A nurse is administering a client's morning oral medications.
Which of the following actions should the nurse take?
Verify the medication three times with the medication administration record.
Document medication administration prior to administering medication.
Administer time-critical medication 60 min before or after the scheduled time.
Identify the client by using one identifier before giving the medication.
The Correct Answer is A
a. Verify the medication three times with the medication administration record.
When administering oral medications, the nurse should verify the medication three times with the medication administration record to ensure that the correct medication is being given to the correct client at the correct time. This is known as the "three checks" and is an important step in preventing medication errors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Explaining the procedure's purpose is incorrect. While explaining the procedure's purpose is essential, it should not be done as a sole response if the client has expressed a lack of understanding. The client's concerns and questions need to be addressed first.
Choice B Reason:
Reminding the client about the specifics of the procedure is incorrect. This choice assumes that the client is aware of the specifics but has forgotten them. If the client has already stated that they don't understand why the procedure is necessary, simply reminding them of the details may not address their concerns adequately.
Choice C is Reason:
Asking the client to sign the consent form anyway is incorrect. This option is not appropriate because it would violate the principle of informed consent. Informed consent requires that the client fully understands the procedure, its purpose, potential risks, and alternatives before signing the form. If the client doesn't understand, signing the form would not be informed consent.
Choice D Reason:
Notifying the charge nurse about the situation is correct. When a client expresses a lack of understanding or confusion about a medical procedure, it is essential to ensure that the client fully comprehends the procedure, its purpose, potential risks, and alternatives. The nurse should not proceed with obtaining informed consent if the client does not understand. Instead, the charge nurse or another healthcare provider should be notified to address the client's concerns and provide further clarification. It's crucial to prioritize the client's right to make an informed decision regarding their healthcare.
Correct Answer is B
Explanation
Choice A Reason:
Documenting the administration of medications after all assigned clients have been medicated is generally a good practice but doesn't address medication safety directly.
Choice B Reason:
Checking the clients' allergy bands with each medication administration is correct. During a review of medication administration protocol, it is important to emphasize safety practices that help prevent medication errors and ensure the correct medication is administered to the right patient. Checking the clients' allergy bands with each medication administration is a crucial safety step to verify the patient's identity and confirm allergies. This practice helps prevent medication errors related to patient identification and allergies.
Choice C Reason:
Reading medication labels twice before administration is an important practice, but it's not specific to patient identification or allergy checking.
Choice D Reason:
Using one client identifier before administering medication is important, but it's just one aspect of ensuring patient identification. Checking allergy bands provides an additional layer of safety by confirming allergies, which can be crucial in preventing adverse reactions.
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