The first step in ensuring the safe administration of a medication is to check the medication order to ensure that it is complete, accurate, and appropriate for the client. The nurse should verify that the order includes the client’s name, the name and dose of the medication, the route and time of administration, and any other relevant information.
a. Verifying the client’s identity is an important step in ensuring the safe administration of medication, but it is not the first step.
c. Preparing the medication is an important step in ensuring its safe administration, but it is not the first step.
d. Administering the medication is an important step in ensuring its safe administration, but it is not the first step.

High-alert medications are those that have a high risk of causing significant harm if used in error. When administering a high-alert medication, additional safety measures should be taken to ensure its safe use. One such measure is to double-check the medication order with another nurse to verify its accuracy and appropriateness.

b. Administering a high-alert medication as quickly as possible may increase the risk of error and harm to the client.

c. Checking for allergies is an important safety measure when administering any medication, including high-alert medications.

d. Verifying the client’s identity is an important safety measure when administering any medication, including high-alert medications.

Before administering an injection, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the injection site for any signs of infection, inflammation or injury. Finally, the nurse should check the patient’s allergies to ensure that they are not allergic to any component of the injection being administered.

a.Verifying a patient’s identity using two identifiers such as name and date of birth is important before administering an injection.

b.Checking the injection site for any signs of infection, inflammation or injury is important before administering an injection.

c.Checking patients’ allergies to ensure that they are not allergic to any component of the injection being administered is important before administering an injection.

Before administering an oral tablet to a patient who has difficulty swallowing, the nurse should consult with the provider. Some tablets are designed to be swallowed whole and should not be crushed or cut as this may alter their pharmacokinetics. In such cases, alternative formulations such as liquid or chewable tablets may be available.
a. Crushing tablets and mixing them with applesauce may alter the pharmacokinetics and should only be done if approved by the provider.
b. Cutting the tablet in half may alter the pharmacokinetics and should only be done if approved by the provider.
c. Administering the tablet with a large glass of water may help the patient swallow but does not address the underlying difficulty.

Before starting an IV infusion, the nurse should verify the patient’s identity using two identifiers such as name and date of birth. The nurse should also check the IV site for any signs of infection, inflammation or phlebitis. Finally, the nurse should check IV tubing for any kinks or obstructions that may impede flow.

a.Verifying the patient’s identity using two identifiers such as name and date of birth is important before starting an IV infusion.

b.Checking the IV site for any signs of infection, inflammation or phlebitis is important before starting an IV infusion.

c.Checking IV tubing for any kinks or obstructions that may impede flow is important before starting an IV infusion.

If a client refuses to take a medication, the nurse should document the refusal and notify the provider. The nurse should not force the client to take the medication or administer it against their wishes.

a.Forcing a client to take medication against their wishes is not appropriate.

c.Administering a medication against a client’s wishes is not appropriate.

d.Documenting the refusal and notifying the provider is the appropriate action.

After administering a dose of pain medication,the nurse should check patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature.The nurse should also assess patient’s pain level using an appropriate pain scale.Finally,the nurse should document administration of pain medication including time,dose,route,and any adverse effects.

a.Checking patient’s vital signs such as heart rate,respiratory rate,blood pressure,and temperature is important after administering a dose of pain medication.

b.Assessing patient’s pain level using an appropriate pain scale is important after administering a dose of pain medication.

c.Documenting administration of pain medication including time,dose,route,and any adverse effects is important after administering a dose of pain medication.

Before administering an injection to a pediatric patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check injection site for any signs of infection,inflammation or injury.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of injection being administered.

a.Verifying patient’s identity using two identifiers such as name and date of birth is important before administering an injection to pediatric patient.

b.Checking injection site for any signs of infection,inflammation or injury is important before administering an injection to pediatric patient.

c.Checking patient’s allergies to ensure that they are not allergic to any component of injection being administered is important before administering an injection to pediatric patient.

Before administering an oral liquid suspension to an elderly patient,the nurse should verify patient’s identity using two identifiers such as name and date of birth.The nurse should also check ability to swallow by asking about difficulty swallowing or observing during mealtime.Finally,the nurse should check patient’s allergies to ensure that they are not allergic to any component of suspension being administered.

a.Verifying patient’s identity using two identifiers such as name and date of birth is important before administering oral liquid suspension to elderly patient.

b.Checking ability to swallow by asking about difficulty swallowing or observing during mealtime is important before administering oral liquid suspension to elderly patient.

c.Checking patient’s allergies to ensure that they are not allergic to any component of suspension being administered is important before administering oral liquid suspension to elderly patient.

When administering IV push medication to critically ill patients,additional safety measures should be taken.One such measure is double-checking medication order with another nurse.The nurse should also administer medication slowly while monitoring vital signs during administration.

a.Double-checking medication order with another nurse can help prevent errors when administering IV push medications.

b.Administering IV push medications slowly can help prevent adverse reactions.

c.Monitoring vital signs during administration can help detect adverse reactions early.