What is the most important step the nurse can take to ensure the patient is getting the correct medication?
Assess the patient's ability to swallow oral medications without difficulty
Question the patient about their experience with this or similar medications
Compare the medication label with the MAR three times
Evaluate the patient's understanding of the safety issues related to the specific drug
The Correct Answer is C
Rationale:
A. Assessing swallowing ability is important for safe administration but does not ensure the medication itself is correct.
B. Asking about past experience helps with patient teaching but does not verify accuracy of the medication.
C. The “three checks” rule—comparing the medication label with the MAR when removing it, preparing it, and before administering it—is the most important step to ensure the right medication is given.
D. Evaluating understanding supports safety but occurs after administration, not before.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. 60–80 mmHg is too low and may not be effective in clearing secretions.
B. 80–120 mmHg is the correct suction pressure range for infants and children; it is strong enough to remove secretions without causing mucosal trauma.
C. 60–100 mmHg is not the recommended standard range for safe suctioning in pediatric clients.
D. 40–60 mmHg is too low and will not provide adequate suctioning.
Correct Answer is C
Explanation
Rationale:
A. Measuring only from the nose to the xiphoid process omits the earlobe landmark, leading to inaccurate length.
B. Measuring from the earlobe to the xiphoid process also omits part of the required distance.
C. The correct measurement for NG tube insertion is from the tip of the nose → earlobe → xiphoid process. This ensures the tube is long enough to reach the stomach without being excessively long.
D. Measuring only to the earlobe is incomplete and far too short for gastric placement.
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