NCLEX · Medication Safety

A nurse is preparing to administer a 'high-alert' medication such as heparin or insulin. What additional safety measure is recommended?

Correct answer

Have a second nurse independently verify the medication and dose before administration

  1. A Administer it faster to save time
  2. B Skip the usual checks since it is urgent
  3. C No special measures are needed
  4. D Have a second nurse independently verify the medication and dose before administration

Why this is the answer

HIGH-ALERT medications (those with a heightened risk of causing significant harm if used in error) — such as HEPARIN, INSULIN, opioids, chemotherapy, and concentrated electrolytes (e.g., potassium chloride) — require additional safeguards, including an INDEPENDENT DOUBLE-CHECK by a SECOND NURSE who independently verifies the medication, dose, and calculation before administration. NCLEX safe care/medication safety. Other safeguards: standardized concentrations, special labeling, and protocols. The independent double-check catches errors before they reach the client. Insulin and heparin (anticoagulants) are classic high-alert drugs. Knowing high-alert meds require extra verification (independent double-check) is a tested NCLEX safety concept.
Source: NCLEX Safe Care — High-Alert Medications

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About this topic: Medication Safety

Medication safety questions cover the rights of administration, high-alert medications, look-alike/sound-alike drugs, dosage calculation, reconciliation and what to do after a medication error. This is one of 9 RN: Safe and Effective Care Environment questions on medication safety, each with a full explanation on a single study page.

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