Nurse In Action
The Article
Ethics & Accountability
Medication Safety
100

"A patient says, 'I don't want to take this medication because the last time I took it I felt terrible.' Which Right should make the nurse stop and investigate rather than simply administer the medication?"

Right Medication

100

This Right requires the nurse to understand why the medication is being given."

"What is the Right Indication?"

100

This Right requires nurses to provide individualized medication information and assess the patient's understanding."

"What is Right Education and Information?"

100

The traditional medication-administration framework discussed in the article is known as what?

The Five Rights

200

This nursing skill allows a nurse to recognize when simply following an order may not be enough to ensure safe medication administration.

What is clinical judgment?

200

The article proposes expanding the traditional Five Rights into what?

The Ten Rights of medication administration.

200

A nurse receives an order for a medication that appears correct. The patient's identity, medication, dose, route, and time are all verified. However, the nurse notices that the patient's current condition has changed and is concerned that administering the medication may no longer be appropriate.

What should the nurse do?

Pause administration, assess the patient, and use clinical judgment to determine whether the medication is appropriate before administering it.

200


According to Westergren et al., why is relying only on the traditional Five Rights insufficient?

Because safe medication administration involves more than checking five individual items; it also requires broader safety considerations and nursing judgment.

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