When ensuring the right drug is being administered, what sho...

When ensuring the right drug is being administered, what should the nurse compare? Select all that apply.

A. Medication
B. Container label
C. Medication record
D. MAR
E. Nursing notes

Correct Answer: A,B,C,D

Rationale: The nurse compares the medication, container label, and medication record and then the MAR as the item is removed from the cart and before the actual administration of the drug.

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What action is most appropriate immediately after administering an opioid drug?

A. Monitoring the vital signs of the patient
B. Documenting administration of the drug
C. Informing the patient about the type of drug
D. Updating the physician regarding the patient's condition

Correct Answer: B

Rationale: After administration of any drug, the nurse should immediately document the administration. After the documentation is complete, the nurse can record the patient's vital signs. The patient needs to be informed about the drug before the administration. The physician need not be immediately informed, unless the client develops severe adverse reactions.

What action is most appropriate when a nurse cannot read a healthcare provider's handwriting on a medication order?

A. The nurse should question the order with the primary health care provider
B. The nurse should try to interpret the handwriting
C. The nurse should confirm the order with a nearby health care provider
D. The nurse should obtain a verbal order

Correct Answer: A

Rationale: Any order that is unclear, particularly due to illegible handwriting, should be questioned. The nurse should not try to interpret the handwriting as it may lead to a misinterpretation. The nurse should also not confirm the order with any other physician who is nearby. Administering drugs based on verbal orders is permissible only during emergencies.

What types of orders for drug therapy might the nurse expect to find in a client's medical record? Select all that apply.

A. Standing order
B. STAT order
C. Single order
D. Alternate order
E. PRN order

Correct Answer: A,B,C,E

Rationale: Common orders given by health care providers for drug therapy include the standing order, the single order, the PRN order, and the STAT order.

When a primary health care provider phones in a medication order, what should the nurse do? Select all that apply.

A. Write down the order
B. Record the order as soon as the MAR is retrieved
C. Repeat back the information exactly as written
D. Clarify any unclear information
E. Obtain verbal confirmation that the information is correct

Correct Answer: A,C,D,E

Rationale: If a verbal order is given over the telephone, the nurse writes down the order immediately, repeats back the information exactly as written, and then asks for a verbal confirmation that it is correct. Any order that is unclear should be questioned and clarified.

A nurse's responsibility when a drug is prescribed for a client includes which of the following? Select all that apply.

A. Administering the drug to the client
B. Monitoring for therapeutic response
C. Checking for drug?drug interactions
D. Reporting adverse reactions
E. Teaching the client information needed to administer drugs safely at home

Correct Answer: A,B,D,E

Rationale: When a drug is prescribed to a client, the nurse is responsible for the administration of the drug, monitoring for therapeutic effects, reporting adverse drug reactions, and teaching the client information needed to administer the drug safely at home. A pharmacist checks for drug?drug interactions prior to dispensing a drug for administration.