A nurse administers a medication to a patient with pneumonia. Which of the following is the nurse responsible for documenting?

Dose given
Reaction to medication
Time administered

Explanation

•The nurse is legally responsible for documenting the administration time, dose, and any reactions (including effectiveness of pain medications or any adverse reactions).

•The nurse is not responsible for documenting the onset of action, the therapeutic range, or the patient's opinion on medications.

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