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 B
Explanation
Answer: b. Check the medication order.
The first step in the medication administration process is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.
a. Verifying the client’s identity is an important step in the medication administration process, but it is not the first step.
c. Preparing the medication is an important step in the medication administration process, but it is not the first step.
d. Administering the medication is an important step in the medication administration process, but it is not the first step.
Correct Answer is D
Explanation
Before starting an IV infusion, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the IV site for any signs of infection, inflammation, or phlebitis. Finally, the nurse should check IV tubing for any kinks or obstructions that may impede flow.
a. Verifying the patient’s identity using two identifiers such as name and date of birth is important before starting an IV infusion.
b. Checking the IV site for any signs of infection, inflammation or phlebitis is important before starting an IV infusion.
c. Checking IV tubing for any kinks or obstructions that may impede flow is important before starting an IV infusion.
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