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: Lisinopril is Zestril’s generic name; an ACE inhibitor, it’s widely used for hypertension, matching the context of a common medication order.

Choice B reason: Acetaminophen, a pain reliever, isn’t Zestril’s generic; it lacks antihypertensive action, making it irrelevant to the implied medication class.

Choice C reason: Morphine, an opioid, treats pain, not hypertension; it doesn’t align with Zestril’s purpose or class, ruling it out as the generic name.

Choice D reason: Fentanyl, another opioid, addresses pain, not blood pressure; it’s unrelated to Zestril’s therapeutic role, excluding it from consideration.

A. Deltoid and vastus lateralis B. Upper chest and abdomen C. Inner forearm and scapular area of the back D. Lower leg

Correct Answer is A

Explanation

Choice A reason: Deltoid and vastus lateralis are large muscles with good vascularity; they safely absorb IM injections, minimizing nerve damage or tissue irritation risks.

Choice B reason: Chest and abdomen lack sufficient muscle mass for IM; these are subcutaneous or IV sites, risking poor absorption or injury if used intramuscularly.

Choice C reason: Forearm and scapula are too thin or bony; IM injections here risk nerve or bone damage, lacking the muscle bulk needed for safe drug delivery.

Choice D reason: Lower leg (e.g., calf) has small muscles and major vessels; IM use risks vascular injury or slow absorption, making it an unsafe injection site.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the generic name on the medication? (No medication specified; assuming a common example from context, e.g., Zestril.)

Correct Answer is A

Explanation

In addition to the dorsogluteal and ventrogluteal muscles, which of these sites can safely be used for intramuscular injections?

Correct Answer is A

Explanation

Which is the priority action of the nurse immediately after administration of an intramuscular injection?

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