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What is the nurse’s priority when administering high-alert medications?
Asked on Jan 11, 2026
Answer
When administering high-alert medications, the nurse's priority is to ensure patient safety by following strict protocols to prevent medication errors. This involves verifying the correct medication, dose, patient, route, and time, as well as monitoring for potential adverse effects.
Example Nursing Steps:
- Step 1 – Verify the medication order against the patient's MAR (Medication Administration Record) and ensure the "five rights" of medication administration: right patient, right medication, right dose, right route, and right time.
- Step 2 – Double-check the medication with another licensed nurse, especially for high-alert medications, and administer using appropriate techniques (e.g., IV pump settings).
- Step 3 – Monitor the patient for any adverse reactions or side effects, document the administration and patient response, and report any discrepancies or concerns immediately.
Additional Comment:
- High-alert medications include anticoagulants, insulin, opioids, and chemotherapy agents.
- Use standardized protocols and checklists to minimize errors.
- Educate patients about the medication's purpose and potential side effects.
- Prioritize safety-first principles and adhere to institutional policies.
- Always be prepared to manage potential adverse reactions promptly.
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