A nurse is caring for a client and preparing to complete a medication reconciliation. Which of the following actions should the nurse complete first?

A. Remove the medication from the medication dispensing cabinet: While removing the medication from the dispensing cabinet is a necessary step in the medication administration process, it is not the first action the nurse should take. Ensuring proper client identification is the priority to prevent medication errors.

B. Identify the client using two identifiers: This is the first action the nurse should take before administering any medication, especially controlled substances. Using at least two unique identifiers, such as the client's name and date of birth or medical record number, helps ensure that the right medication is administered to the right patient.

C. Document the administration of the medication: Documentation is an essential step in the medication administration process, but it should occur after the medication has been administered. Proper documentation helps maintain an accurate record of the medication administration and the client's response to the medication.

D. Compare the amount of medication available to the inventory record: While reconciling the amount of medication available to the inventory record is important for maintaining accurate medication stock levels, it is not the first action the nurse should take before administering a controlled substance. Client identification takes precedence to prevent medication errors and ensure patient safety.

A. “Oxycodone blocks the sodium channel suspending nerve conduction”: Oxycodone does not primarily act by blocking sodium channels. Sodium channel blockers are typically local anesthetics or antiarrhythmic medications.

B. “Oxycodone causes central nervous system depression”: Oxycodone is an opioid analgesic that works by binding to opioid receptors in the brain and spinal cord, reducing the perception of pain. However, it can also depress the central nervous system, slowing breathing. This can lead to a decreased respiratory rate, which is why the client’s respiratory rate is 8/min.

C. “Oxycodone inhibits prostaglandin synthesis”: Oxycodone does not primarily act by inhibiting prostaglandin synthesis. Nonsteroidal anti-inflammatory drugs (NSAIDs) typically work by inhibiting prostaglandin synthesis.

D. “Oxycodone promotes vasodilation of cranial arteries”: Oxycodone does not primarily act by promoting vasodilation of cranial arteries. Medications that dilate cranial arteries are typically used to treat migraines and cluster headaches.