2.Encourage the client to reduce sun exposureand teach the client to use sunscreen to protectfrom photosensitivity reactions.
V.The Rights of Medication Administrationand Related Nursing CareA nurse should focus on five elements when administeringmedications. These elements are called the Five Rights ofMedication Administration and include the right client,right medication, right dose, right route, and right time.A nurse should consider these five elements when admin-istering each medication because they have proven to bevaluable in reducing medication errors.A.Right client1.Check the client’s name against two verifiers, fol-lowing agency policy. For example, ask the clientto state his or her name and birth date and verifythe name against the medication administrationrecord (MAR) and client’s wristband; if applicable,use a computer scanner to verify the client’s wrist-band bar code.2.Follow alert procedures when two clients have asimilar last name (e.g., place them in differentrooms, flag their MARs and the front of their clini-cal records, and place wristbands issuing the alert).B.Right medication1.Know the normal dose for commonly adminis-tered medications.2.Check a resource about a medication for whichyou are unsure.3.Verify the medication against the primary health-care provider’s prescription.4.Use a computer scanner to verify the medicationpackage bar code.C.Right dose1.Ensure that the prescribed dose is appropriate forthe client. Use a pediatric calculation formula forinfants and children.2.Calculate the dose carefully and double-check allmath calculations.3.Use a computer scanner to verify the medicationpackage bar code.4.Question the primary health-care provider about adose outside the expected range.D.Right route1.Give the medication via the prescribed route.2.Ensure that the route is safe for the client (e.g.,rectal route is contraindicated in clients with rectal bleeding; oral route is contraindicated when a client is vomiting).E.Right time1.Give the medication at the prescribed time, ensuring that it is less than 60 minutes before or after the scheduled time (e.g., numerous clientsreceiving care from one nurse cannot all receive10:00 medications at the same time).2.Ensure that the medication is administered at theprescribed frequency (e.g., once a day, twice a day,three times a day).DID YOU KNOW?The Five Rights of Medication Administration are soeffective in reminding a nurse of the significant ele-ments to consider when preparing and administeringmedications that an additional five rights were identified. They include right education, right assess-ment, right to refuse, right evaluation, and right documentation. These additional five rights reflectthe fact that medication administration is not justthe physical process of preparing and administeringa prescribed medication. Nursing responsibilities alsoinclude educating the client, ensuring that the med-ication is still appropriate for the client, evaluating