Documenting Medication Administration Questions and Answers Graded A

Documenting Medication Administration Questions and Answers Graded A Which example reflects effective documentation of medication administration by a nurse? A. Comparing the written order with the medication administration record (MAR) three times B. Providing patient education regarding a medication C. Obtaining a BP before giving a blood pressure medication D. Including the location of an injection site on the MAR - ANS- Including the location of an injection site on the MAR Rationale: Including the location of an injection is required when documenting the administration of injected medication. Comparing the written order with the MAR helps the nurse ensure that the medication order has been correctly transcribed into the dispensing system; however, this activity occurs before the documentation of medication administration. Although providing patient education is appropriate and should be included in patient documentation, this activity does not specifically address documentation of medication administration. Obtaining pre-assessments is important, but the nurse would do so before documenting medication administration. What is the best way for the nurse to ensure that a patient receives the correct dose of a medication? A. Compare the prescriber's order with the MAR before dispensing the medication. B. Ask the patient if he would like a larger dose of pain medication. C. Assess the patient's ability to swallow oral medications without difficulty. D. Check the name of the medication three times against the MAR. - ANS- Compare the prescriber's order with the MAR before dispensing the medication. Rationale: Reconciling the order with the MAR at the point of delivery ensures that the correct dose is selected. Assessing the effectiveness of pain medication is important, but the patient cannot increase the amount of medication he receives. Although it is appropriate to assess swallowing ability, doing so does not ensure the correct medication dose is give. Checking the name of the medication is required, but it will not ensure that the dose is correct. Medications come in a variety of strengths, and name and dose must be checked three times. Which statement best illustrates the nurse's understanding of the role of nursing assistive personnel (NAP) in documenting medication administration? A. "Make a note that the patient just received her PM dose of pain medication." B. "Let me know if the patient says her nausea is getting worse." C. "Can you check the MAR and see when this patient had her pain medication last?" D. "Ask the patient if I need to get another order from the provider." - ANS- "Let me know if the patient says her nausea is getting worse." Rationale: The nurse may delegate to NAP the task of reporting a patient's symptoms. Documentation of medication administration may not be delegated to NAP. Reviewing medication documentation cannot be delegated to NAP. Neither the patient nor the NAP is responsible for making this clinical judgment. The skill of patient assessment is a nursing responsibility. The patient refuses a scheduled dose of an antibiotic, saying that the medication makes him feel nauseated. What it the nurse's best response? A. Inform the patient why the medication is necessary. B. Notify the prescriber of the patient's reason for refusing the medication. C. Offer to administer the medication with the patient's favorite snack food.