Pharmacology Safety & Considerations #4

Question

Which nursing action is priority to help support medication administration safety in a newly admitted client?

Answers

  1. Identifying the client's last bowel movement
    • Rationale:

      This answer is not correct because, although identification of the client’s last bowel movement is a nursing assessment, the priority action to support medication administration safety is identification of allergies and alert bracelets. This will help remind healthcare workers and support the safety and wellbeing of the client.

  2. Placing the allergy alert bracelet on the client
    • Rationale:

      This answer is correct because placing the allergy armband on the client will help remind the healthcare team of allergies. This is a priority action since it will hopefully prevent known allergic responses which could be life threatening to the client.

  3. Assuring the bed is locked and at lowest position
    • Rationale:

      This answer is not correct because, although it is a priority safety action, it does not specifically contribute to medication administration safety. The nurse should assure the bed is locked and in lowest position to prevent falls and injury to the client.

  4. Encouraging the client to call for help for toileting
    • Rationale:

      This answer is not correct because, although it is very important to remind clients to call for help when toileting to prevent falls, it does not contribute to medication administration safety.

Overview

Medication administration safety should always be a priority for the nurse. Medication allergy identification and placement of allergy wristbands help prevent known allergens from negatively impacting the client’s health.

Explanation

Learning Outcomes

Allergic reactions from medications can range from minor (itching and rash) to life threatening (anaphylactic). Identification of the client’s known medication allergies will help avert potentially life threatening situations and improve client outcomes. The nurse should make every effort to assess the details from the client if a known allergen is identified. The specific medication and the exact reaction to the medication should be documented. Furthermore, proper allergy alerts should be instituted, including in the client’s chart and identification bracelets. This will help the healthcare team to provide the best care possible for the client.

Test Taking Tip

Read the question. Answers may be priority nursing actions, but read the specifics, and answer the question being asked.

Video Rationale