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Difficulty: EasyPharmacological Therapies

During a morning shift, a practical nurse (PN) brings routine oral medications to a 65-year-old client. The client's vital signs include a blood pressure of 128/78 mmHg128/78\text{ mmHg} and a heart rate of 76 beats/minute76\text{ beats/minute}. The client reports no medication allergies. Which of the following actions should the PN take to ensure safe administration? Select all that apply.

  1. Compare the medication label to the medication administration record three times.Answer
  2. Assess the client's ability to swallow before providing the oral pills.Answer
  3. C
    Verify the client's identity using their room number and bed assignment.
  4. Document the medication administration immediately after the client takes the medication.Answer
  5. E
    Delegate the administration of a routine oral multivitamin to an unlicensed assistive personnel.

Answer

The nurse should compare the medication label to the MAR three times, assess the client's ability to swallow, and document the administration immediately after the medication is taken.
Safe medication administration requires strict adherence to safety protocols. Comparing the label to the medication administration record three times ensures the correct drug is selected. Assessing swallowing ability confirms the oral route is safe and prevents aspiration. Finally, documenting immediately after the client takes the drug ensures accurate records and prevents accidental double dosing.

Step-by-Step Solution

1
Identify the standard rights of medication administration.
Safe practice requires right client, medication, dose, route, time, and documentation.
Adhering to these rights systematically prevents medication errors.
2
Evaluate each action against safety guidelines and the practical nurse's scope of practice.
Checking the MAR three times, assessing swallowing, and immediate documentation directly align with safe practice.
These actions support the rights of medication administration and prioritize client safety.
3
Identify unsafe or out-of-scope practices among the choices.
Using a room number for identification and delegating medication administration to an unlicensed assistive personnel are incorrect.
Room numbers are not valid patient identifiers, and medication administration cannot be delegated to unlicensed staff.

Key Concept

Rights of Medication Administration and PN Scope of Practice
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Topics

Pharmacological Therapies

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