Review Safety Considerations in Medication Administration

Medication Administration and Dosage Calculations > Pharmacology

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Safety Considerations in Medication Administration

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Total Questions : 10

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Question 1:

A nurse is preparing to administer medication to a client. What is the first step in ensuring the safe administration of the medication?

A. Verify the client’s identity. B. Check the medication order. C. Prepare the medication. D. Administer the medication.

Answer and Explanation

Choice A:

Verifying the client’s identity is an important step in ensuring the safe administration of a medication, but it is not the first step.

Choice B:

The first step in ensuring the safe administration of a medication is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.

Choice C:

Preparing the medication is an important step in ensuring its safe administration, but it is not the first step.

Choice D:

Administering the medication is an important step in ensuring its safe administration, but it is not the first step.

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Question 2:

A nurse is preparing to administer a high-alert medication to a client. What additional safety measures should be taken?

A. Double-check the medication order with another nurse. B. Administer the medication as quickly as possible. C. Administer the medication without checking for allergies. D. Administer the medication without verifying the client’s identity.

Answer and Explanation

Choice A:

High-alert medications are those that have a high risk of causing significant harm if used in error. When administering a high-alert medication, additional safety measures should be taken to ensure its safe use. One such measure is to double-check the medication order with another nurse to verify its accuracy and appropriateness.

Choice B:

Administering a high-alert medication as quickly as possible may increase the risk of error and harm to the client.

Choice C:

Checking for allergies is an important safety measure when administering any medication, including high-alert medications.

Choice D:

Verifying the client’s identity is an important safety measure when administering any medication, including high-alert medications.

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Question 3:

A nurse has prepared an injection for a patient. What should be done before administering this injection?

A. Verify patient’s identity B. Check injection site C. Check the patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before administering an injection.

Choice B:

Checking injection site for any signs of infection,inflammation or injury is important before administering an injection.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of injection being administered is important before administering an injection.

Choice D:

Before administering an injection,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check injection site for any signs of infection,inflammation or injury.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of injection being administered.

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Question 4:

A nurse has prepared an oral tablet for a patient who has difficulty swallowing. What should be done before administering this tablet?

A. Crush tablet and mix it with applesauce B. Cut tablet in half C. Administer tablet with large glass of water D. Consult with the provider

Answer and Explanation

Choice A:

Crushing tablets and mixing them with applesauce may alter the pharmacokinetics and should only be done if approved by the provider.

Choice B:

Cutting the tablet in half may alter the pharmacokinetics and should only be done if approved by the provider.

Choice C:

Administering the tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.

Choice D:

Before administering an oral tablet to a patient who has difficulty swallowing, the nurse should consult with the provider. Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics. In such cases, alternative formulations such as liquid or chewable tablets may be available.

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Question 5:

A nurse has prepared an IV infusion for a patient. What should be done before starting this infusion?

A. Verify patient’s identity B. Check IV site C. Check IV tubing D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before starting an IV infusion.

Choice B:

Checking IV site for any signs of infection,inflammation or phlebitis is important before starting an IV infusion.

Choice C:

Checking IV tubing for any kinks or obstructions that may impede flow is important before starting an IV infusion.

Choice D:

Before starting an IV infusion, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the IV site for any signs of infection, inflammation or phlebitis. Finally, the nurse should check IV tubing for any kinks or obstructions that may impede flow.

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Question 6:

A nurse is preparing to administer medication to a client. What should be done if the client refuses to take the medication?

A. Force the client to take the medication B. Document the refusal and notify the provider C. Administer the medication anyway D. None of above

Answer and Explanation

Choice A:

Forcing a client to take a medication against their wishes is not appropriate.

Choice B:

If a client refuses to take a medication,the nurse should document the refusal and notify the provider.The nurse should not force the client to take the medication or administer it against their wishes.

Choice C:

Administering a medication against a client’s wishes is not appropriate.

Choice D:

Documenting the refusal and notifying the provider is the appropriate action.

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Question 7:

A nurse has administered a dose of pain medication to a patient. What should be done after administering this dose?

A. Check the patient’s vital signs B. Assess the patient’s pain level C. Document administration D. All of above

Answer and Explanation

Choice A:

Checking patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature is important after administering a dose of pain medication.

Choice B:

Assessing patient’s pain level using an appropriate pain scale is important after administering a dose of pain medication.

Choice C:

Documenting administration of pain medication including time,dose,route,and any adverse effects is important after administering a dose of pain medication.

Choice D:

After administering a dose of pain medication,the nurse should check patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature.The nurse should also assess patient’s pain level using an appropriate pain scale.Finally,the nurse should document administration of pain medication including time,dose,route,and any adverse effects.

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Question 8:

A nurse has prepared an injection for a pediatric patient. What should be done before administering this injection?

A. Verify patient’s identity B. Check injection site C. Check the patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before administering an injection to pediatric patient.

Choice B:

Checking injection site for any signs of infection,inflammation or injury is important before administering an injection to pediatric patient.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of injection being administered is important before administering an injection to pediatric patient.

Choice D:

Before administering an injection to a pediatric patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check injection site for any signs of infection,inflammation or injury.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of injection being administered.

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Question 9:

A nurse has prepared an oral liquid suspension for an elderly patient. What should be done before administering this suspension?

A. Verify patient’s identity B. Check ability to swallow C. Check the patient’s allergies D. All of above

Answer and Explanation

Choice A:

Verifying patient’s identity using two identifiers such as name and date of birth is important before administering oral liquid suspension to elderly patient.

Choice B:

Checking ability to swallow by asking about difficulty swallowing or observing during mealtime is important before administering oral liquid suspension to elderly patient.

Choice C:

Checking patient’s allergies to ensure that they are not allergic to any component of suspension being administered is important before administering oral liquid suspension to elderly patient.

Choice D:

Before administering an oral liquid suspension to an elderly patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check ability to swallow by asking about difficulty swallowing or observing during mealtime.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of suspension being administered.

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Question 10:

A nurse has prepared an IV push medication for a critically ill patient. What additional safety measures should be taken?

A. Double-check medication orders with another nurse B. Administer medication slowly C. Monitor vital signs during the administration D. All of above

Answer and Explanation

Choice A:

Double-checking medication order with another nurse can help prevent errors when administering IV push medications.

Choice B:

Administering IV push medications slowly can help prevent adverse reactions.

Choice C:

Monitoring vital signs during administration can help detect adverse reactions early.

Choice D:

When administering IV push medication to critically ill patients,additional safety measures should be taken.One such measure is double-checking medication order with another nurse.The nurse should also administer medication slowly while monitoring vital signs during administration.

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Safety Considerations in Medication Administration

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