A nurse is preparing to administer a prescription drug to a client. Which of the following actions should the nurse take first?
Check the expiration date of the drug
Compare the drug label with the MAR
Verify the client's identity using two identifiers
Explain the purpose and side effects of the drug
The Correct Answer is C
Correct answer: c) Verify the client's identity using two identifiers
Rationale: The first action that the nurse should take before administering any medication is to verify the client's identity using two identifiers, such as name and date of birth, to ensure that the right medication is given to the right client. This is one of the six rights of medication administration that help prevent medication errors and promote client safety.
Incorrect choices:
a) Check the expiration date of the drug: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should check the expiration date after comparing the drug label with the MAR and before opening the drug container.
b) Compare the drug label with the MAR: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should compare the drug label with the MAR after verifying the client's identity and before checking the expiration date.
d) Explain the purpose and side effects of the drug: This is an important action that the nurse should take before administering any medication, but it is not the first action. The nurse should explain the purpose and side effects of the drug after checking the expiration date and before administering the drug.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Correct answer: d) All of the above.
Rationale: Schedule II drugs are highly regulated by the federal Controlled Substances Act and require a new written prescription for each refill. Morphine sulfate can cause nausea and vomiting, so taking it with food may help prevent these adverse effects. Morphine sulfate is also a potential drug of abuse and diversion, so it should be stored securely and disposed of properly when no longer needed.
Incorrect choices:
a) "You will need a new written prescription from your provider every time you need a refill.": This is correct, but not the only information the nurse should include in the teaching.
b) "You can take this medication with or without food, depending on your preference.": This is correct, but not the only information the nurse should include in the teaching.
c) "You should store this medication in a locked cabinet away from children and pets.": This is correct, but not the only information the nurse should include in the teaching.
Correct Answer is D
Explanation
Correct answer: d) "I should use over-the-counter drugs instead of prescription drugs if I have pain."
Rationale: This statement indicates a need for further teaching, as over-the-counter drugs can also be abused or misused and cause harm to the client. The client should consult with their provider before taking any medications for pain and follow the directions carefully. The client should also use nonpharmacological methods for pain relief, such as relaxation techniques, massage, or ice packs.
Incorrect choices:
a) "I should avoid situations or people that trigger my urge to use drugs.": This statement indicates an understanding of the teaching, as avoiding triggers is one of the prevention and education strategies for substance abuse.
b) "I should seek professional help if I have signs of depression or anxiety.": This statement indicates an understanding of the teaching, as seeking professional help is one of the prevention and education strategies for substance abuse. Depression and anxiety are common co-occurring disorders with substance abuse and can increase the risk of relapse.
c) "I should join a support group or a 12-step program to stay sober.": This statement indicates an understanding of the teaching, as joining a support group or a 12-step program is one of the prevention and education strategies for substance abuse. Support groups and 12-step programs can provide peer support, guidance, and accountability for clients who are recovering from substance abuse.
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