Which of these is the correct way for a nurse to document medication administration?

Record the drugs given during the shift before the shift ends.

Record the drugs given by the client's pharmacy technician.

Record the drugs immediately after administration to clients.

Record the drugs given by any member of the client-care team.

Answer and Explanation

The Correct Answer is C

Choice A reason: Recording at shift’s end risks memory errors or omissions; delayed documentation compromises accuracy and legal accountability for controlled substances and patient care.

Choice B reason: Pharmacy technicians don’t administer drugs; nurses document their own actions, ensuring responsibility and precision in the medication administration record.

Choice C reason: Immediate recording post-administration ensures accuracy, timeliness, and compliance with standards; it reflects real-time events, reducing errors in patient care documentation.

Choice D reason: Recording others’ actions is inaccurate and unethical; nurses must document only their administrations, maintaining individual accountability and patient safety.

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Correct Answer is A

Explanation

Choice A reason: Blood indicates vascular entry; discarding prevents unintended IV delivery of an IM drug, avoiding rapid absorption risks and ensuring proper route administration.

Choice B reason: Giving with blood risks IV administration; IM drugs aren’t formulated for this, potentially causing embolism or toxicity, violating safety administration principles.

Choice C reason: Changing the needle leaves contaminated medication; blood-mixed drugs are unsafe, and this fails to address the compromised dose integrity fully.

Choice D reason: Omitting skips treatment needlessly; the issue is procedural, not the order, and restarting ensures the patient receives the intended therapy safely.

A. Toxic effect B. Drug allergy C. Idiosyncrasy D. Drug tolerance

Correct Answer is C

Explanation

Choice A reason: Toxic effects involve overdose symptoms like coma; staying awake isn’t toxicity, as Nembutal’s sedative intent is reversed, not exaggerated, in this reaction.

Choice B reason: Drug allergy causes immune responses (e.g., rash); insomnia isn’t allergic, but a paradoxical effect, differing from hypersensitivity reactions entirely.

Choice C reason: Idiosyncrasy is an unexpected reaction; Nembutal, a barbiturate, should sedate, but wakefulness is an abnormal, individual response, fitting this category precisely.

Choice D reason: Tolerance reduces efficacy over time; this acute, opposite reaction to a sedative isn’t tolerance, but an immediate, unpredictable drug response.

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Which of these is the correct way for a nurse to document medication administration?

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Naxlex Comprehensive Predictor Exams

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Explanation

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