Which of the following actions by a nurse demonstrates adherence to the Right Route in medication administration?
Asking a colleague about the correct route for unfamiliar medications.
Checking the medication order and verifying the route with the drug label before administration.
Administering a medication intravenously that is ordered for oral use.
Confirming the route with the patient before administration.
The Correct Answer is B
Rationale:
A. Asking a colleague about the correct route for unfamiliar medications: Consulting a colleague is a helpful safety measure, but it does not directly demonstrate adherence to the right route for the specific administration at that moment.
B. Checking the medication order and verifying the route with the drug label before administration: Verifying the prescribed route against the medication label ensures the drug is given correctly, preventing administration errors and ensuring patient safety. This step directly aligns with the Right Route principle.
C. Administering a medication intravenously that is ordered for oral use: This action violates the Right Route and can result in serious harm or toxicity, as different routes have different absorption rates and systemic effects.
D. Confirming the route with the patient before administration: While patient confirmation adds a safety layer, the nurse must primarily rely on the provider’s order and drug label to ensure the correct route, as patients may not always know the proper method.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. It indicates the drug's expiration date: The expiration date shows how long the medication remains effective, but it does not guide dosing or administration amounts.
B. It provides information on the drug's side effects: Side effects are listed separately in patient information materials, not in the dosage strength section of the label.
C. It guides the exact amount to be administered: Dosage strength specifies the amount of active drug per unit, such as milligrams per tablet or milliliters per liquid. This information is essential for calculating and administering the correct dose to ensure therapeutic effectiveness and patient safety.
D. Lists the inactive ingredients: Inactive ingredients are important for identifying potential allergens but do not inform the nurse about the correct dose to give the patient.
Correct Answer is A
Explanation
Rationale:
A. To calculate the amount of medication to administer: The formula D/H × Q is used to determine the correct dose of a medication based on the desired dose (D), the available dose or strength (H), and the quantity of the dosage form (Q). This ensures accurate dosing, which is especially critical in pediatric or high-risk medications.
B. To determine the frequency of medication administration: The formula does not provide information about how often a medication should be given; frequency is based on the prescribed schedule and pharmacokinetics of the drug.
C. To identify potential drug interactions: Drug interactions are assessed separately through patient history, medication review, and reference resources, and are not calculated using the D/H × Q formula.
D. To assess the drug's efficacy: Efficacy is evaluated through patient response, laboratory results, or symptom improvement, not through dosage calculation formulas.
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