A nurse is preparing to administer a tablet to the patient. When should the nurse remove the medication from its unit dose package?

In the medication room

Outside the door to the patient’s room

At the medication cart

At the patient’s bedside

Answer and Explanation

The Correct Answer is D

Choice A reason: Removing in the medication room risks mix-ups; tablets could be dropped or misidentified before reaching the patient, compromising the three-check safety protocol.

Choice B reason: Outside the door is premature; without the patient present, verification against the MAR is incomplete, increasing error risk before final identity confirmation.

Choice C reason: At the cart is too early; medication stays packaged until bedside to ensure the right patient, right drug match, reducing handling errors or contamination.

Choice D reason: Bedside removal allows final MAR check with patient ID; it ensures accuracy, prevents mix-ups, and aligns with safety standards for administering oral medications.

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Correct Answer is C

Explanation

Choice A reason: Toxic effects involve overdose symptoms like coma; staying awake isn’t toxicity, as Nembutal’s sedative intent is reversed, not exaggerated, in this reaction.

Choice B reason: Drug allergy causes immune responses (e.g., rash); insomnia isn’t allergic, but a paradoxical effect, differing from hypersensitivity reactions entirely.

Choice C reason: Idiosyncrasy is an unexpected reaction; Nembutal, a barbiturate, should sedate, but wakefulness is an abnormal, individual response, fitting this category precisely.

Choice D reason: Tolerance reduces efficacy over time; this acute, opposite reaction to a sedative isn’t tolerance, but an immediate, unpredictable drug response.

A. Administer the two insulins using different syringes and different sites of the body. B. Mix the Regular and NPH in the same syringe, drawing up the Regular first. C. Shake the bottles vigorously before drawing up the insulins. D. Mix the Regular and NPH in the same syringe, drawing up the NPH first.

Correct Answer is B

Explanation

Choice A reason: Separate syringes increase injection sites and patient discomfort; mixing is standard as Regular and NPH are compatible, optimizing insulin delivery efficiency and absorption.

Choice B reason: Drawing Regular (clear) before NPH (cloudy) in one syringe prevents contamination of the short-acting vial with the intermediate-acting insulin, ensuring accurate dosing and stability.

Choice C reason: Shaking insulin damages its structure; NPH requires gentle rolling to mix, while Regular needs no mixing, making vigorous shaking inappropriate for preparation.

Choice D reason: Drawing NPH first risks contaminating the Regular vial with NPH particles, altering its rapid action; the clear-to-cloudy sequence maintains insulin integrity and efficacy.

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A nurse is preparing to administer a tablet to the patient. When should the nurse remove the medication from its unit dose package?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

After receiving Nembutal PO at bedtime, a client is wide awake all night instead of going to sleep. What kind of adverse reaction to a drug does this situation represent?

Correct Answer is C

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Correct Answer is B

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