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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Related Questions
Correct Answer is C
Explanation
Choice A reason: While documentation and supervisor notification are crucial, immediate action involving the health care provider ensures timely response to potential adverse effects from the medication error.
Choice B reason: Relying solely on the absence of drug allergies is insufficient and may jeopardize patient safety. Errors require immediate communication and reporting for appropriate interventions.
Choice C reason: Timely provider notification prioritizes patient safety and enables corrective measures. Completing an incident report supports institutional transparency and learning to prevent future errors.
Choice D reason: Administering additional drugs risks compounding harm. The priority is addressing the initial error and ensuring patient safety without introducing further interventions.
Correct Answer is B
Explanation
Choice A reason: Inhalation targets lungs; transdermal means skin absorption, not respiratory, and this route doesn’t match the prescribed method’s pharmacokinetic profile.
Choice B reason: Transdermal drugs absorb through skin layers; this delivers medication systemically via dermal capillaries, bypassing first-pass metabolism, as intended by the order.
Choice C reason: Rectal administration uses suppositories; transdermal is skin-based, not mucosal, and this route doesn’t align with the prescribed absorption method.
Choice D reason: Sublingual dissolves under the tongue; transdermal is cutaneous, not oral, and this differs entirely from the skin-based delivery system specified.
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