When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

One time.

Two times.

Three times.

Five times.

Answer and Explanation

The Correct Answer is C

Choice A reason: Checking medications only once increases the likelihood of errors. Safe practice requires multiple verification steps.

Choice B reason: While better than a single check, verifying only twice may still miss potential discrepancies in drug or dosage accuracy.

Choice C reason: The three-check system (when retrieving, preparing, and administering medication) minimizes errors, ensuring patient safety through consistent validation at each step.

Choice D reason: Excessive verification may delay administration, reducing practicality without significantly improving safety beyond three checks.

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Correct Answer is D

Explanation

Choice A reason: Blood pressure matters but isn’t primary; opioids rarely cause acute hypotension initially, and respiratory depression is a more immediate life-threatening risk.

Choice B reason: Temperature is unrelated; opioids don’t primarily affect fever, and this assessment doesn’t address the critical safety concern of opioid administration.

Choice C reason: Pulse is secondary; opioids may slow heart rate mildly, but respiratory suppression is the urgent risk, requiring priority monitoring before dosing.

Choice D reason: Respiratory rate is critical; opioids depress the brainstem, risking apnea, and assessing breathing ensures safety before administering this high-risk medication.

A. 1 tablet B. 2 tablets C. 3 tablets D. 4 tablets

Correct Answer is C

Explanation

Choice A reason: One 5-mg tablet provides only 5 mg, far below the 15 mg ordered; this underdose fails to control hypertension effectively, risking cardiovascular complications like stroke or heart failure.

Choice B reason: Two tablets yield 10 mg, still short of 15 mg; this insufficient dose wouldn’t achieve therapeutic blood pressure reduction, leaving the patient at risk for hypertensive damage.

Choice C reason: Three 5-mg tablets equal 15 mg, matching the order precisely; this dose effectively inhibits angiotensin-converting enzyme, lowering blood pressure to a therapeutic range safely.

Choice D reason: Four tablets deliver 20 mg, exceeding the order; this overdose could cause hypotension, dizziness, or renal impairment due to excessive ACE inhibition beyond therapeutic needs.

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When preparing medications for delivery to an assigned patient, the nurse should check each medication for accuracy of drug and dose:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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