The nurse is caring for two patients with the same last name. In this situation which right of medica administration is the priority to reduce the chance of an error?
Right medication
Right patient
Right dose
Right route
The Correct Answer is B
A. Right medication:
Giving the correct drug is important, but without confirming identity, it may be given to the wrong person.
B. Right patient:
This is the priority in this scenario where two patients have the same last name. Confirming identity using two identifiers (e.g., name and birth date) is critical.
C. Right dose:
A correct dose is important, but it assumes it’s given to the right patient.
D. Right route:
Administering via the correct route is essential but irrelevant if the wrong patient receives the drug.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Side-to-side:
This technique allows for comparison of corresponding areas on both lungs to detect asymmetry in breath sounds.
B. Top-to-bottom:
While commonly used during general assessments, this method alone does not allow for comparison between the lungs.
C. Posterior-to-anterior:
This is not a method for auscultation comparison. Lungs are assessed posteriorly and anteriorly, but not as a comparison method.
D. Interspace-by-interspace:
This refers to location, not comparison technique. Side-to-side ensures symmetry is assessed properly.
Correct Answer is D
Explanation
A. Request an order for a urinalysis with culture and sensitivity:
There is no indication of infection (e.g., no cloudy urine, odor, or fever), so a C&S is not warranted at this point.
B. Irrigate the patient’s catheter using 60 mL of sterile normal saline:
Irrigation should only be done with a provider’s order or if there is a clear obstruction, which is not the case here.
C. Remove the catheter immediately and notify the health care provider:
Removing without an order or plan can put the patient at risk, especially with a spinal cord injury and potential retention issues.
D. Contact the health care provider for an order to change the catheter:
Long-term indwelling catheters are typically changed every 4 to 12 weeks to reduce infection risk and ensure function. This is the safest and most appropriate next step.
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