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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Positioning the tablet next to the cheek alters absorption and delays onset. Sublingual placement ensures rapid effect.
Choice B reason: Swallowing bypasses sublingual absorption, reducing efficacy. The route is critical for desired therapeutic outcomes.
Choice C reason: Crushing and dissolving disrupts integrity, compromising rapid sublingual absorption. Proper administration maintains efficacy.
Choice D reason: Sublingual placement allows rapid dissolution and absorption via mucous membranes, ensuring swift therapeutic action.
Correct Answer is D
Explanation
Choice A reason: Blood pressure matters but isn’t primary; opioids rarely cause acute hypotension initially, and respiratory depression is a more immediate life-threatening risk.
Choice B reason: Temperature is unrelated; opioids don’t primarily affect fever, and this assessment doesn’t address the critical safety concern of opioid administration.
Choice C reason: Pulse is secondary; opioids may slow heart rate mildly, but respiratory suppression is the urgent risk, requiring priority monitoring before dosing.
Choice D reason: Respiratory rate is critical; opioids depress the brainstem, risking apnea, and assessing breathing ensures safety before administering this high-risk medication.
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