Pathophysiology · practice question

A 73-year-old client on a telemetry unit is being evaluated for nursing care related to acid-base imbalance. Assessment data include temperature 102.2°F (39°C), heart rate 126/min, blood pressure 86/50 mm Hg, and confusion. Before a medication-related action, what must the nurse verify?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology

Delegate medication judgment to UAP to save time.Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.Administer on schedule even when the client is unarousable.Skip allergy checks if the drug was given previously without reaction.

Answer and explanation

Correct answer

B. Right client, medication, dose, route, time, allergies, indication, and relevant monitoring per protocol.

Why

Medication safety requires full rights verification and monitoring; shortcuts increase error risk on the NCLEX and at the bedside.

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A 73-year-old client on a telemetry unit is being evaluated for nursing care related to acid-base imbalance. Assessment data include temperature 102.2°F (39°C), heart rate 126/min, blood pressure 86/50 mm Hg, and confusion. Before a medication-related action, what must the nurse verify?

Correct answer

Why

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