Question

Difficulty: EasyPharmacological Therapies

While conducting morning rounds, a nurse carries a prescribed dose of oral levothyroxine into a client's room. The client is currently using the bathroom, and dietary staff has just placed a breakfast tray on the bedside table. Which action is the most appropriate for the nurse to perform next?

  1. A
    Leave the medication in a cup on the meal tray so the client can take it immediately upon exiting the bathroom.
  2. B
    Request that the dietary staff member or unlicensed assistive personnel (UAP) observe the client swallowing the pill.
  3. Retain possession of the medication and return to the room when the client is available for proper identification.Answer
  4. D
    Pass the medication cup to the client through the bathroom door to ensure the dose is administered on schedule.

Answer

The most appropriate action is to retain possession of the medication and return to the room when the client is available for proper identification.
The correct action ensures adherence to the core rights of medication administration. A nurse must directly verify the client's identity using two approved identifiers and remain present to physically observe the client swallowing the medication. If the client is temporarily unavailable, the nurse must retain the drug and return later.

Step-by-Step Solution

1
Evaluate the client's immediate availability to participate in the medication administration process.
The client is in the bathroom and cannot be properly identified or observed.
Safe medication administration requires direct, face-to-face verification of client identity using two identifiers.
2
Determine the safest course of action regarding the unsecured medication.
The nurse must keep the medication in their possession and return later.
Medications must never be left unattended at the bedside due to the severe risks of loss, accidental ingestion by others, or failure to administer.

Key Concept

Safe Medication Administration Practices
Rate this question