When the nurse practices the six rights of medication, what does it ensure?
Safe administration of medications
Informed consent for drug administration
Adequate information is given
Cost-effective use of medication
The Correct Answer is A
a) The six rights of medication administration—right patient, right medication, right dose, right route, right time, and right documentation—help ensure patient safety by reducing medication errors. This is a fundamental nursing practice to prevent adverse drug reactions, overdoses, or omissions.
b) Informed consent is important but is not directly related to the six rights of medication administration. It is typically obtained before administering high-risk medications or treatments.
c) While proper medication administration includes patient education, the six rights primarily focus on safety rather than the adequacy of information given.
d) The six rights do not focus on cost-effectiveness but rather on the accurate and safe administration of drugs.
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Related Questions
Correct Answer is A
Explanation
A. Schedule II drugs are controlled substances with a high potential for abuse. Proper disposal requires a witness, usually another nurse, to verify and cosign the waste to ensure accountability and prevent diversion.
B. Keeping the remaining drug in the patient’s drawer is unsafe and violates controlled substance regulations. Single-use vials should not be stored for later use.
C. While documentation of administered medication is necessary, simply recording the unused amount in the patient’s chart is insufficient. Controlled substances require proper disposal with a witness.
D. Controlled substances cannot be discarded in a general locked collection box without proper witnessing and documentation. The correct procedure is to have another nurse verify and cosign the waste before disposal.
Correct Answer is C
Explanation
a) Clarifying the order with the charge nurse is not the correct action. The charge nurse may not be able to clarify medication orders and is not the primary contact for this issue.
b) Diluting and administering the medication by gastrostomy tube (GT) is inappropriate because the medication is ordered to be taken p.o. (by mouth), not via the tube.
c) Clarifying the order with the healthcare provider is the most appropriate step. A p.o. order is typically for oral administration, but the client has a gastrotomy tube. The nurse should clarify with the provider whether the medication can be crushed and administered via the tube or if a different route or medication form is necessary.
d) Administering the medication p.o. as ordered would not be appropriate if the client is unable to take oral medications. The nurse should verify the appropriate route of administration based on the patient's condition.
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