The medication order states that a drug should be given subcutaneously, but the supplied label states intramuscular use. What should the nurse do?
Correct answer: C. Hold the medication and clarify the discrepancy
- A. Give it intramuscularly as labelled
- B. Give it subcutaneously at a smaller dose
- C. Hold the medication and clarify the discrepancy
- D. Ask the patient which route seems preferable
Explanation
A disagreement between the prescribed route and the product information creates a medication safety risk. The nurse should withhold the dose and clarify the order with the prescriber or pharmacist.
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About Routes and Safe Medication Administration
Safe medication administration covers oral, sublingual, buccal, topical, inhaled, enteral, intradermal, subcutaneous and intramuscular routes, including their absorption patterns and technique. It also includes medication rights, patient identification, documentation, allergy checks, injection site selection and prevention of errors, with route selection distinguished from dosage calculation.
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