A nurse is preparing to administer an oral medication. Which of the following is the priority safety steр?
Ask the patient if they want to take the medication.
Identify the patient using two identifiers.
Tell the patient the medication is safe.
Verify the medication with another nurse.
The Correct Answer is B
A. Ask the patient if they want to take the medication: While obtaining the patient’s cooperation is important, it does not ensure that the right patient receives the correct medication. Patient preference cannot substitute for proper identification and safety checks.
B. Identify the patient using two identifiers: Correct patient identification using two unique identifiers, such as name and date of birth, is the most critical safety step before administering any medication. It prevents medication errors and ensures that the drug reaches the intended recipient.
C. Tell the patient the medication is safe: Providing reassurance is important for patient comfort, but it does not guarantee safety. Safety is ensured through verification of the medication, dose, and patient identity before administration.
D. Verify the medication with another nurse: Double-checking is essential for high-risk medications, but for routine oral medications, the initial priority is accurate patient identification. Verification with another nurse is secondary to confirming the correct patient.
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Related Questions
Correct Answer is B
Explanation
Calculation:
- Calculate the volume in milliliters (mL) to administer.
Ordered Dose (D) = 10 mEq
Available Dose (H) = 20 mEq
Quantity (Q) = 15 mL
Volume (mL) = (Dose Ordered (D) / Dose Available (H)) x Quantity (Q)
= (10 mEq / 20 mEq) x 15 mL
= 0.5 x 15 mL
= 7.5 mL
- Convert the volume from milliliters (mL) to teaspoons (tsp).
Volume in mL = 7.5 mL
Conversion factor: 1 teaspoon (tsp) = 5 mL
Volume (tsp) = Volume in mL / Conversion factor
= 7.5 mL / 5 mL/tsp
= 1.5 teaspoons (or 1 1/2 teaspoons)
Correct Answer is D
Explanation
A. The units of measurement on drug labels help to identify the strength of the drug: Units on labels indicate the precise amount or potency of a medication, which guides safe and accurate dosing for therapeutic effect.
B. The unit of measurement labeled "unit" expresses the biological activity of the drug: Some medications, such as insulin and heparin, are measured in units to reflect their biological activity rather than weight or volume, which is accurate.
C. The mL, L, and meter are units of measurement found in the metric system: Milliliters, liters, and meters are standard metric units for volume and length, commonly used in medication administration and clinical measurements.
D. The mEq unit of measurement has the same concentration of solution as the mcg: Milliequivalents (mEq) measure chemical activity or ion concentration, whereas micrograms (mcg) measure mass. These units are not equivalent, so this statement requires clarification.
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