A nurse is preparing to administer medication to a client. The nurse scans the barcode on the medication and the client's wristband. The nurse notices that the medication name on the computer screen does not match the medication name on the label. Which of the following actions should the nurse take?

This is the safest and most environmentally friendly way to dispose of expired or unused medications. It prevents accidental ingestion, misuse, abuse, or diversion of medications by others. It also reduces the risk of contamination of water sources or soil by pharmaceuticals.

Incorrect choices:

a) Dispose of the expired or unused medications in a trash can: This is not a safe way to dispose of expired or unused medications. It can expose others, such as children, pets, or scavengers, to potentially harmful substances. It can also allow medications to leach into landfills or groundwater.

c) Advise the client to keep the expired or unused medications for future use: This is not a safe way to manage expired or unused medications. It can lead to medication errors, such as taking the wrong medication, the wrong dose, or an ineffective or harmful medication. It can also encourage self medication or sharing of medications with others without medical supervision.

d) Flush the expired or unused medications down a toilet or a sink: This is not an environmentally friendly way to dispose of expired or unused medications. It can contaminate water sources or aquatic life with pharmaceuticals. It can also damage plumbing or sewage systems.

This is the safest action to take when there is a discrepancy between the barcode and the label of a medication. It prevents administering the wrong medication to a client, which could cause harm or adverse effects. It also alerts the pharmacy of a possible error in dispensing or labelling the medication.

Incorrect choices:

a) Administer the medication as prescribed and document the discrepancy: This is not a safe action to take when there is a discrepancy between the barcode and the label of a medication. It could result in administering the wrong medication to a client, which could cause harm or adverse effects. It also does not address the source of the error or prevent its recurrence.

b) Check the medication label and the prescription order again: This is not a sufficient action to take when there is a discrepancy between the barcode and the label of a medication. It could lead to confirmation bias, where the nurse overlooks or ignores the discrepancy and assumes that the medication is correct. It also does not address the source of the error or prevent its recurrence.

c) Contact the pharmacist and verify the medication: This is not an appropriate action to take when there is a discrepancy between the barcode and the label of a medication. It could delay the administration of the medication or create confusion about which medication is correct. It also does not address the source of the error or prevent its recurrence.