When administering a medication, a nurse should check the label on the drug container against the MAR when removing the drug container from the client's medication drawer, when removing the drug from the medication container, and:
After showing the drug label to the client
Before returning the drug container to the client’s medication drawer
Before calling the pharmacy
After checking the drug container with a colleague
The Correct Answer is B
Choice A reason: Showing the client isn’t a standard check; patients don’t verify MAR, and this step lacks relevance to the nurse’s triple-check safety protocol.
Choice B reason: Checking before returning ensures accuracy; the third check confirms the right drug post-administration, completing the three-point verification process safely.
Choice C reason: Calling the pharmacy is unrelated; label checks occur during administration, not external consultation, making this an irrelevant timing option.
Choice D reason: Colleague checks aren’t routine; the three checks are individual, and this step doesn’t align with standard MAR verification timing protocols.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While reliability exists, the oral route is less predictable than IV administration due to variability in absorption caused by digestive factors, making it less reliable for rapid or consistent onset.
Choice B reason: Convenience is the primary advantage of oral administration. It allows ease of self-administration, enabling clients to manage their medications without healthcare provider intervention, making it the most frequently used route.
Choice C reason: While many clients tolerate oral medications well, others may face challenges, such as difficulty swallowing or gastric irritation, meaning tolerability varies and is not a universal advantage of this route.
Choice D reason: The oral route does not ensure fast action due to time required for digestion, absorption, and metabolism, making it slower compared to routes like IV or sublingual administration.
Correct Answer is B
Explanation
Choice A reason: Checking with another nurse may occur, but it’s not mandatory for all schedule II drugs; documentation is the primary legal responsibility to track controlled substances accurately.
Choice B reason: Signing out on a narcotic sheet is required; schedule II drugs like opioids need strict tracking to prevent diversion, ensuring accountability per federal and hospital regulations.
Choice C reason: Leaving medication at the bedside violates security; schedule II drugs must remain controlled, as unattended narcotics risk theft or misuse, breaching safety protocols entirely.
Choice D reason: Extra water is irrelevant to responsibility; it’s a hydration tip, not a legal or safety duty tied to administering highly regulated schedule II controlled substances.
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