Difficulty: Medium
Average Score: 71%
Simulated
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?
Correct answer
A
Rationale
The correct answer is A because it is crucial for the nurse to ensure patient safety by verifying the medication before administration. By withholding the drug and rechecking the Medication Administration Record (MAR) with the health care provider's order sheet, the nurse can confirm the correct medication, dose, route, and time. This step prevents potential medication errors and promotes patient well-being.
Choice B is incorrect because assuming a medication change without verifying can lead to serious consequences. Choice C is not recommended as making a mental note may result in forgetting to follow up. Choice D is incorrect as administering the medication without verification poses a risk. Always prioritize patient safety by following proper protocols and verifying medication orders.
Choice B is incorrect because assuming a medication change without verifying can lead to serious consequences. Choice C is not recommended as making a mental note may result in forgetting to follow up. Choice D is incorrect as administering the medication without verification poses a risk. Always prioritize patient safety by following proper protocols and verifying medication orders.