Rights Of Medication Administration - NCLEX Pn
- What is the medication administration right that requires informing and respecting the patient's decision about a drug?
- Right to refuse. Upholds patient autonomy by providing information and honoring their choice to decline treatment.
- What is the medication administration right that requires verifying allergies before giving a medication?
- Right assessment (including allergy check). Involves pre-administration checks like allergies to identify contraindications and prevent adverse reactions.
- Which action best meets the right medication when the label differs from the MAR for the same drug name?
- Hold the dose and clarify the discrepancy before administering. Avoids errors by resolving label-MAR mismatches to ensure the correct medication is given.
- Which action best meets the right documentation immediately after giving an oral medication?
- Document drug, dose, route, time, and required assessments. Ensures accurate records by noting essential details promptly for legal and care continuity.
- Which action best meets the right compatibility before administering an IV medication via existing tubing?
- Verify IV compatibility and flush/replace line per policy. Prevents reactions by confirming compatibility and maintaining line integrity per guidelines.
- What is the medication administration right that requires checking for drug–drug and drug–food interactions?
- Right assessment (interaction screening). Screens for potential interactions to prevent harmful effects from combined drugs or food.
- Which action best meets the right to refuse when a patient declines a prescribed medication?
- Respect refusal, assess reason, educate, and document/notify RN. Honors patient autonomy while addressing concerns through education and notifying the team.
- What is the medication administration right that requires safe preparation and infection-control technique?
- Right technique (safe preparation/administration). Emphasizes aseptic methods and proper handling to minimize infection risk and ensure safe delivery.
- What is the medication administration right that requires confirming compatibility with existing IV fluids/IV meds?
- Right compatibility. Ensures IV medications do not interact adversely with fluids or other drugs to prevent complications like precipitation.
- What is the medication administration right that ensures the ordered amount is given?
- Right dose. Ensures the administered amount aligns with the prescribed dose to prevent under- or overdosing and associated risks.
- What is the medication administration right that requires teaching about a medication in understandable terms?
- Right education (right patient education). Provides clear information on purpose, effects, and instructions to promote adherence and safe use.
- Which action best meets the right response after giving an opioid analgesic?
- Reassess pain and monitor respiratory status and sedation level. Evaluates effectiveness and monitors for side effects like respiratory depression post-administration.
- What is the medication administration right that ensures the drug is given by the ordered route?
- Right route. Confirms the delivery method matches the order to ensure efficacy and avoid complications from incorrect administration.
- Which action best meets the right route when an order is for PO but the patient is NPO?
- Do not administer; contact the prescriber for a new route/order. Prevents harm from inappropriate routes by obtaining an alternative order for NPO patients.
- What is the medication administration right that ensures the drug is given at the correct time?
- Right time. Ensures administration occurs at the scheduled interval to maintain therapeutic levels and effectiveness.
- What is the medication administration right focused on giving a valid indication for the drug?
- Right reason (right indication). Confirms the medication is appropriate for the patient's condition to ensure therapeutic relevance and avoid unnecessary risks.
- What is the medication administration right that verifies the correct patient before giving a drug?
- Right patient (use two identifiers per policy). Verifies the intended recipient using two identifiers like name and birthdate to prevent administration errors and ensure patient safety.
- What is the medication administration right that requires checking therapeutic and adverse effects after giving a drug?
- Right response (evaluation/monitoring). Involves monitoring for expected outcomes and side effects to evaluate effectiveness and intervene if needed.
- What is the medication administration right that requires checking the medication's expiration date?
- Right expiration date. Checks the date to ensure the medication remains potent and safe, avoiding use of degraded products.
- Which action best meets the right dose when the ordered dose exceeds the recommended safe range?
- Hold the medication and notify the nurse prescriber/pharmacist. Prioritizes safety by withholding potentially harmful doses and seeking clarification from experts.
- Which action best meets the right patient when a patient states a different name than the wristband?
- Stop and verify identity per policy before giving medication. Prevents errors by confirming identity discrepancies using policy guidelines before proceeding.
- Which action best meets the right assessment before giving an antihypertensive medication?
- Check blood pressure and hold/notify provider per parameters. Prevents adverse events by assessing vital signs and following hold parameters before administration.
- What is the medication administration right that verifies the correct medication is selected?
- Right medication. Confirms the selected drug matches the order to avoid giving the wrong medication and potential harm.
- What is the medication administration right that requires accurate recording after administration?
- Right documentation. Requires immediate and accurate recording to maintain legal records and facilitate continuity of care.
- Which action best meets the right time when a medication is due now but the patient is off the unit?
- Follow facility policy and coordinate dosing; document variance. Maintains therapeutic timing by adjusting per policy while documenting to ensure accountability.