NCLEX · Safety and Infection Control

A nurse is preparing to administer a medication using the 10 rights of medication administration. Which 'right' is the nurse verifying when they ask the client to state their name and date of birth?

Correct answer

Right client (right patient) — verifying the client's identity using two identifiers before any medication administration

  1. A Right medication
  2. B Right client (right patient) — verifying the client's identity using two identifiers before any medication administration
  3. C Right dose
  4. 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

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