Question

Difficulty: EasyPharmacological Therapies

An adult client admitted with pneumonia is due for a prescribed oral antibiotic. As the practical nurse approaches the client's bedside with the medication, which mandatory safety steps should be completed before the client takes the pill? Select all that apply.

  1. Cross-check the name and date of birth on the identification band against the medication record.Answer
  2. Inquire if the client has any history of hypersensitivity or adverse reactions to medications.Answer
  3. C
    Confirm the client's identity by relying on the room and bed number posted on the wall.
  4. Ensure the medication name, dose, and route on the package match the provider's prescription.Answer
  5. E
    Place the medication cup on the overbed table so the client can take it after finishing their meal.

Answer

The correct actions are cross-checking the name and date of birth against the medication record, inquiring about medication hypersensitivity, and ensuring the medication details match the prescription.
Safe medication administration requires strict adherence to the fundamental rights of medication administration. This includes verifying the correct client using two distinct personal identifiers (such as name and date of birth on an identification band), confirming the correct drug, dose, and route against the active prescription, and assessing for any potential allergies prior to giving the drug to prevent adverse reactions.

Step-by-Step Solution

1
Identify the standard rights of medication administration relevant to the scenario.
The nurse must verify the right client, right drug, right dose, right route, and right time, as well as assess for allergies.
Adhering to these fundamental standards prevents medication errors and protects client safety.
2
Evaluate each option against safe administration protocols.
Using two client-specific identifiers, checking for allergies, and verifying the prescription are safe actions. Using room numbers or leaving medications unattended are unsafe actions.
Room numbers are not client-specific identifiers, and leaving medications unattended risks administration to the wrong client or missed doses.

Key Concept

Rights of Medication Administration
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