Question

1. If the volume of the medication is less than 10 ml, what is the appropriate way to measure this amount?

2. Name several circumstances in which medications need special considerations when administering them.

3. The nurse is in a patient room ready to administer a new medication to the patient. Which action best demonstrates awareness of safe, proficient nursing practice?

a. Identify the patient by comparing her name and birth date to the medication administration record (MAR).

b. Determine whether the medication and dose are appropriate for the patient.

c. Make sure the medication is in the medication cart.

d. Check the accuracy of the dose with another nurse.

4. What should the nurse do first when preparing to administer medications to a patient?

a. Check the medication expiration date.

b. Check the medication administration record (MAR).

c. Call the pharmacy for administration instructions.

d. Check the patient's name band.

5. The nurse reviews a primary care provider's order and finds that the medication amount is greater than the standard dose. What should the nurse do?

a. Give the standard dose rather than the one that is ordered.

b. Consult with the nursing supervisor to get a second opinion.

c. Call the primary care provider to discuss the order in question.

d. Administer the medication as ordered by the primary care provider.

Answer 1

Ans) 1) 10mL equals two teaspoons (2tsp). A tablespoon is three times bigger than a teaspoon and three teaspoons equal one tablespoon (1Tbsp or 1Tb).

- A standardised teaspoon to deliver liquid medications holds 5 millilitres (ml) of liquid. The researchers then asked the women to fill the standardised teaspoon with water until they felt the teaspoon was full. They then measured the volume of water in the syringe to assess whether it was 5ml.

2) Circumstances in which medications need special considerations when administering them:

- Never use one child's medicine for another child.
- Before administering medication, it is critical to have five areas of information correct: patient identification, medication, dosage, time, and route.

3) a. Identify the patient by comparing her name and birth date to the medication

Explaination:

- The right patient is one of the six rights to ensure safe administration of the medication. At least two patient identifiers should be used and compared to the armband or MAR. Although it is important to assess the appropriateness of the medication, it is not the first step before administering the medication to the patient. Not all medications require another nurse to check the accuracy of the dose. Determining whether the medication is available is a time management issue.

4) b. Check the medication administration record (MAR).

Explaination:

- Checking the MAR is the first step in administering medications. Checking the expiration date and administration instructions is done only after the order is verified. Checking the patient's name band is one of the six rights of medication administration, but it is done after the MAR has been checked and the drug, dose, route, and time of administration have been verified.

5) c. Call the primary care provider to discuss the order in question.

Explaination:

- The nurse is responsible for understanding and further investigating a medication order that falls outside an acceptable standard. Ultimately, the nurse is responsible for his or her own action, despite a physician's written order. It is not within the nurse's scope of practice to alter a medication order, but she has the right to refuse or question it. Informing the nursing supervisor is an unnecessary step.