Examkin

Soru

Zorluk: OrtaPharmacological Therapies

A practical nurse is preparing to administer morning medications to a pediatric client. The facility's barcode medication administration system is temporarily offline for maintenance. Which action demonstrates the safest practice by the nurse?

  1. A
    Confirm the client's identity by checking the room and bed number against the medication administration record.
  2. B
    Estimate the medication dosage based on the child's age rather than calculating it using the most recent weight.
  3. Verify the client's identity by checking the identification band and asking the parent to state the child's name.Cevap
  4. D
    Administer a scheduled intravenous push antibiotic to ensure the client receives all morning medications on time.

Cevap

The safest practice is to verify the client's identity by checking the identification band and asking the parent to state the child's name.
The correct action ensures the 'Right Client' by using two distinct and acceptable manual identifiers: the identification band and the parent's verbal confirmation of the name. This is a critical safety step when barcode scanning technology is unavailable.

Adım Adım Çözüm

1
Identify the clinical challenge presented in the scenario.
The barcode medication scanner is offline, removing an automated safety check for medication administration.
Recognizing the absence of technology highlights the need for strict adherence to manual safety protocols.
2
Recall the Six Rights of Medication Administration.
The nurse must prioritize confirming the 'Right Client' before giving any medication.
Patient identification is the foundational step in preventing medication errors.
3
Determine acceptable manual identifiers for a pediatric client.
Acceptable identifiers include the client's full name, date of birth, and identification band. Verbal confirmation from a parent is appropriate for young children.
Two distinct, reliable identifiers must always be used when automated systems fail.
4
Evaluate the remaining options against safety protocols and scope of practice.
Room numbers are unsafe identifiers, age-based dosing is dangerous for pediatrics, and IV push medications are outside the practical nurse scope of practice.
Eliminating unsafe or out-of-scope actions confirms the correct choice.

Anahtar Kavram

Safe medication administration requires the use of at least two acceptable client identifiers (such as name and date of birth) prior to administering any medication, especially when automated systems are unavailable.
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Pharmacological Therapies

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