Question

A nurse is administering a medication to a pediatric client. The nurse verifies the client​'s armband and confirms the correct medication by checking the prescribed order and the medication vial. Which actions by the nurse correctly exemplify the open double quote"Six Rightsclose double quote" of medication​ administration?

​(Select all that​ apply.)
>The nurse checks for right documentation by documenting administration of the prescribed order in the client record.
>The nurse checks for right dose by checking the prescribed​ order, performing a dose​ calculation, and checking the medication.
>The nurse checks for right frequency by looking at the client​'s chart.
>The nurse checks for right time by checking the prescribed order and looking at the time.
>The nurse verifies the right medication by asking the client "is this what you normally take at ​home?"

Answer 1

The nurse's actions that exemplify the 'Six Rights' of medication administration include checking the right documentation, dose, frequency, and time. Verifying medication with the patient's response is not a reliable method, especially for pediatric clients. Proper verification involves matching the medication with the prescription and its packaging.

Step-by-step explanation:

The question relates to the “Six Rights” of medication administration, which are a set of guidelines to ensure patient safety when administering medications. The actions by the nurse that correctly exemplify these rights are:

• Right documentation: The nurse checks for right documentation by documenting administration of the prescribed order in the client record.
• Right dose: The nurse checks for the right dose by checking the prescribed order, performing a dose calculation, and checking the medication.
• Right frequency: The nurse checks for right frequency by looking at the client’s chart.
• Right time: The nurse checks for the right time by checking the prescribed order and looking at the time.

The action involving asking the client if this is what they normally take at home is not one of the “Six Rights” since it could be unreliable, especially in a pediatric client who may not be aware of their medication regimen. Instead, the nurse should verify the right medication by checking it against the prescription and the medication vial or packaging. Ensuring the right patient, right route, and right drug are other important aspects of the “Six Rights” that should be confirmed, but these actions are not mentioned in the provided options.