A nurse is preparing to administer medication to a newly admitted patient. Which of the following actions should the nurse implement to minimize injury during medication administration? (Select all that apply)
Explanation & Rationale
A. Ignore documentation immediately after medication administration since it can be completed later during shift change is incorrect because timely documentation is essential to prevent medication errors, ensure accurate patient records, and maintain continuity of care. Delayed documentation increases the risk of duplicate doses or missed medications. B. Respect and document the patient's right to refuse medication, notifying the provider accordingly is correct because patients have the legal and ethical right to refuse medications. Proper documentation and provider notification ensure patient autonomy is respected and that appropriate follow-up measures are taken to maintain safety and therapeutic goals. C. Check the medication's expiration date and ensure the medication matches the prescription label before administration is correct because verifying the correct medication, dose, and route, along with confirming it is not expired, prevents medication errors and ensures safe administration according to the “five rights” of medication administration. D. Administer medication through any available route if the prescribed route is unavailable without consulting the provider is incorrect because changing the route without provider approval can result in incorrect absorption, reduced efficacy, or adverse effects. Any modification to the prescribed route must be clarified with the prescriber. E. Verify the patient's identity using two identifiers before administering the medication is correct because confirming the patient’s identity—using two acceptable identifiers (e.g., name and date of birth or medical record number)—is a fundamental safety step to prevent wrong-patient medication errors.