Which of the following are the five main rights of medication administration?(Select all that apply.)
Right route
Right to refuse
Right dose
Right person
Right documentation
Right medication
Correct Answer : A,C,D,E,F
The correct answer is: a. Right route, c. Right dose, d. Right person, e. Right documentation, f. Right medication.
Choice A: Right route
The right route ensures that the medication is administered via the correct method, such as oral, intravenous, or intramuscular. This is crucial because different routes can affect the medication’s absorption and effectiveness. Administering medication via the wrong route can lead to ineffective treatment or even harm the patient.
Choice B: Right to refuse
While patients do have the right to refuse medication, this is not one of the five main rights of medication administration. The five main rights focus on the correct administration process to ensure patient safety and effective treatment.
Choice C: Right dose
The right dose ensures that the patient receives the correct amount of medication. Administering too much or too little can lead to adverse effects or ineffective treatment. This right involves verifying the prescribed dose and measuring it accurately.
Choice D: Right person
The right person ensures that the medication is given to the correct patient. This is typically verified using two identifyers, such as the patient’s name and date of birth, to prevent medication errors.
Choice E: Right documentation
The right documentation involves accurately recording the administration of the medication. This includes noting the time, dose, route, and any observations. Proper documentation is essential for maintaining accurate medical records and ensuring continuity of care.
Choice F: Right medication
The right medication ensures that the correct drug is given to the patient. This involves checking the medication label against the doctor’s order to prevent errors. Administering the wrong medication can have serious consequences.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Serum sodium level of 140 mEq/L is within the normal range of 135145 mEq/L. It does not indicate any adverse effect of the potassium sparing diuretic, which does not affect sodium excretion significantly. The nurse does not need to notify the health care provider about this finding.
Choice B reason: Blood pressure of 130/80 mmHg is slightly above the normal range of 120/80 mmHg, but it is not a cause for concern. The potassium sparing diuretic can lower the blood pressure by reducing the fluid volume and preventing sodium retention. The nurse should monitor the blood pressure regularly but does not need to notify the health care provider about this finding.
Choice C reason: Serum potassium level of 5.5 mEq/L is above the normal range of 3.55.0 mEq/L. It indicates hyperkalemia, which is a serious and potentially life-threatening complication of the potassium sparing diuretic. The potassium sparing diuretic can increase the potassium level by inhibiting its secretion in the distal tubule of the kidney. The nurse should notify the health care provider immediately and prepare to administer interventions such as calcium gluconate, insulin, or sodium bicarbonate to lower the potassium level and prevent cardiac arrhythmias.
Choice D reason: Serum potassium level of 3.5 mEq/L is at the lower end of the normal range of 3.55.0 mEq/L. It does not indicate any adverse effect of the potassium sparing diuretic, which does not cause potassium loss. The nurse does not need to notify the health care provider about this finding.
Correct Answer is A
Explanation
Choice A reason: This is correct. Drinking a glass of water after taking calcium carbonate antacid can help flush the medication down the esophagus and into the stomach, where it can neutralize the excess acid. It can also prevent the medication from sticking to the esophagus and causing irritation or damage¹.
Choice B reason: This is incorrect. Decreasing bulk in the diet is not necessary when taking calcium carbonate antacid. In fact, increasing fiber intake can help prevent constipation, which is a common side effect of calcium carbonate antacid. Constipation occurs because calcium carbonate can reduce the motility of the gastrointestinal tract.
Choice C reason: This is incorrect. Taking the medication with dairy products can decrease absorption and effectiveness of calcium carbonate antacid. Dairy products contain calcium, which can bind to calcium carbonate and form insoluble complexes that are not absorbed by the body. This can reduce the amount of calcium carbonate available to neutralize the stomach acid.
Choice D reason: This is incorrect. Reducing sodium intake is not related to taking calcium carbonate antacid. Sodium is a mineral that regulates fluid balance, blood pressure, and nerve and muscle function in the body. Some medications, such as diuretics, can increase sodium excretion and require the patient to limit sodium intake. Calcium carbonate antacid is not one of them.
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