When providing medications from floor stock to a patient on the Alzheimer's unit of a long-term care facility, the nurse demonstrates the principle of drug administration by performing which of the following?
Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet.
Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet.
Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door.
Checking the label before leaving the medication room.
The Correct Answer is B
A. Checking the label before taking the medication out of the cabinet, pouring the medication, and placing the bottle back in the cabinet. This option does not follow the "three checks" principle effectively. The label should also be checked after pouring and before administering the medication to ensure accuracy.
B. Checking the label while removing the bottle from the cabinet, after pouring the dose of medication, and while replacing the bottle in the cabinet. This option correctly follows the "three checks" principle: when removing the medication from the cabinet, after pouring the dose, and when replacing the bottle. This ensures that the right medication is given in the correct dose.
C. Checking the label after removing the bottle from the cabinet and pouring the dose of medication and before closing the cabinet door. This option misses the second check before administering the medication, which is essential to ensure the correct drug and dosage.
D. Checking the label before leaving the medication room. Checking the label before leaving the medication room does not ensure that the correct medication and dosage are being administered at the bedside.
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Correct Answer is D
Explanation
A. Contact the pharmacist to verify the order: While verifying orders is important, for a STAT order, the priority is to administer the medication immediately. Verification can be done simultaneously or afterward if needed.
B. Wait until the information is updated in the patient's medication profile: Waiting to update the profile could delay crucial treatment. For a STAT order, immediate administration takes precedence.
C. Schedule the medication to be given at noon: Scheduling is not appropriate for a STAT order, which requires immediate administration due to its urgency.
D. Administer the medication now: This is the correct answer. STAT orders are meant to be administered as quickly as possible to address critical conditions.
Correct Answer is B
Explanation
A. Brand names are the same as generic names: Brand names and generic names are different. The brand name is the trademarked name given by the manufacturer, while the generic name is the drug's standard name.
B. Once a drug's patent period has ended, the drug's trademark status is not protected, so other companies may produce the drug under its common or generic name. After a drug's patent expires, other companies can manufacture and sell the drug under its generic name, leading to the availability of generic versions of the drug.
C. Active ingredients can vary between generic and brand name drugs. The active ingredient in generic drugs must be the same as in the brand name drug. However, inactive ingredients (e.g., fillers, binders) may vary.
D. The name of a generic drug is capitalized: Generic drug names are not capitalized. They are written in lowercase, while brand names are capitalized.
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