Prior to administering medications to Mr. Brown, the nurse ensures that he is indeed the right client. When identifying Mr. Brown, which of the following is best practice?
Ask the client to state his name and medical record number
Check the sign above the bed to the MAR & check the armband
Compare the source document to the client's armband & ask him to state his name
Call the client by name on MAR and observe his response
The Correct Answer is C
A. Ask the client to state his name and medical record number: Asking the client to state identifiers is appropriate; however, relying solely on verbal confirmation without cross-checking with the armband and source document does not meet full identification standards. Patients may be confused, sedated, or provide incorrect information unintentionally.
B. Check the sign above the bed to the MAR & check the armband: The sign above the bed should never be used as a primary identifier because room assignments can change. While checking the armband is essential, including the bed sign introduces risk and does not align with best-practice identification policies.
C. Compare the source document to the client's armband & ask him to state his name: Best practice requires using at least two identifiers, such as full name and medical record number, and verifying them against the armband and the MAR. Asking the client to state their name rather than confirming it ensures active participation and reduces identification errors.
D. Call the client by name on MAR and observe his response: Calling the client by name and observing a response is insufficient because patients may respond reflexively even if misidentified. This method does not fulfill the requirement of using two independent identifiers to ensure safe medication administration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Calculation:
- Identify the ordered dose and available concentration
Ordered Dose: 4 mg
Available Concentration: 10 mg/2 mL
- Calculate the concentration per mL
Concentration = 10 ÷ 2 = 5 mg/mL
- Calculate the volume to administer
Volume to administer = Ordered Dose ÷ Concentration
Volume to administer = 4 ÷ 5
= 0.8 mL
Correct Answer is C
Explanation
A. Narcotic counts are completed as infrequently as possible: Infrequent counts increase the risk of drug diversion and make discrepancies harder to detect. Regular, consistent counts are necessary to maintain accountability and prevent unauthorized use of controlled substances.
B. Discrepancies are identified and reported diligently, at the end of each shift: Reporting discrepancies only at the end of the shift may delay intervention and compromise patient safety. Immediate identification and reporting of any irregularities is essential to prevent ongoing diversion.
C. A second RHP witnesses wastage and documents accordingly: Having a second healthcare professional witness the disposal or wastage of controlled substances ensures accountability, provides verification, and significantly reduces the risk of diversion. This practice aligns with regulatory standards for controlled medication management.
D. Narcotic records and co-sign are only required when wastage occurs: Limiting documentation to only wastage events undermines overall accountability. All administration and disposal of controlled substances require proper documentation and co-signature as part of legal and safety protocols.
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