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

Explanation

Intramuscular administration provides relatively quick absorption but is slower than intravenous.
B. Enteral (oral) administration has the slowest absorption rate due to the process of digestion and first-pass metabolism in the liver.
C. Intravenous administration delivers the medication directly into the bloodstream, resulting in the fastest absorption and onset of action.
D. Topical administration is typically used for localized treatment and has a slower absorption rate compared to intravenous.

A. Breath sounds at 1600 B. Temperature C. Urticaria D. Blood pressure at 1630 E. Report of dysphagia

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

Explanation

A. Bilateral breath sounds clear and present throughout at 1600 are normal findings and do not require immediate follow-up.
B. The temperature at both 1600 (37.6°C) and 1630 (37.5°C) is slightly elevated but not critically high. It does not require immediate follow-up unless it worsens significantly or is accompanied by other concerning symptoms.
C. Urticaria (hives) over the chest and trunk, along with itching and difficulty swallowing (dysphagia), are signs of an allergic reaction, which requires immediate follow-up and assessment.
D. The blood pressure decreased to 78/52 mm Hg at 1630 from 110/58 mm Hg at 1600. This significant drop indicates hypotension and requires immediate follow-up.
E. Difficulty swallowing (dysphagia) reported by the client suggests a potential airway compromise and requires immediate follow-up to assess the severity and intervene accordingly.

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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

A nurse is assisting with teaching a class about routes of medication administration. The nurse should include that which of the following routes has the fastest rate of absorption?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client Exhibits Select the 3 findings that require immediate follow-up.

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

Explanation

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