Which of the following best explains why a nurse should review the MAR before administering medications?
The correct administration time of the medication
All previous medication errors
The name of the pharmacist who prepared the medication
Orders for therapy
The Correct Answer is A
A. The correct administration time of the medication: Reviewing the Medication Administration Record (MAR) ensures accuracy in timing, dosage, route, and patient identity, preventing medication errors.
B. All previous medication errors: The MAR does not contain a record of prior medication errors; this information is found in incident reports or quality assurance logs.
C. The name of the pharmacist who prepared the medication: The MAR lists medications ordered and administered, not the individual pharmacist responsible for dispensing them.
D. Orders for therapy: Although the MAR may reflect therapeutic orders indirectly, its primary purpose is to guide safe and accurate medication administration.
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Related Questions
Correct Answer is C
Explanation
A. Client refuses their morning medications.: Refusal to take medications indicates a lack of adherence or understanding of the treatment plan. This situation requires nursing intervention, education, or possible adjustment to ensure the client receives the intended therapeutic benefits.
B. Client states he doesn't understand why he is taking so many meds.: This response reflects confusion or poor understanding of the medication regimen, which may contribute to noncompliance. The nurse should provide further teaching and clarification rather than adjusting the dosage.
C. Client has achieved a therapeutic response.: When the client attains the desired therapeutic effect without signs of toxicity or adverse reactions, the current dosage is considered appropriate. This outcome indicates that the medication regimen is effective and does not require dosage modification.
D. Client had an adverse reaction or interaction.: The occurrence of an adverse effect or drug interaction suggests that the current dose or combination may be unsafe. In such cases, the healthcare provider must reassess and adjust the medication plan accordingly.
Correct Answer is C
Explanation
A. When the nurse determines the medication is needed.: This describes a PRN (as needed) order, not a STAT order. PRN medications are administered based on patient symptoms and nursing judgment, not immediate urgency.
B. Once and repeating at a specified time.: This refers to a single or one-time order that can be repeated later at a defined interval if prescribed, but it does not carry the urgency of a STAT order.
C. Immediately and only once.: A STAT order requires the medication to be administered right away, usually in response to an urgent or emergency situation. Lorazepam 1 mg IV STAT should be given promptly and only once unless new orders are provided.
D. On an indefinite basis.: This describes a standing or routine order that continues until discontinued by the provider. STAT orders are not ongoing; they are meant for immediate, one-time administration.
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