What action should nurses take immediately after administering a medication?
Document the administration
Predict side effects
Repeat the administration
Delay action
The Correct Answer is A
A. Document the administration: Accurate and timely documentation immediately after giving a medication is essential for patient safety, legal compliance, and continuity of care. It confirms the medication was administered, records the dose and route, and serves as a communication tool for the healthcare team.
B. Predict side effects: While anticipating side effects is part of safe medication management, it is done prior to administration and ongoing monitoring, not immediately after giving the medication. Predicting side effects alone does not fulfill legal or safety responsibilities.
C. Repeat the administration: Repeating a medication unnecessarily can cause overdose or adverse effects. Verification of correct dose occurs before administration, not afterward, so repeating is not appropriate.
D. Delay action: Delaying action after administering a medication risks missing documentation and monitoring for immediate adverse reactions. Prompt post-administration actions are critical for safe and accountable nursing practice.
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Related Questions
Correct Answer is B
Explanation
A. Subcutaneous: Subcutaneous injections deliver medication into the fatty tissue beneath the skin. This route is used for vaccines like MMR or insulin in some cases but is not appropriate for TB skin testing, as it does not produce the localized reaction needed for accurate reading.
B. Intradermal: The TB (Mantoux) test is administered intradermally, just beneath the epidermis, to elicit a localized immune response. Proper placement allows formation of a raised wheal, which can be measured 48–72 hours later to determine exposure to Mycobacterium tuberculosis.
C. Enteral: Enteral routes involve the gastrointestinal tract, such as oral or via feeding tube. This route is not suitable for TB testing, as the immune response must occur locally in the skin for accurate interpretation.
D. Intramuscular (IM): IM injections deliver medication into muscle tissue, providing systemic absorption for vaccines or medications. This route is not used for TB testing because it would not create a localized dermal reaction necessary for evaluation.
Correct Answer is A
Explanation
A. By mouth: "PO" (per os) is a Latin abbreviation indicating that the medication should be taken orally and absorbed through the gastrointestinal tract. This is the most common and convenient route for many medications.
B. Intravenously: Intravenous administration involves delivering medication directly into a vein, bypassing the digestive system.
C. Topically: Topical administration refers to applying medication directly to the skin or mucous membranes for local effect.
D. Buccally: Buccal administration involves placing the medication between the gums and cheek for absorption through oral mucosa. While still oral, it is distinct from swallowing, which "PO" specifies.
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