Medication Administration Verified A+
The nurse is administering medications to the client. What does the nurse explain to the client who asks
about the checks of medication administration?
Select all that apply.
"I check the label of any medication before administering it to you.", "I chec...
Medication Administration Verified A+
The nurse is administering medications to the client. What does the nurse explain to the client who asks
about the checks of medication administration?
Select all that apply.
"I check the label of any medication before administering it to you.", "I check the label before removing
the medication from its container.", "I check the label when taking medication from the storage area."
Rationale:The nurse should check the label when he or she selects the container or unit dose package;
after he or she takes it from the storage area and compares it with the medication administration
record; and right before administering the medication to the client. There is no need to check the label
after the pharmacy delivers the medication if the nurse is not going to administer it at that time. Labels
should be checked before administering to the client.
A nurse has administered a pain medication to the client. What should the nurse do next?
Reassess the client.
Rationale:The most appropriate action after administering pain medication is to reassess the client for
the right response. The client should not be left alone without access to the call bell and should be
instructed not to get out of bed without help. All four side rails should not be up; this is a form of
restraint.
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The client overhears the nurse reviewing the rights of medication administration and asks, "Why are you
saying, 'right medication, right client, right route, right dose'?"
What is the nurse's best response?
"I review these to make sure your medications are accurate and correct."
Rationale:Medication errors can be prevented by carefully adhering to these rights, understanding the
important concepts that apply to each right, and utilizing a nursing drug reference guide to provide
accurate information for each medication administered
The nurse administers medication to a client. Which statement by the nurse is required to satisfy the
three checks and rights of medication administration?
"Please tell me your name and date of birth."
,Rationale:The minimum number of times the nurse should check the medication label before
administering the medication is three times: right medication, right client, right route, right dose.
The nurse is to administer a medication to a client in isolation and the medication is in a multi-dose
container.
How will the nurse complete the third check of medication administration?
Check the multi-dose label before putting the container back in the drawer and label medicine cup with
needed information.
Rationale:The multi-dose container should not be taken into an isolation room. The label should be
verified, and medication placed into a medicine cup. The cup should be labeled with client's name, date
of birth, identification number, medication name, and dose.
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The nurse is preparing to administer medications to the client. The client sees the nurse double checking
each medication and asks the nurse what is occurring.
What is the nurse's best response?
"Checking the medication again to ensure the right medication is given to you."
Rationale:The purpose of checking the medication is to ensure that the right medication is going to the
right client. Three checks are completed during medication preparation and administration.
The nurse is caring for a client who has a newly written prescription for "fluoxetine 20 mg by mouth
daily for treatment of depression." The nurse is unfamiliar with this medication.
Which action is most appropriate?
Consult a professional medication reference before preparing to administer the medication.
Rationale:The nurse must not administer medications that are unfamiliar to him or her. The nurse
should be able to review appropriate references, as opposed to consulting a colleague.
The nurse is caring for a client with a gastrointestinal bleed who has a nasogastric (NG) tube. After
administering the medications via the NG tube, what would the nurse do next?
Shut off nasogastric tube for 30 minutes
Rationale: The nasogastric tube should be shut off for 30 minutes to enhance medication absorption
and then reestablish decompression. The nasogastric tube should be reestablished to suction per the
health care provider's prescription. The nasogastric tube should be flushed with 5 to 10 mL warm water
after each medication, and 30 to 60 mL warm water after the last dose of medication.
, A nurse is measuring a liquid medication in a graduated liquid medication cup.
The nurse determines the correct amount by reading:
the bottom of the meniscus.
Rationale: When measuring the correct amount of liquid medication in a graduated liquid medication
cup, the nurse would measure the liquid at eye level at the bottom of the meniscus to ensure an
accurate dosage. Measuring at the top of the amount line, just below it or on both sides would be
inaccurate.
A nurse is preparing to administer oral medications to a client. While opening the unit dose package, the
medication inadvertently falls on the floor.
Which action by the nurse would be most appropriate?
Discard the current unit-dose package and obtain a new one.
Rationale: If a medication falls on the floor, the nurse must discard it and obtain a new dose. Since the
medication was in a unit dose-package, the nurse would easily be able to tell which medication had
fallen. The client did not refuse the medication so it would be inappropriate to document it as such.
The nurse splits a medication for client administration. What should the nurse do to assure safety and
proper documentation?
Select all that apply.
Take medication to bedside.,
Take medication package and label to bedside.,
Take computer to the bedside.
Rationale: To assure safety and proper documentation of a medication administration, the medication,
medication package and label, and computer should be taken to the client's bedside before
administering medication.
The nurse is preparing a liquid medication for a client. The health care provider prescribes cimetidine
hydrochloride 600 mg PO for gastrointestinal bleeding. The pharmacy sends cimetidine hydrochloride
300 mg/5 mL.
How many teaspoons should the nurse administer?
2 teaspoons
Rationale: The nurse should administer 2 teaspoons of the cimetidine hydrochloride.
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