The nurse responsible for administering medications to the residents of a long-term care facility shows an understanding of the risk of injury this population experiences when
assessing the patient for a history of drug-related allergies
educating patients about the purpose and side efforts of their medications
confirming the patients identity prior to providing the medication
implementing the 5 rights of medication administration routinely
The Correct Answer is D
A. Knowing a patient’s history of drug allergies is essential for preventing allergic reactions to medications. Allergic reactions can be severe and include symptoms such as rash, difficulty breathing, or anaphylaxis. While important, assessing for drug allergies alone does not address all aspects of medication safety, such as correct drug administration, dosage, or monitoring for side effects.
B. Educating patients about their medications helps them understand why they are taking them and what side effects to watch for. This can improve adherence to the medication regimen and enable patients to report side effects promptly. Education is important but does not directly prevent medication errors or ensure that medications are administered correctly.
C. Confirming the patient's identity before administering medication is a fundamental safety measure. It helps prevent medication errors, such as administering the wrong medication to the wrong patient. This action alone does not address other aspects of medication administration, such as verifying correct dosage, the timing of administration, or monitoring for adverse effects.
D. The 5 rights of medication administration—right patient, right drug, right dose, right route, and right time—are fundamental principles of safe medication administration. Adhering to these rights helps prevent medication errors and ensures that medications are administered correctly. By consistently applying these principles, the nurse minimizes the risk of errors and enhances patient safety. This approach covers multiple aspects of medication administration, including verifying the correct patient, drug, dose, route, and timing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Amount of gentamycin sulfate to administer= (desired dose ÷ available dose) × available quantity. In this case,
The desired dose is 100 mg, and the available dose is 60 mg in 1.5 mL.
Using the formula, the calculation would be: (100 mg ÷ 60 mg) × 1.5 mL = 2.5 mL.
Therefore, the nurse should prepare 2.5 mL of gentamycin sulfate to administer to the patient.
Correct Answer is A
Explanation
A. When a patient is required to sign official documents, such as medical consent forms or advance directives, it is crucial that they understand the implications of their decisions. An interpreter can ensure that the patient fully comprehends the information and can make informed choices about their care.
B. While an interpreter can be helpful for orientation, it is not as critical as when the patient is signing official documents.
C. An interpreter can facilitate communication between the patient and the physician, ensuring that the patient's concerns and questions are fully understood. However, this is not as critical as when the patient is making important decisions about their care.
D. While it is important to provide emotional support to a patient who is upset, an interpreter may not be necessary in this situation. The nurse can use nonverbal communication and other strategies to comfort the patient and address their emotional needs.
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