When administering a high-alert medication, what safety measure should the nurse implement?
Administer the medication immediately upon receiving it.
Double-check all rights of medication administration independently with another nurse.
Rely on the automated dispensing system for accuracy.
Skip the bedside verification to save time.
The Correct Answer is B
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.
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Related Questions
Correct Answer is C
Explanation
A. Each small line indicates 5 units of insulin: This is inaccurate because a U-100 insulin syringe has smaller graduations for precise dosing, and 5-unit increments would not allow accurate measurement of single-unit doses.
B. Each small line indicates 2 units of insulin: While closer, most U-100 syringes are marked in single-unit increments, making 2-unit interpretation insufficiently precise for safe insulin administration.
C. Each small line indicates 1 unit of insulin: Each small line represents 1 unit, allowing precise measurement of insulin doses. This accuracy is crucial for patient safety, especially when administering doses that are not multiples of five.
D. Each small line indicates 0.5 units of insulin: U-100 syringes are not typically marked in half-unit increments. Using this interpretation could lead to under- or overdosing, particularly in standard adult dosing.
Correct Answer is A
Explanation
Calculation:
- Set up the ratio and proportion
Available dose to volume = Desired dose to unknown volume
100 mg is to 10 mL as 400 mg is to X mL
- Cross multiply to solve for X
100 × X = 400 × 10
100X = 4000
X = 40 mL
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