The nurse is preparing to administer a medication to a client. What are the checks that must occur prior to medication administration? (Select all that apply.)
1. Checking the drug after administering it to the patient
2. Checking the drug when preparing it, pouring it, taking it out of the unit dose container, or connecting the IV tubing to the bag
3. Checking the drug with the medication administration record (MAR) or medication information system when removing it from the medication drawer, refrigerator, or controlled substance locker
4. Checking the drug before administering it to the patient
5. Checking the drug prior to documenting
2, 3, 5
Rationale 1: Checking the drug after administering it to the patient is not one of the three checks for drug administration.
Rationale 2: Checking the drug when preparing it, pouring it, taking it out of the unit dose container, or connecting the IV tubing to the bag is correct because it is one of the three checks of drug administration.
Rationale 3: Checking the drug with the medication administration record (MAR) or medication information system when removing it from the medication drawer, refrigerator, or controlled substance locker is correct because it is one of the three checks of drug administration.
Rationale 4: Checking the drug before administering it to the patient is correct because it is one of the three checks of drug administration.
Rationale 5: Checking the drug prior to documentingis incorrect because it is not one of the three checks of drug administration.
Global Rationale: Checking the drug when preparing it, pouring it, taking it out of the unit dose container, or connecting the IV tubing to the bag is correct because it is one of the three checks of drug administration. Checking the drug with the medication administration record (MAR) or medication information system when removing it from the medication drawer, refrigerator, or controlled substance locker is correct because it is one of the three checks of drug administration. Checking the drug before administering it to the patient is correct because it is one of the three checks of drug administration. Checking the drug after administering it to the patient and checkingthe drug prior to documentingare not among the three checks for drug administration.
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