The nurse is administering a client's prescribed medication. Which action should the nurse take to ensure the medication is given by the right route?
Verify the name on the order with the appropriate client identifiers.
Confirm the client can receive the medication using the prescribed route.
Check the prescribed dose against the normal dose range.
Review when the last dose of medication was administered.
The Correct Answer is B
A. Verify the name on the order with the appropriate client identifiers: This action ensures the right client receives the medication, but it does not address the correct route of administration. Identification alone cannot prevent route-related errors.
B. Confirm the client can receive the medication using the prescribed route: Ensuring the client is capable of receiving the drug via the prescribed route directly addresses the “right route” principle. For example, a client who cannot swallow tablets would require an alternative route, and verifying this prevents ineffective or unsafe administration.
C. Check the prescribed dose against the normal dose range: Dose verification ensures the correct amount is administered, which relates to the “right dose” but does not confirm the proper route of delivery.
D. Review when the last dose of medication was administered: This helps prevent missed or repeated doses and maintains appropriate timing but does not guarantee the medication is administered by the correct route.
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Related Questions
Correct Answer is C
Explanation
A. Administer flumazenil: Flumazenil reverses benzodiazepines, not opioids. Giving it in an opioid overdose would provide no therapeutic benefit and could complicate care by masking overlapping sedative effects from unknown co‑ingested substances.
B. Encourage ambulation: Clients with opioid overdose often have depressed consciousness, poor respiratory effort, and impaired safety awareness. Ambulation increases the risk of falls, injury, and worsened hypoxia, making it unsafe during the acute phase.
C. Assess the airway: Opioids depress the respiratory center, making airway assessment the highest priority. Ensuring patency, evaluating respiratory rate and depth, and preparing for ventilation support align with ABC priorities and help prevent respiratory arrest.
D. Request a sedative: Sedating a client who already has CNS and respiratory depression from opioids can further suppress breathing and worsen hypoventilation. This would significantly increase the risk of respiratory failure.
Correct Answer is B
Explanation
A. U for unit: The abbreviation “U” can be misread as a zero or the number 4, leading to dosing errors. The Joint Commission and other safety organizations recommend writing out “unit” in full to prevent potentially serious medication errors.
B. BID for twice a day: “BID” is an approved and widely recognized medical abbreviation indicating the medication should be administered twice daily. It is clear, unambiguous, and accepted in medical documentation for scheduling purposes.
C. IU for international unit: The abbreviation “IU” can be mistaken for “IV” (intravenous) or the number 10, increasing the risk of dosing errors. Safe practice guidelines recommend writing out “international unit” instead.
D. MS for morphine sulfate: “MS” is considered a dangerous abbreviation because it can be confused with “magnesium sulfate,” potentially causing life-threatening medication errors. Always write the full drug name to ensure clarity.
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