Verification of a medication order is the process of
Double checking that the client is not allergic to the medication ordered
Clarifying the order with the charge nurse
Ensuring that the medication ordered has been received by pharmacy
Ensuring the medication has been transcribed to the MAR correctly
The Correct Answer is D
A. Double checking that the client is not allergic to the medication ordered: Assessing allergies is a critical safety step before administration, but it is part of safe medication administration rather than the definition of order verification. Verification specifically focuses on confirming the accuracy and correctness of the written or electronic order before implementation.
B. Clarifying the order with the charge nurse: If an order is unclear, incomplete, or potentially unsafe, it must be clarified with the prescribing provider—not the charge nurse. Consulting a charge nurse may provide guidance, but it does not constitute formal verification of the medication order.
C. Ensuring that the medication ordered has been received by pharmacy: Pharmacy receipt and dispensing relate to medication processing and distribution. Verification, however, occurs prior to or during transcription and ensures that the provider’s order is accurate, complete, and correctly carried forward into the medication administration system.
D. Ensuring the medication has been transcribed to the MAR correctly: Verification involves confirming that the provider’s original order has been accurately transcribed onto the Medication Administration Record (MAR). This prevents transcription errors in drug name, dosage, route, frequency, and timing, which are common sources of medication administration errors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Report the omission to the Doctor: While the provider may need to be informed if allergies are unknown or affect treatment, reporting alone does not fulfill the nurse’s responsibility to ensure accurate and complete documentation. Nurses are responsible for actively verifying and documenting allergies on the MAR.
B. Complete this section of the MAR: The nurse must obtain accurate allergy information directly from the patient and document it on the MAR. This ensures safe medication administration, prevents allergic reactions, and is a legal requirement for nursing. Verification should include drug, food, and environmental allergies with the nature of the reaction.
C. Have a colleague verify Mr. Robertson's allergies: Colleague verification is not sufficient unless the nurse has first collected accurate allergy information. Peer confirmation does not replace the nurse’s duty to personally assess and document the patient’s allergies.
D. Notify pharmacy that the MAR is incorrect and hold all medications: While pharmacy should be aware of incomplete or inaccurate MARs, holding all medications unnecessarily could harm the patient. The priority is to complete the allergy section promptly to continue safe administration rather than indiscriminately withholding treatment.
Correct Answer is C
Explanation
A. Try to convince Mr. Robertson to take the medication: Forcing or pressuring a patient undermines autonomy and may lead to noncompliance or distrust. Persuasion without understanding the patient’s concerns does not address the root cause of refusal and can violate ethical principles.
B. Explain to Mr. Robertson the reasons why he is taking the medication: Educating the patient is important, but education alone may not resolve refusal. Without first understanding the patient’s reasons for refusal, simply explaining the rationale may be ineffective or perceived as coercive.
C. Find out why Mr. Robertson does not want to take the medication and document his response: Assessing the patient’s reasoning respects autonomy, identifies potential barriers (such as side effects, fear, or misconceptions), and informs further nursing interventions. Documentation ensures a legal record of the refusal and guides collaborative care planning.
D. Do nothing, as it is the client's right to refuse: While the patient has the right to refuse medication, inaction ignores the nurse’s responsibility to assess the situation, provide education, and intervene if refusal places the patient at risk. Active engagement is required to balance patient rights with safe care.
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