Answer to Question 1
Correct Answer: 3
Rationale 1: This is part of the implementation step of the nursing process.
Rationale 2: This part of the evaluation step of the nursing process.
Rationale 3: This is part of the assessment step of the nursing process.
Rationale 4: This is part of the planning step of the nursing process.
Global Rationale: Asking the client about food or medication allergies, including OTC medications and herbal supplements, is part of the assessment step of the nursing process. The other options illustrate other steps of the nursing process, not assessment.
Answer to Question 2
Correct Answer: 4
Rationale 1: An error could have occurred, but not necessarily because of the route of administration.
Rationale 2: Nurses should never administer a medication unless they are familiar with its uses and side effects; an error could have occurred because the nurse was unfamiliar with the medication.
Rationale 3: There is no information in the question to indicate that the nursing unit was understaffed; therefore the nursing manager is not partially at fault.
Rationale 4: An error did not occur, but could have because the nurse was not familiar with the medication.
Global Rationale: An error did not occur, but could have because the nurse was not familiar with the medication. An error could have occurred, but not necessarily because of the route of administration. Nurses should never administer a medication unless they are familiar with its uses and side effects; an error could have occurred because the nurse was unfamiliar with the medication. There is no information in the question to indicate that the nursing unit was understaffed; therefore the nursing manager is not partially at fault.