Illinois Nursing Home Administrators (NHA) Practice Exam

A nurse may NOT perform which task with medications for a resident temporarily out of the facility?

1. Prepare instructions for self-administration

2. Transfer medications from their original containers into other containers that are then labeled by the nurse

3. Replace a damaged label on an original medication container

4. Document administration on the resident's medication record

The correct answer is: Replace a damaged label on an original medication container

In this scenario, the correct response revolves around the regulations governing medication management in nursing facilities. A nurse is allowed to perform various tasks related to medications, but replacing a damaged label on an original medication container is a task that typically cannot be done for a number of reasons. First, any changes to medication labeling must comply with very specific regulations that ensure the safety and clarity of medication administration. These regulations are in place to prevent errors and ensure that the resident receives the correct medication, as the original labeling contains critical information such as dosage instructions, expiration dates, and side effect notices that are legally required to be displayed in a specific format. Altering the label could lead to confusion or misadministration of the medication, introducing a significant risk factor. On the other hand, tasks such as preparing instructions for self-administration, transferring medications into other containers (as long as the nurse labels them appropriately), and documenting administration are activities that can be managed by the nurse under defined circumstances. These tasks are designed to ensure that the resident's medication needs are met safely and effectively while providing clear and actionable guidance. Overall, understanding the importance of maintaining original labeling and the implications of any changes enhances a nurse's ability to provide safe and effective care.