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

Right Pharmacy

Right Medication

Right Physician

Right Time

Right Route

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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Correct Answer is C

Explanation

A. Montelukast: This leukotriene receptor antagonist is used for long-term asthma control and prevention of exercise-induced bronchospasm. It is not effective for treating acute asthma attacks due to its delayed onset of action.
B. Salmeterol: This is a long-acting beta-2 agonist (LABA) used for maintenance therapy in asthma. It has a slower onset and should never be used for rapid symptom relief during an acute attack, as doing so can delay appropriate treatment.
C. Albuterol: Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation and is the first-line rescue medication for aborting an acute asthma attack. It works within minutes to relieve bronchospasm and improve airflow.
D. Beclomethasone: This inhaled corticosteroid is used for long-term asthma management by reducing airway inflammation. It is not effective in acute situations because it does not provide immediate bronchodilation.

A. Drugs with strong first-pass metabolism are best administered via an enteral route B. Metabolism alters medications so that they can be excreted from the body C. The first-pass effect increases the bioavailability of orally administered drugs D. Metabolism primarily occurs in the kidneys

Correct Answer is B

Explanation

A. Drugs with strong first-pass metabolism are best administered via an enteral route: Drugs that undergo extensive first-pass metabolism are often less effective when given enterally, as much of the drug is inactivated by the liver before reaching systemic circulation. Non-enteral routes (e.g., sublingual, IV) are preferred to bypass the liver initially.
B. Metabolism alters medications so that they can be excreted from the body: The liver uses enzymatic processes to convert drugs into more water-soluble forms, facilitating their elimination through the kidneys or bile. This process can either activate, inactivate, or detoxify substances depending on the drug.
C. The first-pass effect increases the bioavailability of orally administered drugs: The first-pass effect reduces, not increases, the bioavailability of orally administered drugs. It refers to the initial metabolism in the liver that significantly reduces the active concentration of a drug before it reaches systemic circulation.
D. Metabolism primarily occurs in the kidneys: While the kidneys are essential for drug excretion, metabolism primarily occurs in the liver. Hepatic enzymes, especially those of the cytochrome P-450 system, play the central role in drug biotransformation.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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