What is a critical step a nurse should take to ensure the right dose of medication is administered?
Document the dose before administration
Use only the pharmacy's dosage instructions
Administer the dose as soon as possible
Calculate and verify the dose with another nurse
The Correct Answer is D
A. Document the dose before administration: While documentation is essential for record-keeping and continuity of care, it does not ensure the accuracy of the dose itself. Administering an incorrect dose despite documentation can still cause harm.
B. Use only the pharmacy's dosage instructions: Pharmacy instructions provide guidance, but verification by the nurse, including calculation checks and consideration of patient-specific factors, is necessary to ensure the correct dose is given.
C. Administer the dose as soon as possible: Timeliness is important for therapeutic effect, but administering a dose quickly without verification can increase the risk of error. Accuracy takes priority over speed.
D. Calculate and verify the dose with another nurse: Calculating the dose and having a second licensed nurse verify it is a critical safety measure, especially for high-alert medications. This double-check process helps prevent dosing errors and ensures safe medication administration.
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Related Questions
Correct Answer is B
Explanation
A. Administer the medication immediately upon receiving it: Immediate administration without verification increases the risk of errors, particularly with high-alert medications that require precise dosing and careful checks.
B. Double-check all rights of medication administration independently with another nurse: High-alert medications carry a higher risk of causing significant harm if administered incorrectly. Independent double-checks of all rights—including drug, dose, route, time, and patient—ensure safe administration and reduce the likelihood of errors.
C. Rely on the automated dispensing system for accuracy: While automated systems aid safety, they are not foolproof. Human verification is essential, especially for high-alert medications, to prevent misfills, incorrect dosing, or patient-specific errors.
D. Skip the bedside verification to save time: Omitting bedside verification eliminates a critical safety step and increases the risk of administering the wrong drug or dose, which can result in serious patient harm.
Correct Answer is B
Explanation
A. 20 mL: Twenty milliliters is equivalent to 4 teaspoons. Administering this amount would double the prescribed dose and could lead to medication overdose and adverse effects.
B. 10 mL: One teaspoon equals 5 mL, so 2 teaspoons equal 10 mL. This conversion is standard in clinical practice and ensures accurate and safe medication dosing.
C. 15 mL: Fifteen milliliters is equivalent to 3 teaspoons. Using this amount would exceed the prescribed dose and increase the risk of medication-related harm.
D. 5 mL: Five milliliters equals 1 teaspoon. Administering this amount would provide only half of the prescribed dose, leading to underdosing and reduced therapeutic effect.
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