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Identify the 6 rights of medication administration.

The right patient

The right MAR

The right route

The right expiration date

The right health care provider

The right dose

The right documentation

The right conversion factor

The right medication

The right time

Answer and Explanation

Correct Answer : A,C,F,G,I,J

A. The right patient: Identifying the correct patient is crucial to prevent medication errors. This typically involves using at least two identifiers, such as the patient's name and date of birth, to ensure the right person receives the medication.

B. The right MAR: While the Medication Administration Record (MAR) is essential for tracking medication administration, it is not classified as one of the six rights.

C. The right route: Administering medication via the appropriate route (e.g., oral, intravenous) is vital for the drug's effectiveness. Different routes can affect absorption and efficacy, making this a key component of safe medication administration.

D. The right expiration date: Although checking the expiration date is important for safety, it is not part of the core six rights of medication administration.

E. The right health care provider: While appropriate prescribing is important, this does not fall under the six rights of medication administration.

F. The right dose: Confirming the correct dose is essential to avoid potential toxicity or ineffective treatment. Dosage calculations must be precise, considering the patient's age, weight, and clinical condition.

G. The right documentation: Accurate documentation of medication administration is crucial for continuity of care. It helps ensure that all healthcare providers are informed of what medications have been given, thereby preventing duplicate doses or missed medications.

H. The right conversion factor: While conversions may be necessary for dosing, this is not considered one of the six rights.

I. The right medication: Verifying the correct medication is fundamental to patient safety. This involves checking the medication label against the MAR to prevent administering the wrong drug, which could have serious consequences.

J. The right time: Administering medications at the correct scheduled times is essential for maintaining therapeutic drug levels in the body. Timely administration helps ensure that the medication works effectively and enhances patient adherence to their treatment plan.

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Correct Answer is ["A","C"]

Explanation

A. Offer the patient some crackers and see if the patient has any medications that could help relieve nausea: This approach addresses the patient's immediate concern about feeling unwell. Offering crackers can help settle the stomach, and checking for any available anti-nausea medication demonstrates attentiveness to the patient's comfort and needs.

B. Leave the medications at the patient's bedside and check on him later: While this action may seem appropriate, it does not ensure that the patient will take the medications later, and it could lead to potential safety concerns if the medications are left unattended.

C. Have the patient take the medications at this scheduled time with a small sip of water: Encouraging the patient to take their medications at the scheduled time with a small sip of water is a good practice. However, given the patient's expressed discomfort, this option may need to be reconsidered based on further assessment of their readiness to take the medications.

D. Document the patient is noncompliant in following the medication regimen: Labeling the patient as noncompliant without fully understanding their reasons could foster a negative therapeutic relationship. It's essential to explore the patient's concerns and address them appropriately before making such a judgment.

E. Lock the patient's medications up temporarily and document the incident: This action could be viewed as punitive and may not support a collaborative approach to care. It is more beneficial to engage with the patient to understand their reluctance to take the medications.

A. 1.0 B. 2.0 C. 2.5 D. 1.5

Correct Answer is B

Explanation

A) 1.0: Administering 1.0 mL of Amikin would provide only 250 mg of amikacin, as the concentration is 1 g per 4 mL (or 250 mg per mL). This dosage is insufficient for the ordered dose of 500 mg.

B) 2.0: Administering 2.0 mL of Amikin is correct. With the available concentration of 1 g per 4 mL, 2.0 mL would deliver 500 mg of amikacin (2 mL x 250 mg/mL = 500 mg), fulfilling the healthcare provider's order for the medication.

C) 2.5: Giving 2.5 mL would result in a total of 625 mg of amikacin, which exceeds the prescribed dose of 500 mg. It's critical to adhere to the prescribed dosage to prevent potential toxicity and ensure patient safety.

D) 1.5: Administering 1.5 mL would provide 375 mg of amikacin, which is still less than the required 500 mg. Accurate dosing is essential in achieving the therapeutic effect and avoiding complications.

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Identify the 6 rights of medication administration.

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Naxlex Comprehensive Predictor Exams

The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.)

Correct Answer is ["A","C"]

Explanation

The health care provider has ordered Amikin (amikacin) 500 mg, IM q8h. Drug available: The nurse should give___mL for each dose.

Correct Answer is B

Explanation

Which of the following patients are at risk for developing drug toxicity? (Select all that apply.)

The patient who is to receive a medication BID will receive the medication:

What is the best way for nurses to prevent medication errors?

The patient is to receive 120 mg of PO Lasix (furosemide). The drug book states that the usual dosage is 20 to 40 mg. What steps should the nurse take to avoid medication errors in this situation? (Select all that apply.)

The health care provider has ordered amoxicillin 250 mg PO q8h. The drug label states 125 mg amoxicillin per 5 mL. Based on this information, which of the following would be correct actions by the nurse? (Select all that apply.)

The health care provider has ordered prochlorperazine (Compazine) 2.5 mg IM q4h prn. The medication available is Compazine 5 mg/mL. The nurse should give ___ mL for each dose.

Identify the 6 rights of medication administration.

If the patient refuses a medication, what should the nurse do? (Select all that apply.)