The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

Ask another nurse to observe and cosign wasting the remaining drug from the vial.

Keep the remaining amount in the patient’s drawer to give at the next dose.

Record the amount unused in the patient’s chart.

Dispose of the vial with the remaining drug into a locked collection box.

Answer and Explanation

The Correct Answer is A

A. Schedule II drugs are controlled substances with a high potential for abuse. Proper disposal requires a witness, usually another nurse, to verify and cosign the waste to ensure accountability and prevent diversion.

B. Keeping the remaining drug in the patient’s drawer is unsafe and violates controlled substance regulations. Single-use vials should not be stored for later use.

C. While documentation of administered medication is necessary, simply recording the unused amount in the patient’s chart is insufficient. Controlled substances require proper disposal with a witness.

D. Controlled substances cannot be discarded in a general locked collection box without proper witnessing and documentation. The correct procedure is to have another nurse verify and cosign the waste before disposal.

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Correct Answer is D

Explanation

a) "Signature" and "hospital" are not part of the six rights of medication administration. The correct rights ensure patient safety by verifying essential aspects of drug administration.

b) "Solution," "doctor," and "shift" are not part of the six rights. The focus should be on ensuring the correct patient receives the right medication in the right manner.

c) "Order" and "signature" are important for verifying prescriptions, but they are not included in the six rights of administration.

d) The six rights of medication administration are right medication, right dosage, right route, right time, right client (patient), and right documentation. These ensure medication safety and prevent errors.

A. Establish the identity of the client B. Document the administration of the medication C. Recheck the medication label D. Obtain orange juice for the client to take with the medication

Correct Answer is A

Explanation

a. The first priority when administering medication is to ensure the right patient is receiving the correct drug. This follows the "rights" of medication administration, which include right patient, right drug, right dose, right route, and right time. Identifying the patient prevents medication errors.

b. Documentation is essential but should occur after administering the medication, not before confirming the correct patient and drug.

c. Rechecking the medication label is important, but it should be done before reaching the patient’s bedside. Once at the bedside, patient identification takes priority.

d. Obtaining orange juice may be necessary if the medication requires it, but ensuring the right patient receives the correct medication is the most critical initial step.

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The nurse is preparing to administer a schedule II injectable drug and is drawing up half of the contents of a single-use vial. Which nursing action is correct?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The six rights of medication administration is:

Correct Answer is D

Explanation

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Correct Answer is A

Explanation

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