The nurse brings the patient's medications but the patient refuses to take them, stating, "I'll take them later. Right now my stomach feels a little upset. Could you please bring me some crackers?" What is the best action the nurse should take? (Select all that apply.)

A. The right patient: Identifying the correct patient is crucial to prevent medication errors. This typically involves using at least two identifiers, such as the patient's name and date of birth, to ensure the right person receives the medication.

B. The right MAR: While the Medication Administration Record (MAR) is essential for tracking medication administration, it is not classified as one of the six rights.

C. The right route: Administering medication via the appropriate route (e.g., oral, intravenous) is vital for the drug's effectiveness. Different routes can affect absorption and efficacy, making this a key component of safe medication administration.

D. The right expiration date: Although checking the expiration date is important for safety, it is not part of the core six rights of medication administration.

E. The right health care provider: While appropriate prescribing is important, this does not fall under the six rights of medication administration.

F. The right dose: Confirming the correct dose is essential to avoid potential toxicity or ineffective treatment. Dosage calculations must be precise, considering the patient's age, weight, and clinical condition.

G. The right documentation: Accurate documentation of medication administration is crucial for continuity of care. It helps ensure that all healthcare providers are informed of what medications have been given, thereby preventing duplicate doses or missed medications.

H. The right conversion factor: While conversions may be necessary for dosing, this is not considered one of the six rights.

I. The right medication: Verifying the correct medication is fundamental to patient safety. This involves checking the medication label against the MAR to prevent administering the wrong drug, which could have serious consequences.

J. The right time: Administering medications at the correct scheduled times is essential for maintaining therapeutic drug levels in the body. Timely administration helps ensure that the medication works effectively and enhances patient adherence to their treatment plan.

A) 1.5: Administering 1.5 mL of Amoxil would provide 37.5 mg of amoxicillin (125 mg per 5 mL translates to 25 mg per mL), which is insufficient to meet the ordered dose of 0.05 g (50 mg). Accurate dosing is essential for effective treatment.

B) 0.5: Giving 0.5 mL would result in only 12.5 mg of amoxicillin, which is significantly below the prescribed dose of 0.05 g. It's crucial to ensure the dose administered aligns with the healthcare provider's orders to achieve the desired therapeutic effect.

C) 2: Administering 2 mL of Amoxil is correct. At a concentration of 125 mg per 5 mL, this dosage provides 50 mg of amoxicillin (2 mL x 25 mg/mL = 50 mg), which meets the prescribed order and ensures proper treatment.

D) 1: One mL would deliver 25 mg of amoxicillin, which is still inadequate compared to the required dose of 50 mg. Proper dosing ensures the medication's efficacy while minimizing the risk of resistance and treatment failure.