The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

At the end of her shift

Before she enters the room to give the medications

Immediately following administration of the medications

Whenever she has time

Answer and Explanation

The Correct Answer is C

A.   Documenting at the end of the shift can lead to inaccuracies due to the delay, potentially causing errors if other staff need up-to-date information. It also increases the risk of forgetting details of the administration, compromising patient safety.
B.   Documenting before administering the medications can lead to discrepancies if the medications are not given as planned. This practice could result in serious errors if the patient refuses the medication or if changes occur that affect administration.
C.   Documenting immediately ensures that the record is accurate and reflects the current status of the patient’s medication regimen. It also allows other healthcare providers to see up-to-date information, which is crucial for ongoing patient care and safety.
D.   Delaying documentation until a convenient time can lead to incomplete or forgotten details, increasing the risk of medication errors. Timely documentation is essential to maintain an accurate and reliable medical record.

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Correct Answer is ["C","D","E","F"]

Explanation

A. Method is not one of the recognized 10 rights of safe medication administration. It is important to follow the correct method, but it is encompassed by the rights such as the right route and right time.
B. Unit is not part of the 10 rights of safe medication administration. Accurate dosage units are critical but are covered under the right dose and right medication.
C. The right medication ensures that the patient receives the correct drug, reducing the risk of adverse effects and therapeutic failures. Verifying the right medication is fundamental to safe medication administration practices.
D. The right evaluation involves monitoring the patient’s response to the medication to ensure it is effective and safe. This step helps in identifying any adverse reactions or the need for dosage adjustments.
E. The right assessment involves evaluating the patient’s condition before administering medication to determine if it is appropriate. It ensures that the medication is given safely, considering the patient’s current health status.
F. The right to client education involves informing the patient about the medication they are receiving, including its purpose, potential side effects, and any special instructions. Educating the patient promotes adherence and helps in the early identification of adverse effects.

A. The patient is having a mild reaction that can be treated easily with an antihistamine. B. The patient is experiencing a moderate allergic reaction and should improve shortly. C. The patient is having an anaphylactic reaction and emergency interventions should be started. D. These symptoms are probably due to food poisoning because very few patients have true allergic responses.

Correct Answer is C

Explanation

A. While itching and hives can be signs of a mild allergic reaction, difficulty breathing and low blood pressure indicate a more severe issue. Treating a severe reaction as mild can delay necessary emergency interventions, potentially leading to life-threatening consequences.
B. The symptoms described, including difficulty breathing and hypotension, suggest a severe, not moderate, allergic reaction. This misjudgment can result in insufficient treatment and delay life-saving measures.
C. Anaphylactic reactions are characterized by symptoms such as hives, difficulty breathing, and low blood pressure, requiring immediate emergency treatment. Prompt recognition and intervention are critical to prevent severe complications or death.
D. Food poisoning typically presents with gastrointestinal symptoms rather than respiratory distress and hypotension. Misdiagnosing an anaphylactic reaction as food poisoning can prevent timely administration of appropriate treatments like epinephrine.

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The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In order for the nurse to administer medication safely, the nurse must understand the 10 rights of safe medication administration. Identify all of the rights listed below (Select All That Apply).

Correct Answer is ["C","D","E","F"]

Explanation

The nurse notes that the patient is scratching and has hives 2 hours after receiving a dose of antibiotic medication. The patient soon starts having difficulty breathing and his blood pressure drops. What is the correct analysis of the patient's condition?

Correct Answer is C

Explanation

The nurse goes into a patient's room and administers her 0900 medications. When should the nurse document that the medications were given?

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