When documenting a medication administration, which item should be included?

• A. Time given and vitals
• B. Drug name, dose, route, time given, patient response, and vitals
• C. Patient age
• D. Battery of a pulse oximeter reading

Answer: (B)

When documenting a medication administration, you need a complete record of what was given, how much, and how the patient responded, along with current monitoring. The best choice includes the drug name, dose, route, time given, patient response, and vitals. This combination ensures clear traceability, supports ongoing care, and helps evaluate effectiveness or adverse effects. Recording only the time given and vitals misses the drug identity, amount, and the patient’s response. Similarly, patient age isn’t part of the med administration record, and a pulse oximeter reading is a monitoring value, not a standard required element of every med record unless specifically tied to that treatment.