NCLEX-PN

6.​ And, lastly, withdraw the ordered dosage of the longer-acting insulin using the same insulin syringe. (See Mixing Two Medications ) 7.​ Which of the following is NOT considered one of the “Ten Rights of Medication Administration”?

A.​ The “right” verification B.​ The “right” to refuse C.​ The “right” documentation D.​ The “right” client education

Correct Response : A Explanation : The “right verification” is not one of the “Ten Rights of Medication Administration”. The verification of the doctor’s order for medication is to confirm the right paint, medication, dose, route, and time or frequency, it, in itself, is not one of the “10 Rights”. The “Ten Rights of Medication Administration” are the right, or correct: 1.​ Medication 2.​ Dose 3.​ Time or frequency 7.​ Documentation 8.​ Right to refuse 9.​ Assessment and 10.​ Evaluation (See Guiding Principles of Medication Administration )

4.​ Client 5.​ Route 6.​ Client education

8.​ One of the primary purposes of formal medication reconciliation is to: A.​ Prevent polypharmacy B.​ Conserve financial resources C.​ Prevent interactions D.​ Prevent allergies Correct Response : C

Explanation : The medication reconciliation process to ensure that the nurse is aware of all medications that the client is taking, some of which may have been ordered by a physician other than the client’s primary care doctor and some of which are over the counter or alternative therapies that the client has added. The complete and current list of medications is then reviewed by the nurse, and possible interactions are identified and addressed with the client. Although this medication reconciliation process can also save costs by eliminating unnecessary medications, particularly when the client is taking multiple medications (polypharmacy), this is not a primary purpose. Lastly, medications that the client is allergic to should never be given, therefore, these medications should not appear during the medication reconciliation process; they should never have been given to or taken by the client. (See Engaging in the Medication Reconciliation Process ) 9.​ You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration?

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