A client is prescribed 800 mg of ibuprofen. The available medication is 200 mg tablets. How many tablets should the nurse provide for each dose?

A. No identifiers are needed: Administering medication without verifying the client is unsafe and violates standard nursing practice. Omitting identifiers significantly increases the risk of medication errors and patient harm.

B. One identifier: Using only one identifier is insufficient to ensure accurate patient identification, as it may not reliably distinguish between clients with similar names or demographics. Safety standards require additional verification.

C. Two identifiers: Using two client identifiers—such as full name and date of birth, or medical record number—before medication administration is the standard of care. This practice reduces the risk of errors and ensures that medications are given to the correct client.

D. Three identifiers: While using three identifiers may add extra confirmation, current guidelines from The Joint Commission and most hospital policies recommend two identifiers as the required standard for safe medication administration.

A. Flush the IV catheter with saline to check patency: Flushing the catheter in the presence of swelling, pallor, and discomfort risks worsening infiltration or extravasation. Patency should not be tested when signs of tissue injury are present.

B. Notify the provider without stopping the infusion: Continuing the infusion can cause further tissue damage or complications. Immediate action to stop the infusion is required before contacting the provider.

C. Stop the infusion immediately and report to the physician: Swelling, pallor, and pain indicate infiltration or extravasation. The first priority is to stop the infusion to prevent further tissue injury, followed by assessment, documentation, and notification of the provider.

D. Increase the rate of infusion: Increasing the infusion rate would exacerbate tissue damage and is contraindicated in the presence of infiltration or extravasation.