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A
Right medication
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B
Right client (right patient) — verifying the client's identity using two identifiers before any medication administration
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C
Right dose
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D
Right time
Why this is the answer
The 10 RIGHTS OF MEDICATION ADMINISTRATION provide a framework for safe drug administration. Asking the client to state their name and date of birth verifies the RIGHT CLIENT (also called right patient). THE 10 RIGHTS: (1) RIGHT CLIENT: verify identity using TWO identifiers per Joint Commission standard (name + date of birth; name + medical record number; name + ID band); never rely on room number alone; ask the client to state their name (don't say 'Are you Mr. Smith?' — the client may say yes even if wrong); (2) RIGHT MEDICATION: verify the drug label matches the order three times (when taking from storage, when preparing, before administering); (3) RIGHT DOSE: verify the dose matches the order; calculate if converting; (4) RIGHT ROUTE: oral, IV, IM, SubQ, topical, etc.; verify order matches the available form; (5) RIGHT TIME: verify frequency and when last dose was given; (6) RIGHT DOCUMENTATION: document AFTER administration (not before); (7) RIGHT REASON: does this medication make sense for this client's diagnosis? (pharmaceutical knowledge); (8) RIGHT RESPONSE: assess effectiveness after administration (pain medication: did pain improve?); monitor for adverse effects; (9) RIGHT EDUCATION: client understands what the medication is for and its common side effects; (10) RIGHT TO REFUSE: client has the right to refuse medication; document refusal, notify provider. ADDITIONAL SAFETY CHECKS: HIGH ALERT MEDICATIONS (insulin, heparin, anticoagulants, concentrated electrolytes, opioids) require INDEPENDENT DOUBLE-CHECKS by two nurses before administration at most facilities; LOOK-ALIKE/SOUND-ALIKE (LASA) medications are a common source of errors; storage separation and labeling help prevent LASA errors. TWO-IDENTIFIER requirement is from The Joint Commission National Patient Safety Goals.
Source: NCLEX-PN Test Plan: Safe Care — 10 Rights of Medication Administration