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 C
Explanation
A. Inform the patient that she is counting respirations:
This may lead the patient to alter their breathing pattern, making the result inaccurate.
B. Do not touch the patient until completed:
Touch is not contraindicated, and hand placement on the chest can assist in counting if needed.
C. Obtain without the patient knowing:
This is correct. Most accurate respiratory assessments are done while appearing to check pulse, to prevent voluntary changes in breathing.
D. Estimate respirations:
Estimating is not acceptable and may lead to inaccurate data that affects patient care.
Correct Answer is C
Explanation
A. 300–450 mL:
This amount is acceptable to drain at one time. It is not considered excessive or dangerous.
B. 450–600 mL:
This is within a safe limit and does not pose risk for bladder spasms or hypotension.
C. 750–1000 mL:
Draining more than 750–1000 mL at once can lead to bladder spasms, hypotension, and hematuria due to rapid decompression of a distended bladder. This is too much to drain at once.
D. 200–500 mL:
This range is considered a safe and appropriate amount to drain in one go for most patients.
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