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. 1 mg = 100 mcg: One milligram equals 1,000 micrograms, not 100. Using 100 would underestimate the dose by tenfold, potentially leading to medication errors.
B. 1 mcg = 1,000 mg: One microgram is much smaller than a milligram; 1 mcg equals 0.001 mg. This option greatly overstates the amount, which could result in dangerous dosing errors.
C. 1 mg = 1,000 mcg: One milligram is equal to 1,000 micrograms. This is the correct conversion and is essential for accurate medication calculations, particularly for drugs that require very small doses.
D. 1 mcg = 100 mg: One microgram is far smaller than a milligram; this option reverses the relationship and exaggerates the amount, which is unsafe for clinical dosing.
Correct Answer is C
Explanation
A. Deltoid muscle: The deltoid is primarily used for intramuscular injections, not subcutaneous injections. Using it for subcutaneous medication may result in improper absorption and increased discomfort.
B. Forearm: The forearm is generally reserved for intradermal injections, such as allergy or tuberculosis testing, and is not ideal for subcutaneous medication due to limited subcutaneous tissue.
C. Abdomen: The abdomen is the preferred site for subcutaneous injections because it has a large, easily accessible layer of adipose tissue, allowing consistent and predictable absorption of medications like insulin and heparin.
D. Vastus lateralis: The vastus lateralis muscle, located in the thigh, is typically used for intramuscular injections. It is not preferred for subcutaneous administration as absorption may be less consistent.
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