To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Call the client's name.

Ask the client to fully state name, and check the client's identification armband with the medication administration record (MAR).

Ask the family or visitors the client's name.

Check the client's name on the door or bed.

Answer and Explanation

The Correct Answer is B

Choice A reason: Calling the name relies on response accuracy; confused or hearing-impaired patients may not answer correctly, risking misidentification and medication errors.

Choice B reason: Verbal confirmation plus armband verification against the MAR ensures identity via two identifiers, aligning with safety protocols to prevent administration errors scientifically.

Choice C reason: Family or visitors may misidentify due to stress or error; this lacks direct patient verification, increasing risk of giving medication to the wrong individual.

Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.

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Correct Answer is B

Explanation

Choice A reason: One 5-mg tablet delivers 5 mg; this underdoses the 10 mg ordered, reducing salivation stimulation needed for dry eye relief.

Choice B reason: Two 5-mg tablets equal 10 mg; this matches the order, ensuring therapeutic cholinergic effect to increase tear production effectively.

Choice C reason: Three tablets (15 mg) overdose; excess pilocarpine risks side effects (e.g., sweating, bradycardia) without added benefit for dry eyes.

Choice D reason: Four tablets (20 mg) far exceed the dose; this could cause severe cholinergic toxicity, including respiratory distress, outweighing therapeutic intent.

A. Withhold the drug and recheck the MAR with the health care provider’s order sheet. B. Explain that the health care provider probably changed the drug today to something more effective and administer it. C. Administer the medication, but make a mental note to check on it later. D. Describe the action of the red tablet to the client and administer it.

Correct Answer is A

Explanation

Choice A reason: Withholding and rechecking ensures safety; a color change signals a potential error, and verifying the MAR against orders prevents administering the wrong drug.

Choice B reason: Assuming a change is risky; without confirmation, administering an unverified drug could harm the patient if it’s not the intended prescription.

Choice C reason: Administering then checking later endangers the patient; a wrong drug could cause adverse effects, and delayed verification violates safety protocols.

Choice D reason: Describing and giving without verification is unsafe; the red tablet may not match the order, risking incorrect treatment or allergic reactions.

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To ensure the nurse administers medications to the right client, which method of identification is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The physician orders Salagen 10 mg po twice a day for dry eyes. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?

Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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