Editing Pharmacology – RN Practice Questions (section)

==Question 12==
'''Select all that apply.''' Which situations require an independent double check by a second qualified clinician according to standard high-alert medication practice?
# Programming a continuous insulin infusion pump
# Administering a scheduled oral multivitamin
# Initiating a patient-controlled analgesia pump with hydromorphone
# Administering a weight-based heparin bolus
# Administering intravenous chemotherapy
# Applying a nonmedicated hydrocolloid dressing

'''Answer:''' 1, 3, 4, and 5 (A, C, D, E).

''Rationale:'' Insulin, opioids delivered by patient-controlled analgesia, anticoagulants, and chemotherapy are all high-alert categories in which errors cause severe or fatal harm, so an independent double check of the drug, concentration, dose, rate, pump programming, and client identity is standard. An oral multivitamin, option 2, and a dressing, option 6, are not high-alert and do not require a second verifier. The check must be genuinely independent, meaning the second clinician verifies without being told the expected values.