Answer to Question 1
Correct Answer: 1
Rationale 1: When preparing medications, the nurse must focus entirely on the task at hand, and instruct others who are talking to stop.
Rationale 2: It is inappropriate to ask another nurse to help with medications so there is more time to talk.
Rationale 3: Pretending to listen to the second nurse's conversation would be distracting.
Rationale 4: The nurse cannot stop preparing medications; the clients must receive them on time.
Global Rationale: When preparing medications, the nurse must focus entirely on the task at hand, and instruct others who are talking to stop. It is inappropriate to ask another nurse to help with medications so there is more time to talk. Pretending to listen to the second nurse's conversation would be distracting. The nurse cannot stop preparing medications; the clients must receive them on time.
Answer to Question 2
Correct Answer: 2,3,4
Rationale 1: Only high-risk drugs (e.g., insulin) need to be validated with another nurse. It is okay to validate any drug with another nurse if the nurse giving the medications wants a second opinion.
Rationale 2: Nurses should always account for patient variables such as age, weight, and any diagnostic studies that may impact the administration of medication.
Rationale 3: Requiring a written medication order also reduces the possibility of an error related to similar-sounding drug names.
Rationale 4: This is one of the five rights of drug administration to prevent errors.
Rationale 5: Medications should never be documented on the MAR until they have been administered. Documenting anything prior to the actual event is false documentation.
Global Rationale: Nurses should always account for patient variables such as age, weight, and any diagnostic studies that may impact the administration of medication. Requiring a written medication order also reduces the possibility of an error related to similar-sounding drug names. Checking the client identification band is one of the rights of drug administration to prevent errors. Only high-risk drugs (e.g., insulin) need to be validated with another nurse. It is okay to validate any drug with another nurse if the nurse giving the medications wants a second opinion. Medications should never be documented on the MAR until they have been administered. Documenting anything prior to the actual event is false documentation.