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: Promising instant relief is misleading; most drugs take time, and false expectations may erode trust, reducing cooperation in a toddler’s care.

Choice B reason: Calling it candy is unethical; it risks future candy confusion with drugs, potentially leading to accidental ingestion, unsafe for a 3-year-old.

Choice C reason: Confident explanation suits a toddler’s understanding; it builds trust, reduces fear, and ensures cooperation by clearly stating purpose and process age-appropriately.

Choice D reason: Firm insistence may scare a toddler; without explanation, it lacks reassurance, potentially increasing resistance and distress during medication administration.

A. Patient with a history of alcohol abuse and hepatitis C B. Patient with COPD and a 20 pack-year history of smoking C. Patient with type 2 diabetes and end-stage renal disease D. Patient with prostate enlargement and urinary frequency

Correct Answer is A

Explanation

Choice A reason: Alcohol and hepatitis C impair liver function; acetaminophen’s metabolite NAPQI accumulates, causing hepatotoxicity in an already compromised organ.

Choice B reason: COPD and smoking affect lungs, not liver; acetaminophen metabolism is minimally impacted, posing lower hepatic risk compared to liver disease states.

Choice C reason: Renal disease affects drug excretion, not liver metabolism; acetaminophen’s hepatic load is unchanged, making liver damage less likely here.

Choice D reason: Prostate issues involve urinary tract; liver metabolism of acetaminophen remains intact, with no heightened risk of hepatotoxicity from this condition.

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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

A hospitalized 3-year-old toddler is to receive an oral medication. For the most effective approach, the nurse should tell the child:

Correct Answer is C

Explanation

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Correct Answer is A

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