A nurse is preparing to administer medications to a client. At which of the following times should the nurse compare the medication administration record and the medication label? (Select all that apply.)
At the end of the shift
When removing the medication from the medication drawer
Directly before administering the medication
When reconciling counts of controlled substances
When preparing the medication dosage
Correct Answer : B,C,E
A. At the end of the shift is incorrect. Medication verification is done before administration, not at the end of the shift.
B. When removing the medication from the medication drawer is correct. This is the first check to ensure the correct medication is selected.
C. Directly before administering the medication is correct. This is the final check to verify that the correct medication, dose, route, and time match the prescription before giving it to the client.
D. When reconciling counts of controlled substances is incorrect. While controlled substances require counting and verification, this is separate from the three medication checks performed during administration.
E. When preparing the medication dosage is correct. This is the second check, ensuring that the correct medication and dose are prepared accurately before administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bowel cleansing is often required prior to an intravenous pyelogram to remove fecal matter that can obscure visualization of the urinary tract. A clear field improves the accuracy of imaging and helps ensure diagnostic quality.
B. Removing metal objects is important for procedures such as MRI or X-rays of certain areas, but it is not the primary preparation specific to an intravenous pyelogram. The focus is on visualization of the urinary system using contrast.
C. Intravenous pyelogram involves the administration of contrast dye intravenously, not orally. Giving oral contrast is associated with gastrointestinal imaging studies, not urinary tract imaging.
D. Monitoring for suprapubic pain is not a routine or priority nursing action specific to this procedure. Post-procedure care focuses more on monitoring for contrast reactions and ensuring adequate hydration.
Correct Answer is D
Explanation
A. Allowing space for three fingers is not a standard practice for tracheostomy ties. The ties should be snug but not overly tight, typically allowing for one or two fingers’ width to ensure proper fit and comfort.
B. A quick-release knot is not typically used for securing tracheostomy ties for safety reasons.
C. Extending the client's neck while securing the ties could cause discomfort and is not necessary.
D. This is the safest method to prevent accidental dislodgement of the tracheostomy tube. By securing the new ties first, the tracheostomy tube remains in place, reducing the risk of complications.
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