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: 610 mL omits ice cream (120 mL); total is 120 + 120 + 260 + 90 + 120 = 710 mL; this undercalculation misses a key liquid intake component.
Choice B reason: 710 mL sums all: 120 (juice) + 120 (milk) + 260 (coffee) + 90 (ice pop) + 120 (ice cream); melted solids count as fluid, matching clinical standards.
Choice C reason: 810 mL overestimates; no additional fluids are listed beyond 710 mL; this error likely adds non-existent intake, skewing the total inaccurately.
Choice D reason: 910 mL vastly exceeds reality; it may double-count or invent fluids; only 710 mL is supported by the listed consumption data provided.
Correct Answer is C
Explanation
Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.
Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.
Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.
Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.
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