A nurse is preparing to administer medications to a client. At which point should the nurse perform the final verification of the medication to ensure safe administration?
In the medication storage room while selecting the medication
At the time of documentation after administering the medication
At the nurse's station while reviewing the provider's prescription
At the client's bedside immediately before giving the medication
The Correct Answer is D
A. In the medication storage room while selecting the medication: Verifying the medication in the storage area is an important initial check, but it does not confirm the correct client or final safety considerations. Errors can still occur if the final check is not performed at the bedside.
B. At the time of documentation after administering the medication: Documentation after administration records the event but does not prevent errors during administration. Verification at this point is too late to ensure safety.
C. At the nurse's station while reviewing the provider's prescription: Reviewing orders at the nurse’s station helps with preparation, but it does not verify the correct medication, dose, or route for the specific client at the time of administration.
D. At the client's bedside immediately before giving the medication: The final verification at the bedside ensures the “five rights” of medication administration—right client, right drug, right dose, right route, and right time—are confirmed immediately prior to administration. This is the safest practice to prevent errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Calculation:
- Identify the conversion factor
1 cup = 240 mL
- Calculate the equivalent
Cups = 240 ÷ 240
= 1
Correct Answer is C
Explanation
A. To provide additional electrolytes during imbalance correction: While IV fluids may contain electrolytes, bolus administration is not typically used to correct gradual electrolyte imbalances. Electrolyte replacement is usually done more slowly to avoid complications like hypernatremia or hyperkalemia.
B. To maintain normal blood pressure in hypertensive patients: Bolus IV fluids are not indicated for managing hypertension. Rapid fluid administration could worsen blood pressure control in these patients.
C. To rapidly replace fluid loss due to dehydration or trauma: A large-volume IV bolus delivers fluids quickly to restore intravascular volume, improve perfusion, and prevent shock. This intervention is essential in acute dehydration, hemorrhage, or trauma to stabilize hemodynamics.
D. To treat hypothermia by warming the body rapidly: Warming fluids may assist in hypothermia management, but the primary purpose of a bolus is volume expansion, not rapid temperature correction. Warming alone is addressed separately.
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