Which of the following actions most directly aligns with the right documentation in medication administration?
Verifying the medication order with the pharmacy
Recording the time and dose immediately after administration
Observing the patient for adverse reactions
Checking the patient's identity before administration
The Correct Answer is B
A. Verifying the medication order with the pharmacy: This action supports the right medication and safe administration, but it does not constitute documentation of administration.
B. Recording the time and dose immediately after administration: Documenting the exact dose, route, and time immediately after giving the medication ensures an accurate record, supports continuity of care, and prevents errors such as double dosing.
C. Observing the patient for adverse reactions: Monitoring for reactions is essential for patient safety, but it reflects assessment rather than documentation of administration.
D. Checking the patient's identity before administration: Verifying the patient’s identity aligns with the right patient, a safety measure, but it is not documentation of the administered medication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Draw up regular insulin first, then NPH insulin: Regular insulin is clear and must be drawn up before NPH to prevent contamination of the regular insulin vial with the cloudy NPH. This maintains accurate dosing and preserves the pharmacologic integrity of the short-acting insulin.
B. Draw up NPH insulin first, then regular insulin: Drawing up NPH first risks contaminating the regular insulin vial with NPH, which can alter absorption and onset. This can lead to unpredictable glucose control and medication error.
C. Mix both insulins in the vial before drawing up: Insulins should never be mixed in the vial because this changes their individual action profiles. Mixing in the syringe after proper draw-up technique is the safe and accepted method.
D. Use separate syringes for each insulin type: Separate syringes are unnecessary when mixing compatible insulins like regular and NPH. Using one syringe reduces injections while still allowing accurate dosing when drawn up correctly.
Correct Answer is A
Explanation
A. Administer insulin glargine and insulin lispro separately using two different syringes: Insulin glargine is a long-acting insulin that should never be mixed with other insulins, including rapid-acting insulins like lispro. Administering them separately ensures accurate dosing and maintains the intended pharmacokinetic profiles of both insulins.
B. Mix both insulins in a single syringe after warming them to room temperature: Mixing insulin glargine with lispro can alter the absorption and effectiveness of glargine, potentially leading to unpredictable blood glucose control. Warming to room temperature does not prevent this interaction.
C. Draw up insulin lispro first, then insulin glargine into the same syringe: Even if lispro is drawn first, mixing it with glargine in one syringe is unsafe. The chemical properties of glargine prevent it from being combined with other insulins without affecting its basal action.
D. Draw up insulin glargine first, then insulin lispro into the same syringe: Drawing glargine first does not make it safe to mix with lispro. Glargine must always be administered separately to maintain its long-acting effect and avoid dosing errors or hypoglycemia.
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