When preparing and completing checks on Mr. Brown's medication, the nurse will use which of the following?
The worksheet
The kardex
The Doctor's order
The MAR
The Correct Answer is D
A. The worksheet: A worksheet may help organize tasks for the shift, but it is not a legal or authoritative medication source document. Worksheets can be outdated or incomplete and should never be used as the primary reference for medication preparation or safety checks.
B. The kardex: The kardex is a summary tool used for quick reference regarding patient care needs, but it is not a legal medication record. Because it may not reflect the most current medication orders, it should not be used for final verification prior to administration.
C. The Doctor's order: The original provider order initiates the medication therapy, but once transcribed and verified, medication administration should be performed using the Medication Administration Record (MAR). The MAR consolidates active, verified orders and is designed specifically for safe administration checks.
D. The MAR: The Medication Administration Record is the primary, legally recognized document used when preparing and administering medications. It reflects verified and active orders and supports the “rights” of medication administration, including right drug, dose, route, time, and patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 1 inch needle: A 1-inch needle may be too long for clients with minimal subcutaneous tissue, risking inadvertent intramuscular injection, which can alter drug absorption and increase discomfort.
B. 1.5 inch needle: This length is typically used for intramuscular injections in adults and is not appropriate for subcutaneous administration in thin or elderly clients due to the risk of injecting into muscle.
C. 1/2 inch: While shorter than 1 inch, a 1/2 inch needle may still be too long for some elderly clients with very thin subcutaneous layers. Proper technique must ensure the medication remains in the subcutaneous tissue.
D. 5/8 inch: A 5/8-inch needle is generally recommended for subcutaneous injections in clients with minimal subcutaneous tissue. This length allows for accurate delivery into the fatty layer while minimizing the risk of intramuscular injection and reducing discomfort.
Correct Answer is A
Explanation
A. Site of administration is rotated frequently: Rotating insulin injection sites is essential to prevent lipohypertrophy and lipoatrophy, which can impair insulin absorption and lead to glycemic variability. Consistent rotation within the same anatomical region (such as the abdomen) promotes more predictable absorption while protecting subcutaneous tissue integrity.
B. Angle of insertion is always 45 degrees: The angle of insulin injection depends on needle length and the patient’s body habitus. Many insulin syringes today use short needles that are administered at a 90-degree angle. A 45-degree angle may be used in very thin individuals but is not universally required.
C. Site is massaged after administration: Massaging the injection site is contraindicated because it can accelerate insulin absorption unpredictably, potentially leading to hypoglycemia. Gentle pressure may be applied if needed, but rubbing the area should be avoided.
D. Injection must be given close to the umbilicus: Insulin should not be injected within approximately 2 inches (5 cm) of the umbilicus because absorption may be inconsistent. The abdomen is preferred for consistent absorption, but injections should be spaced appropriately away from the navel.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.