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Difficulty: EasyPharmacological Therapies

A practical nurse (PN) is preparing to administer a scheduled dose of an oral antibiotic to a newly admitted client. Which of the following actions must the PN take to ensure safe medication administration? Select all that apply.

  1. Ask the client to state their full name and date of birth.Answer
  2. Compare the medication label directly with the medication administration record.Answer
  3. Verify the client's allergy status prior to giving the medication.Answer
  4. D
    Confirm the client's identity by reading the name posted on the room door.
  5. E
    Change the medication route to intravenous push if the client states they cannot swallow pills.

Answer

The correct actions are to ask the client to state their full name and date of birth, compare the medication label with the medication administration record, and verify the client's allergy status.
Safe medication administration requires strict adherence to established protocols. This includes verifying the right client using two acceptable identifiers (such as having them state their full name and date of birth), checking the correct medication against the official medication administration record, and ensuring safety by actively confirming the client's allergy status before giving any drug.

Step-by-Step Solution

1
Identify the core requirements for safe medication administration.
The nurse must verify the right client, the right medication, and perform client safety checks like confirming allergies.
These foundational principles, known as the 'rights of medication administration', prevent adverse events and errors.
2
Evaluate the provided actions against established safety protocols and the PN scope of practice.
Checking name/date of birth, checking the MAR, and asking about allergies are safe and correct. Relying on room numbers or independently altering prescribed medication routes are unsafe and out of scope.
To distinguish safe, authorized nursing actions from those that violate safety standards or exceed licensure limits.

Key Concept

Rights of Medication Administration and PN Scope of Practice
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Topics

Pharmacological Therapies

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