to administration of the medication?

Correct Answer is A

Explanation

A nurse is caring for a client who received a dose of IV morphine for pain. Which of the following vital signs indicates the client is having an adverse reaction to the medication?

Correct Answer is D

Explanation

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