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Choice D reason: Bed or door labels can be outdated or misplaced; this indirect method fails to confirm identity actively, heightening the chance of medication misadministration.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

Explanation

Choice A reason: Therapeutic effects define expected outcomes; knowing these (e.g., pain relief) lets the nurse assess if the drug meets its clinical goal effectively.

Choice B reason: Chemical composition informs structure, not outcome; it’s irrelevant to evaluating if the drug achieves its intended physiological effect directly.

Choice C reason: Mechanism explains how drugs work; it’s useful but secondary to knowing the actual therapeutic result needed for outcome assessment.

Choice D reason: Side effects monitor safety, not efficacy; they don’t directly measure if the drug achieves its primary therapeutic purpose as intended.

A. The patient is unable to exercise due to severe osteoarthritis in both hips. B. The patient follows a low-carbohydrate, low-protein, high-fat diet. C. The patient has a history of hypertension and diabetic kidney disease. D. The patient has a 35 pack-year history of cigarette smoking.

Correct Answer is C

Explanation

Choice A reason: Osteoarthritis limits mobility; it doesn’t affect kidney function directly, so nephrotoxic drug clearance remains unchanged, not warranting a dose reduction.

Choice B reason: Diet impacts metabolism slightly; low protein may spare kidneys, but it doesn’t indicate impaired clearance requiring adjustment of nephrotoxic medication.

Choice C reason: Diabetic kidney disease with hypertension impairs filtration; reduced glomerular rate necessitates lower nephrotoxic doses to prevent further renal damage.

Choice D reason: Smoking affects lungs primarily; while it may indirectly harm kidneys, it’s less definitive than diabetic nephropathy for needing a reduced dose.

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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

A nurse is assessing patient response to medications received. Which must the nurse know about these drugs to best evaluate whether the expected outcomes of the drug therapy have been achieved?

Correct Answer is A

Explanation

The nurse is to administer a nephrotoxic medication to the patient. Which assessment finding indicates to the nurse that the patient should receive a reduced dosage of the drug?

Correct Answer is C

Explanation

After the nurse hands a client a medication, the client says, "What is this red tablet for? I have always taken a yellow pill." What is the most appropriate action for the nurse to take?

Which of the following patients is most at risk for liver damage after taking acetaminophen regularly for arthritis pain?

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The best method to verify "the right patient" in an unconscious client is to:

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The nurse caring for a patient without any religious affiliation who was admitted 2 days ago with a severe gastrointestinal infection encounters the hospital chaplain who wants to pray with the patient. The most appropriate response by the nurse is:

After administering a medication to a client, the nurse realizes that the client was given another client's drug. What must the nurse do next?