A nurse is preparing to administer medication to a client. What should the nurse do if there is a discrepancy between the medication order and the label?
Administer the medication as ordered.
Administer the medication as labeled.
Hold the medication and clarify the order with the provider.
Hold the medication and notify the charge nurse.
The Correct Answer is C
If there is a discrepancy between the medication order and the medication label, the nurse should hold the medication and clarify the order with the provider to ensure that it is safe and appropriate for the client. The nurse should not administer a medication if there is any uncertainty about its safety or appropriateness.
a. Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.
b. Administering a medication without clarifying a discrepancy between its order and label could result in harm to the client.
d. Notifying the charge nurse may be appropriate after clarifying with provider.
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Correct Answer is D
Explanation
Before administering an oral tablet to a patient who has difficulty swallowing, the nurse should consult with the provider. Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics. In such cases, alternative formulations such as liquid or chewable tablets may be available.
a.Crushing tablets and mixing them with applesauce may alter the pharmacokinetics and should only be done if approved by the provider.
b.Cutting the tablet in half may alter the pharmacokinetics and should only be done if approved by the provider.
c.Administering the tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.
Correct Answer is D
Explanation
Before administering any dose of medicine, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature. Finally, the nurse should check the patient’s allergies to ensure that they are not allergic to any component of the medicine being administered.
a.Verifying the patient’s identity using two identifiers such as name and date of birth is important before administering any dose of medicine.
b.Checking the patient’s vital signs such as heart rate, respiratory rate, blood pressure, and temperature is important before administering any dose of medicine.
c.Checking patients’ allergies to ensure that they are not allergic to any component of medicine being administered is important before administering any dose of medicine.
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