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The right route: check that the route is appropriate for the patient's current condition. The right time: adhere to the prescribed dose and schedule. The right reason: check that the patient is receiving the medication for the appropriate reason.
The exam is from Center for Nursing Education and Testing (C-NET) which is comprised of 50 multiple choice questions and 10 calculations. The multiple choice questions consist of 35 questions over knowledge of drugs and their effects and 15 questions covering rules for safe medication administration.
All medications require an assessment (review of lab values, pain, respiratory assessment, cardiac assessment, etc.) prior to medication administration to ensure the patient is receiving the correct medication for the correct reason. Be diligent in all medication calculations.
Most health care professionals, especially nurses, know the ?five rights? of medication use: the right patient, the right drug, the right time, the right dose, and the right route?all of which are generally regarded as a standard for safe medication practices.
After affirming the name and expiratory date of the intended drug, nursing providers should also develop a routine habit of explicitly asking patients about known allergies or history of an allergic response to a drug they are about to administer.