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Nurse Dive Free Nursing Practice Question
A nurse is administering medication to a patient using bar code scanning technology. What is the first step to ensure safe medication administration according to the Six Rights?
A. Administer the medication immediately after scanning the bar code.
Administer the medication immediately after scanning the bar code: Administering without confirming the patient could result in a medication error. Scanning alone does not replace patient verification.
B. Report any medication concerns to the pharmacist.
Report any medication concerns to the pharmacist: While reporting concerns is important, this step occurs after identifying issues, not as the initial action to ensure safe administration.
C. Check the drug label for storage instructions.
Check the drug label for storage instructions: Checking storage conditions ensures medication integrity but does not verify the patient or prevent administration errors.
D. Verify the right patient using two identifiers.
Verify the right patient using two identifiers: Confirming the patient’s identity using two identifiers (such as name and date of birth) is the first critical step in the Six Rights of medication administration. This ensures the correct patient receives the correct medication and prevents errors.
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Full Explanation
Rationale:
A. Administer the medication immediately after scanning the bar code: Administering without confirming the patient could result in a medication error. Scanning alone does not replace patient verification.
B. Report any medication concerns to the pharmacist: While reporting concerns is important, this step occurs after identifying issues, not as the initial action to ensure safe administration.
C. Check the drug label for storage instructions: Checking storage conditions ensures medication integrity but does not verify the patient or prevent administration errors.
D. Verify the right patient using two identifiers: Confirming the patient’s identity using two identifiers (such as name and date of birth) is the first critical step in the Six Rights of medication administration. This ensures the correct patient receives the correct medication and prevents errors.
Similar Questions
Which step in dimensional analysis ensures that the calculated dosage is safe and appropriate for the patient?
A. Double-checking all mathematical calculations
Double-checking all mathematical calculations: Verifying calculations is important to reduce errors, but it does not ensure the dose is clinically safe or appropriate for the patient’s condition.
B. Evaluating the final answer using clinical judgment
Evaluating the final answer using clinical judgment: After completing dimensional analysis, the nurse must assess whether the calculated dose is reasonable for the patient’s age, weight, and clinical condition. This step ensures the dosage is both safe and therapeutically appropriate.
C. Using the correct conversion factors
Using the correct conversion factors: Accurate conversion factors are essential for correct calculations, but correct math alone does not guarantee that the dose is safe or suitable for the specific patient.
D. Ensuring all units are canceled out correctly
Ensuring all units are canceled out correctly: Proper unit cancellation prevents mathematical errors, yet it does not evaluate whether the final dosage is safe or clinically appropriate for administration.
Full Explanation
Rationale:
A. Double-checking all mathematical calculations: Verifying calculations is important to reduce errors, but it does not ensure the dose is clinically safe or appropriate for the patient’s condition.
B. Evaluating the final answer using clinical judgment: After completing dimensional analysis, the nurse must assess whether the calculated dose is reasonable for the patient’s age, weight, and clinical condition. This step ensures the dosage is both safe and therapeutically appropriate.
C. Using the correct conversion factors: Accurate conversion factors are essential for correct calculations, but correct math alone does not guarantee that the dose is safe or suitable for the specific patient.
D. Ensuring all units are canceled out correctly: Proper unit cancellation prevents mathematical errors, yet it does not evaluate whether the final dosage is safe or clinically appropriate for administration.
You need to administer 1/4 teaspoon of a liquid medication. How many milliliters does this convert to?
A. 3 mL
Calculation: Given: Ordered Dose = 1/4 teaspoon Conversion = 1 teaspoon = 5 mL Formula: Volume in mL = Number of teaspoons × 5 mL = 1/4 × 5 = 1.25 mL
B. 0.75 mL
Calculation: Given: Ordered Dose = 1/4 teaspoon Conversion = 1 teaspoon = 5 mL Formula: Volume in mL = Number of teaspoons × 5 mL = 1/4 × 5 = 1.25 mL
C. 2.5 mL
Calculation: Given: Ordered Dose = 1/4 teaspoon Conversion = 1 teaspoon = 5 mL Formula: Volume in mL = Number of teaspoons × 5 mL = 1/4 × 5 = 1.25 mL
D. 1.25 mL
Calculation: Given: Ordered Dose = 1/4 teaspoon Conversion = 1 teaspoon = 5 mL Formula: Volume in mL = Number of teaspoons × 5 mL = 1/4 × 5 = 1.25 mL
Full Explanation
Calculation:
Given:
Ordered Dose = 1/4 teaspoon
Conversion = 1 teaspoon = 5 mL
Formula:
Volume in mL = Number of teaspoons × 5 mL
= 1/4 × 5
= 1.25 mL
A patient needs to receive a liquid medication dosage of 2 tablespoons. How many milliliters should the nurse administer?
A. 15 milliliters
Calculation: Ordered Dose = 2 tablespoons Conversion:1 tablespoon = 15 mL Volume in mL = Number of tablespoons × 15 mL = 2 × 15 = 30 mL
B. 30 milliliters
Calculation: Ordered Dose = 2 tablespoons Conversion:1 tablespoon = 15 mL Volume in mL = Number of tablespoons × 15 mL = 2 × 15 = 30 mL
C. 10 milliliters
Calculation: Ordered Dose = 2 tablespoons Conversion:1 tablespoon = 15 mL Volume in mL = Number of tablespoons × 15 mL = 2 × 15 = 30 mL
D. 25 milliliters
Calculation: Ordered Dose = 2 tablespoons Conversion:1 tablespoon = 15 mL Volume in mL = Number of tablespoons × 15 mL = 2 × 15 = 30 mL
Full Explanation
Calculation:
Ordered Dose = 2 tablespoons
Conversion:1 tablespoon = 15 mL
Volume in mL = Number of tablespoons × 15 mL
= 2 × 15
= 30 mL