A nurse is caring for a client who is receiving IV dextrose 5% in 0.9% sodium chloride at 75 mL/hr. When the nurse checks the client's IV bag at 0700, 300 mL remain in the bag.

At what time should the nurse hang a new bag of IV fluid? (Use the military format, four-digit number to enter the time.)

Choice A rationale:

Asking the client’s full name and date of birth is the most reliable method of identification.

Choice B rationale:

Verifying the client’s room number is not reliable because room assignments can change.

Choice C rationale:

Asking a family member to verify the client’s identity is not always possible or reliable.

Choice D rationale:

Checking the client’s name on the medication administration record (MAR) is important but should be done in conjunction with direct client identification.

Choice A rationale:

The prescription should be clear and appropriate. If there is any part of the prescription that is unclear or inappropriate, it should be clarified with the provider. This is to ensure the safety and effectiveness of the medication for the client.

Choice B rationale:

Repeating the prescription back to the provider is a good practice to confirm the accuracy of the prescription. However, it is not the only step in ensuring the appropriateness of the prescription.

Choice C rationale:

Transcribing the prescription into the client’s medical record is important for documentation and continuity of care. However, it does not directly address the appropriateness of the prescription.

Choice D rationale:

Obtaining the provider’s signature within 48 hours is a regulatory requirement in some settings. However, it does not directly address the appropriateness of the prescription.