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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["31"]
Explanation
Total volume to be infused = 750 mL
Total infusion time = 4 hours
Convert hours to minutes: 4 hours × 60 minutes/hour = 240 minutes
Drop factor = 10 gtt/mL
- Calculate the total number of drops needed:
Total drops (gtt) = Total volume (mL) × Drop factor (gtt/mL)
= 750 mL × 10 gtt/mL
= 7500 gtt
- Calculate the flow rate in drops per minute (gtt/min):
Flow rate (gtt/min) = Total drops (gtt) / Total infusion time (minutes)
= 7500 gtt / 240 minutes
= 31.25 gtt/min
- Round to the nearest whole number:
Rounding 31.25 to the nearest whole number gives 31.
= 31 gtt/min.
Correct Answer is A
Explanation
A. "Increase your fluid intake to 2–3 liters per day.": Increased fluid intake helps dilute uric acid levels and promotes renal excretion, reducing the risk of kidney stones—a common complication in patients taking allopurinol. Maintaining hydration is a key part of long-term gout management.
B. "Discontinue the medication once symptoms improve.": Allopurinol is a maintenance medication meant to prevent gout flares by lowering uric acid levels over time. Stopping it when symptoms improve can lead to rebound hyperuricemia and recurrent attacks.
C. "Double the dose if a dose is missed.": Doubling a missed dose can increase the risk of toxicity, including skin rash, liver dysfunction, and hypersensitivity reactions. If a dose is missed, it should be taken as soon as remembered unless it's almost time for the next dose.
D. "Take the medication only during acute gout attacks.": Allopurinol is not intended for acute gout relief; it can actually worsen or trigger flares when initiated during an attack. It is used for chronic urate-lowering therapy and should be taken consistently.
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