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 C
Explanation
Choice A reason: Recording at shift’s end risks memory errors or omissions; delayed documentation compromises accuracy and legal accountability for controlled substances and patient care.
Choice B reason: Pharmacy technicians don’t administer drugs; nurses document their own actions, ensuring responsibility and precision in the medication administration record.
Choice C reason: Immediate recording post-administration ensures accuracy, timeliness, and compliance with standards; it reflects real-time events, reducing errors in patient care documentation.
Choice D reason: Recording others’ actions is inaccurate and unethical; nurses must document only their administrations, maintaining individual accountability and patient safety.
Correct Answer is C
Explanation
Choice A reason: One 5-mg tablet provides only 5 mg, far below the 15 mg ordered; this underdose fails to control hypertension effectively, risking cardiovascular complications like stroke or heart failure.
Choice B reason: Two tablets yield 10 mg, still short of 15 mg; this insufficient dose wouldn’t achieve therapeutic blood pressure reduction, leaving the patient at risk for hypertensive damage.
Choice C reason: Three 5-mg tablets equal 15 mg, matching the order precisely; this dose effectively inhibits angiotensin-converting enzyme, lowering blood pressure to a therapeutic range safely.
Choice D reason: Four tablets deliver 20 mg, exceeding the order; this overdose could cause hypotension, dizziness, or renal impairment due to excessive ACE inhibition beyond therapeutic needs.
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