A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

When documenting the medication administration

Before selecting the medication container

While removing medication from the container

When providing client education about the medication

At the client's bedside before administering the medication

Answer and Explanation

Correct Answer : B,C,E

A.   Comparing the medication administration record with the medication container should occur before documentation to ensure accuracy.
B.   This step ensures that the nurse is administering the correct medication to the client.
C.   Comparing the medication against the administration record while removing it from the container helps prevent errors.
D.   While important, this step does not directly involve comparing the medication container with the administration record.
E.   Verifying the medication at the bedside ensures the right medication is given to the right patient at the right time.

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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

A. Despite the client reporting thirst and frequent urination, the client's urine specific gravity of 1.010 is within the normal range (1.005 to 1.030). The above symptoms could be associated with the hyperglycemia.
B. There is no indication of a pneumothorax in the nurse's notes or diagnostic results.

C. The casual glucose level of 300 mg/dL is significantly above the normal range (less than 200 mg/dL), indicating hyperglycemia.
D. The client’s WBC level is elevated, 11,500/mm3 (5,000 to 10,000/mm3) thus indicating an infection.

A. Allow the client to hear running water while attempting to void. B. Provide the client a bedpan while lying supine. C. Encourage fluid intake up to 1,000 mL daily. D. Insert an indwelling urinary catheter and connect it to gravity drainage.

Correct Answer is C

Explanation

A. While this technique can sometimes be helpful, it's not the first-line intervention for postoperative urinary retention. Encouraging fluids is a more fundamental step.

B. Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C. Encouraging fluids helps maintain adequate urine output, which is essential for preventing urinary retention after surgery. Dehydration can worsen the difficulty voiding.
D. Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.

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A nurse is preparing to administer prescribed medications to a client. According to the rights of medication administration, when should the nurse compare the medication administration record against the medication container? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record of a client who has a paralytic ileus. Exhibits Select words from the choices below to fill in each blank in the following sentence. The findings in the client's medical record indicate dropdown and dropdown

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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Correct Answer is C

Explanation

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