When giving medications, which action would be a med error?
Giving Lasix 20mg IV when Lasix 20mg PO was ordered
Administering an 1800 dose at 1820
Measuring 5 mL of vancomycin hydrochloride when 5 mL is ordered
Giving 2 tablets of Clindamycin 500mg when Clindamycin 1 gram is ordered?
The Correct Answer is A
A. Giving Lasix 20mg IV when Lasix 20mg PO was ordered.: Administering a medication by the wrong route is considered a medication error because IV and PO routes differ in absorption rate and potency. Giving Lasix intravenously instead of orally could result in rapid diuresis, electrolyte imbalance, or hypotension, posing a safety risk to the patient.
B. Administering an 1800 dose at 1820.: A 20-minute delay is within an acceptable time frame for most scheduled medications, as institutional policies often allow a 30-minute window before or after the scheduled time.
C. Measuring 5 mL of vancomycin hydrochloride when 5 mL is ordered.: Accurately measuring and administering the exact ordered amount follows correct medication administration practices. This action reflects adherence to the order, not an error.
D. Giving 2 tablets of Clindamycin 500mg when Clindamycin 1 gram is ordered.: This is appropriate because two 500 mg tablets equal the prescribed 1 gram dose. Administering the correct total dose, even in divided tablet form, is not an error.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Stating the name and action or use of each medication before administering it.: This approach promotes client education, safety, and informed participation in care. Explaining the name and purpose of each drug enhances understanding, fosters adherence.
B. Telling the client to swallow all the medications at once with a small sip of water.: Taking multiple pills together can increase the risk of choking or irritation of the esophagus. Some medications may also require separation or specific timing to prevent drug interactions.
C. Instructing the client they can leave their medications on their bedside table and take them whenever they would like.: Allowing unsupervised self-administration in a healthcare setting increases the risk of missed doses, accidental overdose, or medication mix-ups. Nurses must directly observe and verify each administration to ensure accuracy.
D. Advising the client to take each medication with 8 oz of water.: While adequate hydration is important, not all medications should be taken with a full glass of water. Some require administration on an empty stomach, with food, or with limited fluids to achieve proper absorption and effectiveness.
Correct Answer is C
Explanation
A. Client refuses their morning medications.: Refusal to take medications indicates a lack of adherence or understanding of the treatment plan. This situation requires nursing intervention, education, or possible adjustment to ensure the client receives the intended therapeutic benefits.
B. Client states he doesn't understand why he is taking so many meds.: This response reflects confusion or poor understanding of the medication regimen, which may contribute to noncompliance. The nurse should provide further teaching and clarification rather than adjusting the dosage.
C. Client has achieved a therapeutic response.: When the client attains the desired therapeutic effect without signs of toxicity or adverse reactions, the current dosage is considered appropriate. This outcome indicates that the medication regimen is effective and does not require dosage modification.
D. Client had an adverse reaction or interaction.: The occurrence of an adverse effect or drug interaction suggests that the current dose or combination may be unsafe. In such cases, the healthcare provider must reassess and adjust the medication plan accordingly.
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