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 B
Explanation
Choice A reason: 5 mL gives 125 mg; this underdoses the 175 mg order, reducing Ceclor’s antibacterial effect, risking persistent ear infection due to insufficient concentration.
Choice B reason: 7 mL is correct; 175 mg divided by 125 mg/5 mL equals 7 mL, delivering the exact cephalosporin dose for effective otitis media treatment.
Choice C reason: 10 mL provides 250 mg; this overdoses Ceclor, risking gastrointestinal upset or resistance, exceeding the therapeutic need for the infection safely.
Choice D reason: 14 mL yields 350 mg; this extreme overdose amplifies side effects like diarrhea or toxicity, far beyond the ordered 175 mg dose requirement.
Correct Answer is A
Explanation
Choice A reason: Tolerance reflects receptor desensitization or enzyme induction; higher doses compensate for reduced drug efficacy, a common pharmacological adaptation.
Choice B reason: Organ failure affects metabolism, not tolerance; tolerance is a cellular response, not solely a failure of liver or kidney drug clearance mechanisms.
Choice C reason: Stable dosing contradicts tolerance; if tolerance develops, efficacy drops, necessitating dose increases, not maintenance, to achieve therapeutic levels.
Choice D reason: Non-adherence may alter response, but tolerance occurs with consistent use; it’s a physiological adaptation, not a result of misuse or skipping doses.
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