The male client looks at the medication in the cup and tells the nurse he does not take one of the tablets. Which should the nurse implement next?
1. Tell the client that these medications are correct.
2. Recheck the client's identity and the medications.
3. Call the pharmacy to bring the correct medication.
4. Remove the medication and document the incident.
2
2. A safe nursing intervention is to recheck the client's identity using different client identifiers than used with the original check and to recheck all of the medications because the nurse potentially administered another client's medications. The tablet in question can be a new prescription, a new strength of the same medication, or a dif-ferent generic form of the same medication. Regardless of the cause, the problem needs clarification.
1. Telling the client the medications are correct is premature, misleading, and denies the client the right to information. The nurse does not know if the medications are correct yet.
3. After checking the medications against the MAR and the original prescriptions, the nurse can eventually call the pharmacy for help.
4. The nurse removes the entire cup of medication and rechecks all of the medication. Documenting the incident is premature because the nurse needs to complete the in-vestigation first.
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