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Which of the following are part of the 10 rights of medication administration? (Select All that Apply.)

A.

Right Pharmacy

B.

Right Medication

C.

Right Physician

D.

Right Time

E.

Right Route

F.

Right Dose

Answer and Explanation

Correct Answer : B,D,E,F

A. Right Pharmacy: While it is important for medications to be obtained from a reliable pharmacy, "Right Pharmacy" is not one of the 10 rights of medication administration. The focus is on ensuring the correct administration process by the nurse or healthcare provider.
B. Right Medication: This is one of the core rights and ensures that the patient receives the exact medication that was prescribed. Verification is essential to avoid medication errors and adverse drug events.
C. Right Physician: Although having accurate prescriptions from a qualified provider is essential, "Right Physician" is not part of the 10 rights. The emphasis is on correct administration to the patient, not the prescriber’s identity.
D. Right Time: Administering medication at the correct time is critical for maintaining therapeutic drug levels, preventing underdosing or overdosing, and optimizing effectiveness especially for time-sensitive medications like insulin or antibiotics.
E. Right Route: Ensuring the medication is given via the prescribed route (oral, IV, subcutaneous, etc.) is vital for proper absorption, action, and safety. Errors in route can lead to severe complications or therapeutic failure.
F. Right Dose: Administering the correct dose is fundamental to achieving the desired therapeutic effect and avoiding toxicity or subtherapeutic dosing. Dosage must always match what is prescribed and appropriate for the patient's age, weight, and condition.
 


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Related Questions

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"}}

Explanation

  • Losartan: As an angiotensin II receptor blocker (ARB), losartan reduces aldosterone secretion, leading to decreased potassium excretion and potential hyperkalemia, especially in patients with renal impairment or those on potassium supplements.
  • Furosemide: This loop diuretic promotes the excretion of sodium and potassium in the urine, commonly resulting in hypokalemia. Patients on furosemide often require potassium monitoring or supplementation.
  • Spironolactone: A potassium-sparing diuretic and aldosterone antagonist, spironolactone reduces potassium excretion in the distal nephron. This can lead to hyperkalemia, particularly when used with other potassium-elevating drugs.
  • Lisinopril: An ACE inhibitor that blocks the conversion of angiotensin I to II, reducing aldosterone levels and thereby decreasing potassium excretion. This places patients at risk for hyperkalemia.
  • Digoxin: This cardiac glycoside may cause hypokalemia indirectly by increasing sensitivity to potassium shifts. Additionally, low potassium levels enhance digoxin toxicity, so maintaining normal potassium is critical during therapy.

Correct Answer is ["4"]

Explanation

Desired dose rate = 15 mcg/min

  • Convert the desired dose rate to mg/hr:

1000 mcg = 1 mg and 60 minutes = 1 hour.

Desired dose rate (mg/hr) = 15 mcg/min × (1 mg / 1000 mcg) × (60 min / 1 hr)

= (15 × 60) / 1000 mg/hr

= 900 / 1000 mg/hr

= 0.9 mg/hr

Available concentration = 25 mg / 100 mL

  • Calculate the flow rate in mL/hr:

Flow rate (mL/hr) = Desired dose rate (mg/hr) / Concentration (mg/mL)

= 0.9 mg/hr / (25 mg / 100 mL)

= 0.9 mg/hr / 0.25 mg/mL

= 0.9 / 0.25 mL/hr

= 3.6 mL/hr

Round to the nearest whole number:

= 4 mL/hr

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