Question

Difficulty: MediumPharmacological Therapies

A practical nurse is preparing to administer scheduled morning medications to a client who is nonverbal and experiencing acute delirium. The client's family is not currently present in the room. Which action describes the correct method for verifying this client's identity prior to medication administration?

  1. A
    State the client's full name aloud and observe the client closely for a confirming nod or gesture.
  2. B
    Verify the client's identity by checking the room and bed number listed on the wall above the bed.
  3. Compare the name and date of birth on the client's attached identification band with the electronic medication administration record.Answer
  4. D
    Ask the alert client in the adjacent bed to verbally confirm the confused client's first and last name.

Answer

Compare the name and date of birth on the client's attached identification band with the electronic medication administration record.
Safe medication administration requires verifying at least two distinct patient identifiers, such as the client's full name and date of birth. For a client who is nonverbal and confused, the nurse cannot rely on verbal confirmation and must instead use objective, attached identifiers by comparing the client's physical wristband directly to the electronic medication administration record.

Step-by-Step Solution

1
Assess the client's cognitive and communication status.
The client is identified as nonverbal and experiencing acute delirium.
Determines that the client cannot self-report their name and date of birth.
2
Determine the acceptable alternative method for patient identification.
Objective, physical identifiers must be used in place of verbal confirmation.
Safety protocols mandate the use of two distinct identifiers regardless of the client's mental status.
3
Locate the client's physical identification band and compare it to the medication administration record (MAR).
The nurse verifies the client's name and date of birth.
This fulfills the 'right client' requirement of the rights of medication administration.

Key Concept

Medication Administration Rights: Patient Identification
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