The nurse knows that caring for two patients with the same last ...

[magmichele12]

The nurse knows that caring for two patients with the same last name can lead to a medication error involving which right of medication administration?
 
  a. Right medication
  b. Right patient
  c. Right dose
  d. Right route

Question 2

A patients states that she would prefer not to take her daily allergy pill this morning because it makes her too drowsy throughout the day. The nurse responds therapeutically by saying,
 
  a. The physician ordered it; therefore you must take your medication every morning at the same time whether you're drowsy or not.
  b. Let's change the time you take your pill to 9 PM, so the drowsiness occurs when you would normally be sleeping.
  c. You can skip this medication on days when you need to be awake and alert.
  d. Try to get as much done as you can before you take your pill, so you can sleep in the afternoon.

[amit]

Answer to Question 1

ANS: B
The nurse should ask the patient to verify his identity and should check the patient's ID bracelet against the medication record to ensure proper patient. Acceptable patient identifiers include the patient's name, an identification number assigned by a health care agency, or a telephone number. Do not use the patient's room number as an identifier. To identify a patient correctly in an acute care setting, compare the patient identifiers on the MAR with the patient's identification bracelet while at the patient's bedside. Right medication, right dose, and right route are equally as important, but this example outlines right patient.

Answer to Question 2

ANS: B
The nurse should use knowledge about the medication to educate the patient about potential response to medications. Then the medication schedule can be altered based on that knowledge, after the physician has been notified. It is the patient's right to refuse her medication; however, the nurse should educate the patient on the importance and effects of her medication. Asking a patient to change her entire life schedule around a medication is unreasonable and will decrease compliance. The nurse should be supportive and should offer solutions to manage medication effects.