Question

Difficulty: MediumPharmacological Therapies

A practical nurse (PN) is preparing to administer a scheduled dose of oral cephalexin to a client in an acute care facility. Upon entering the room, the PN observes that the client is not wearing an identification wristband. The client is alert, oriented, and states, 'I took the band off because it was scratching my arm.' Which action should the PN take?

  1. A
    Ask the client to state their full name and date of birth, then administer the medication.
  2. B
    Compare the client's stated name with the name on the room door before proceeding.
  3. Obtain and apply a new identification wristband before administering the medication.Answer
  4. D
    Verify the client's identity by asking the family member present in the room.

Answer

The nurse should obtain and apply a new identification wristband before administering the medication.
According to national patient safety standards, a nurse must verify a client's identity using two approved identifiers that match the client's physical identification band and the medication administration record. If the band is missing, it must be replaced before any medication is administered to ensure accurate verification and to comply with institutional barcode administration protocols.

Step-by-Step Solution

1
Assess the situation regarding patient identification requirements.
The client is missing their physical identification wristband.
Safe medication administration requires two patient identifiers verified against an official ID band and the medication administration record.
2
Determine the safest and most appropriate intervention to resolve the missing band.
A new identification band must be generated and applied to the client.
Facility policies require the ID band for barcode scanning and to prevent medication errors. Verbal confirmation alone is not a substitute for standard safety protocols.

Key Concept

Medication Rights Verification
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