A nurse manager is reviewing with the nurse measures used to prevent medication errors. Which of the following statements indicates a correct understanding of steps used to prevent medication errors?
"I will ask the patient if he or she has the name that I will read off of the eMAR."
"I will have the pharmacist calculate all medication dosages."
"I will check the label once against the eMAR or MAR as I remove the medication from the container."
"I will do my best to interpret illegible handwriting to administer the medication on time and then clarify the order the next time the health care provider makes rounds."
"I will shut the door of the medication room when I am preparing medications."
The Correct Answer is E
A. Asking the patient to confirm their name is insufficient. The nurse should use at least two identifiers (e.g., full name and date of birth) instead of just reading the name aloud.
B. Nurses—not pharmacists—are responsible for independently calculating and verifying dosages before administration.
C. The nurse should check the medication label three times (when removing, before preparing, and at the bedside), not just once.
D. Interpreting illegible handwriting is unsafe. The nurse must clarify immediately with the prescriber before giving the medication.
E. Closing the door of the medication room helps minimize distractions and interruptions, reducing the risk of medication errors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. A 22-year-old adult would typically have IV access placed in the veins of the upper extremities (hand or forearm), not the foot.
B. A 50-year-old patient would not be an appropriate candidate for a foot IV, as peripheral veins in the arms are preferred and safer.
C. A 2-year-old child is correct because the dorsal venous plexus of the foot is often used in infants and young children when veins in the hands or arms are small, fragile, or difficult to access.
D. An 80-year-old patient would be at increased risk of poor circulation and delayed healing in the feet, making this site inappropriate.
Correct Answer is A
Explanation
Rationale:
A. Tracheal suctioning is the most appropriate intervention for a patient with a tracheostomy and thick, tenacious secretions. It directly clears the airway through the tracheostomy tube.
B. Nasotracheal suctioning is used for patients without a tracheostomy to access the lower airway through the nasal passage.
C. Orotracheal suctioning is also intended for patients without a tracheostomy and is more invasive.
D. Oropharyngeal suctioning clears secretions from the mouth and throat only, not the trachea, and is insufficient for maintaining a tracheostomy airway.
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