To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Call the client's name.

Ask the client to fully state name, and check the client's identification armband with the medication administration record (MAR).

Ask the family or visitors the client's name.

Check the client's name on the door or bed.

Answer and Explanation

The Correct Answer is B

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

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Correct Answer is D

Explanation

Choice A reason: Vastus lateralis is muscle; insulin given intramuscularly absorbs too fast, risking hypoglycemia, unlike the slower, safer subcutaneous route intended.

Choice B reason: Deltoid is also muscle; subcutaneous insulin isn’t given here as it’s not fatty enough, leading to unpredictable absorption rates versus abdominal tissue.

Choice C reason: Intravenous line is for IV drugs; insulin via IV is rare and only in emergencies, not standard subcutaneous orders, risking rapid overdose effects.

Choice D reason: Abdominal fat is ideal for subcutaneous insulin; it ensures steady absorption into capillaries, maintaining glycemic control per pharmacokinetic principles.

A. 8:30 a.m. B. 9:00 a.m. C. 10:00 a.m. D. 10:30 a.m.

Correct Answer is B

Explanation

Choice A reason: Drawing at 8:30 a.m., 60 minutes before, is too early; trough levels, taken just before the next dose, reflect minimum concentration, and this timing risks inaccurate results.

Choice B reason: At 9:00 a.m., 30 minutes before the 9:30 a.m. dose, the trough level accurately measures the lowest vancomycin concentration, ensuring therapeutic monitoring aligns with pharmacokinetics.

Choice C reason: Drawing at 10:00 a.m., after the dose, measures a post-infusion level, not the trough; this timing misses the minimum concentration critical for dosing adjustments.

Choice D reason: At 10:30 a.m., well after the dose, blood reflects peak or random levels, not the trough, skewing data needed to assess vancomycin’s therapeutic efficacy and safety.

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To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient has an order for a subcutaneous injection of insulin. The nurse will prepare to give this injection into which of the following tissues?

Correct Answer is D

Explanation

The nurse is to administer the patient's next dose of vancomycin at 9:30 a.m. What time will the nurse draw the patient's blood to check the trough vancomycin level?

Correct Answer is B

Explanation

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