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.

Answer and Explanation

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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Correct Answer is C

Explanation

An incident report is a formal document used to report any unexpected or adverse events that occur during patient care. In this case, the administration of an incorrect dosage is an incident that should be documented in the incident report. The incident report serves as a record of the event and helps to ensure that appropriate follow-up actions are taken to prevent similar incidents in the future. It is important to note that an incident report is not part of the client's permanent medical record and is kept separate from other documentation.

The provider's progress notes, nursing care plan, and controlled substance inventory record are not appropriate locations to document this specific incident. The provider's progress notes are typically used to document the client's medical history, examination findings, treatment plans, and progress. The nursing care plan is a document that outlines the client's nursing diagnoses, goals, and interventions. The controlled substance inventory record is used to track and document the dispensing and administration of controlled substances, but it does not typically include incident reporting.

A. Administer an oral contrast solution. B. Inform the client the procedure will take 60 min. C. Ensure that the client's bladder is full. D. Ensure that the client gave informed consent.

Correct Answer is D

Explanation

Informed consent is a critical step before any invasive procedure, including an EGD. The nurse should confirm that the client has received the necessary information about the procedure, its risks and benefits, and has given their consent voluntarily. This ensures that the client understands the procedure and its implications, making it an essential part of their rights and safety.

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A nurse is administering a client's morning oral medications. Which of the following actions should the nurse take?

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A nurse is administering a client's morning oral medications.

Which of the following actions should the nurse take?