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Difficulty: EasyPharmacological Therapies

While conducting morning medication rounds, a practical nurse brings a dose of oral carvedilol into a client's room. The client is dozing, and a visitor is sitting at the bedside. What is the mandatory action for verifying the client's identity before proceeding with the administration?

  1. Wake the client and ask them to state their full name and date of birth while checking the identification band.Answer
  2. B
    Quietly ask the visitor to confirm the client's full name and date of birth to allow the client to rest.
  3. C
    Verify that the room and bed number listed on the medication record match the physical room assignment.
  4. D
    Scan the medication barcode and compare the client's physical features to the electronic health record photo.

Answer

The correct action is to wake the client and ask them to state their full name and date of birth while checking their identification band.
Safe medication administration mandates checking two distinct client identifiers, such as the client's stated full name and date of birth, and comparing them directly to the identification band. The client must be awakened to complete this critical safety check accurately.

Step-by-Step Solution

1
Identify the core safety requirement for medication administration.
The nurse must verify the 'Right Client' using at least two distinct patient identifiers.
This is a fundamental safety standard to prevent life-threatening medication errors.
2
Evaluate the clinical scenario constraints.
The client is dozing and a visitor is present, creating a temptation to bypass standard protocols to avoid disturbance.
Clinical convenience must never override mandatory safety checks.
3
Select the action that strictly adheres to the National Patient Safety Goals.
The nurse must wake the client to actively state their name and date of birth, matching it against the wristband.
Only direct verification with the client and official identification bands meet the safety criteria.

Key Concept

Medication Administration Rights and Client Identification
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Topics

Pharmacological Therapies

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