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Difficulty: EasyPharmacological Therapies

An experienced nurse is observing a newly hired practical nurse during the morning medication pass on a medical-surgical unit. Which actions by the new nurse demonstrate correct adherence to medication safety protocols? Select all that apply.

  1. Comparing the medication package label with the electronic administration record three times.Answer
  2. Requesting that the client verbally state their full name and date of birth before dispensing.Answer
  3. Remaining at the bedside to directly observe the client swallow the oral medications.Answer
  4. D
    Bypassing the electronic barcode scanner because the device has a low battery.
  5. E
    Adjusting the dose of a cardiac medication based on morning vital signs without a specific provider order.

Answer

The correct actions include checking the medication label three times, using two distinct identifiers (like name and date of birth), and directly observing the client swallow the medications.
Correct adherence to medication safety protocols involves verifying the medication against the administration record three times, using two acceptable patient identifiers (like name and date of birth), and remaining with the client until the medication is completely swallowed. These steps ensure the right client receives the right medication safely.

Step-by-Step Solution

1
Review the scope of practice and medication administration safety standards.
Identify actions that align with the required rights of medication administration.
Safe medication administration requires strict adherence to standardized protocols to prevent errors and ensure client safety.
2
Evaluate each option against established safety protocols.
Determine that checking the label three times, using two distinct client identifiers, and directly observing the client take the medication are required safety measures.
These actions confirm the right medication, right client, and right route.
3
Identify unsafe or out-of-scope actions.
Recognize that bypassing the barcode scanner and altering dosages without an order are unsafe and inappropriate actions.
Bypassing safety systems increases error risk, and altering doses without a specific order violates the practical nurse scope of practice.

Key Concept

Rights of Medication Administration and Practical Nurse Scope of Practice
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Topics

Pharmacological Therapies

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