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Nurse Dive Free Nursing Practice Question
Which of the following actions by a nurse demonstrates adherence to the Right Route in medication administration?
A. Asking a colleague about the correct route for unfamiliar medications.
Asking a colleague about the correct route for unfamiliar medications: Consulting a colleague is a helpful safety measure, but it does not directly demonstrate adherence to the right route for the specific administration at that moment.
B. Checking the medication order and verifying the route with the drug label before administration.
Checking the medication order and verifying the route with the drug label before administration: Verifying the prescribed route against the medication label ensures the drug is given correctly, preventing administration errors and ensuring patient safety. This step directly aligns with the Right Route principle.
C. Administering a medication intravenously that is ordered for oral use.
Administering a medication intravenously that is ordered for oral use: This action violates the Right Route and can result in serious harm or toxicity, as different routes have different absorption rates and systemic effects.
D. Confirming the route with the patient before administration.
Confirming the route with the patient before administration: While patient confirmation adds a safety layer, the nurse must primarily rely on the provider’s order and drug label to ensure the correct route, as patients may not always know the proper method.
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Full Explanation
Rationale:
A. Asking a colleague about the correct route for unfamiliar medications: Consulting a colleague is a helpful safety measure, but it does not directly demonstrate adherence to the right route for the specific administration at that moment.
B. Checking the medication order and verifying the route with the drug label before administration: Verifying the prescribed route against the medication label ensures the drug is given correctly, preventing administration errors and ensuring patient safety. This step directly aligns with the Right Route principle.
C. Administering a medication intravenously that is ordered for oral use: This action violates the Right Route and can result in serious harm or toxicity, as different routes have different absorption rates and systemic effects.
D. Confirming the route with the patient before administration: While patient confirmation adds a safety layer, the nurse must primarily rely on the provider’s order and drug label to ensure the correct route, as patients may not always know the proper method.
Similar Questions
A physician orders 250 mg of a medication. The available dosage strength is 500 mg per 2 mL. Using the formula method, how much should the nurse administer?
A. 1 mL
Calculation using the Formula Method Desired Dose (D): 250 mg Dose on Hand (H): 500 mg Quantity (Q): 2 mL The formula method is: Amount to Administer = (Desired (D) / Have (H)) x Quantity (Q) = (250 mg / 500 mg) x 2 mL = 0.5 x 2 mL = 1 mL
B. 0.5 mL
Calculation using the Formula Method Desired Dose (D): 250 mg Dose on Hand (H): 500 mg Quantity (Q): 2 mL The formula method is: Amount to Administer = (Desired (D) / Have (H)) x Quantity (Q) = (250 mg / 500 mg) x 2 mL = 0.5 x 2 mL = 1 mL
C. 1.5 mL
Calculation using the Formula Method Desired Dose (D): 250 mg Dose on Hand (H): 500 mg Quantity (Q): 2 mL The formula method is: Amount to Administer = (Desired (D) / Have (H)) x Quantity (Q) = (250 mg / 500 mg) x 2 mL = 0.5 x 2 mL = 1 mL
D. 2 mL
Calculation using the Formula Method Desired Dose (D): 250 mg Dose on Hand (H): 500 mg Quantity (Q): 2 mL The formula method is: Amount to Administer = (Desired (D) / Have (H)) x Quantity (Q) = (250 mg / 500 mg) x 2 mL = 0.5 x 2 mL = 1 mL
Full Explanation
Calculation using the Formula Method
Desired Dose (D): 250 mg
Dose on Hand (H): 500 mg
Quantity (Q): 2 mL
The formula method is:
Amount to Administer = (Desired (D) / Have (H)) x Quantity (Q)
= (250 mg / 500 mg) x 2 mL
= 0.5 x 2 mL
= 1 mL
Which of the following represents the 'H' in the formula method?
A. The total amount of medication required
The total amount of medication required: This represents the desired dose (D) in the formula, not 'H'. It is the amount the provider has prescribed for the patient.
B. The dosage strength available.
The dosage strength available: 'H' stands for the dosage strength available, such as milligrams per tablet or milliliters per vial. Knowing this allows the nurse to calculate how many units of the drug form to administer to meet the prescribed dose.
C. The frequency of administration
The frequency of administration: Frequency refers to how often a medication is given, which is not part of the D/H × Q calculation for a single dose.
D. The patient's weight in kilograms
The patient's weight in kilograms: Weight may be used to calculate a weight-based dose, but it is not represented by 'H'; it may be used in determining 'D' for pediatric or weight-dependent dosing.
Full Explanation
Rationale:
A. The total amount of medication required: This represents the desired dose (D) in the formula, not 'H'. It is the amount the provider has prescribed for the patient.
B. The dosage strength available: 'H' stands for the dosage strength available, such as milligrams per tablet or milliliters per vial. Knowing this allows the nurse to calculate how many units of the drug form to administer to meet the prescribed dose.
C. The frequency of administration: Frequency refers to how often a medication is given, which is not part of the D/H × Q calculation for a single dose.
D. The patient's weight in kilograms: Weight may be used to calculate a weight-based dose, but it is not represented by 'H'; it may be used in determining 'D' for pediatric or weight-dependent dosing.
When setting up a dimensional analysis equation, why is it important to align units diagonally?
A. To increase the speed of calculation
To increase the speed of calculation: Aligning units diagonally does not inherently speed up the calculation; the main purpose is to ensure proper unit conversion and accuracy.
B. To cancel out units and simplify the calculation
To cancel out units and simplify the calculation: Aligning units diagonally allows units that appear in both the numerator and denominator to cancel out correctly. This ensures the final answer is in the desired unit and reduces the risk of dosing errors.
C. To ensure the equation is balanced
To ensure the equation is balanced: While correct unit alignment contributes to a mathematically correct setup, “balancing” is not the primary reason; the focus is on unit cancellation.
D. To make the equation Easier to read
To make the equation easier to read: Although diagonal alignment can improve readability, the critical purpose is accurate conversion and calculation through proper cancellation of units.
Full Explanation
Rationale:
A. To increase the speed of calculation: Aligning units diagonally does not inherently speed up the calculation; the main purpose is to ensure proper unit conversion and accuracy.
B. To cancel out units and simplify the calculation: Aligning units diagonally allows units that appear in both the numerator and denominator to cancel out correctly. This ensures the final answer is in the desired unit and reduces the risk of dosing errors.
C. To ensure the equation is balanced: While correct unit alignment contributes to a mathematically correct setup, “balancing” is not the primary reason; the focus is on unit cancellation.
D. To make the equation easier to read: Although diagonal alignment can improve readability, the critical purpose is accurate conversion and calculation through proper cancellation of units.