The patient is to receive oral guaifenesin (Mucinex) twice a day.
Today, the nurse was busy and gave the medication 2 hours after the scheduled dose was due.
What type of problem does this represent?
"Right medication".
"Right route".
"Right time".
"Right dose".
The Correct Answer is C
Choice A rationale
"Right medication" refers to ensuring that the drug administered is precisely the one prescribed by the healthcare provider. This involves verifying the medication name, strength, and formulation against the order. In this scenario, the issue is not the medication itself, but rather the timing of its administration, making this choice incorrect.
Choice B rationale
"Right route" pertains to administering the medication via the prescribed pathway (e.g., oral, intravenous, subcutaneous). This ensures that the drug reaches the systemic circulation or target site effectively. The scenario explicitly states "oral guaifenesin," indicating the route was correct; the error lies in the timing.
Choice C rationale
"Right time" is a crucial aspect of medication administration, ensuring that the drug is given at the prescribed frequency and within the specified time window. Administering a medication 2 hours after its scheduled dose constitutes a deviation from the ordered time, potentially affecting its therapeutic efficacy or peak plasma concentration.
Choice D rationale
"Right dose" involves verifying that the amount of medication given is precisely what was ordered, preventing under-dosing or over-dosing. The scenario does not indicate any error in the quantity of guaifenesin administered, only the timing of its delivery. Therefore, this choice is not applicable to the described problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["50"]
Explanation
Step 1 is to calculate the total drops to be infused. 100 mL × 15 gtt/mL = 1500 gtt.
Step 2 is to calculate the flow rate in drops per minute. 1500 gtt ÷ 30 minutes = 50 gtt/min. The final calculated answer is 50 gtt/min
Correct Answer is D
Explanation
Choice A rationale
Avoiding palpation of tender areas completely would be an incomplete assessment. While direct, forceful palpation of an acutely tender area should be approached cautiously, it is essential to gently assess the area's boundaries, consistency, and the presence of rebound tenderness or guarding to gather crucial diagnostic information.
Choice B rationale
Examining the tender area first in an abdominal assessment can cause significant pain and muscle guarding, making it difficult to assess other quadrants effectively and potentially skewing the assessment findings. This approach can also reduce patient cooperation for the remainder of the examination.
Choice C rationale
Auscultation for bowel sounds typically precedes palpation in an abdominal assessment because palpation can alter bowel motility and therefore the character of bowel sounds. While palpating the tender area last is correct, performing auscultation after palpation would introduce an artifact.
Choice D rationale
Examining the tender area last is the correct technique during an abdominal assessment. This approach minimizes patient discomfort, allows for a more thorough and accurate assessment of the non-tender areas first, and helps to establish rapport before eliciting potential pain, thereby ensuring a more reliable and complete examination.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.