The question is a bit vague. I am assuming you mean that the nurse will be administrating the drug to the patient.
In a nutshell, a nurse is responsible for safe administration and the multiple checks surrounding it.
If your patient (client in NCLEX world) is in the hospital and you as the nurse receive a prescription (order) for a medication, you as the nurse are responsible for:
- Right patient (get in the habit of always doing at least a 2 patient identifier)
- Right med (please don't just pick up the med without verifying what it is. This is also the right time to verify the med against the MAR and specifically look for any interactions or reasons not to admin the drug)
- Right dose (keep in mind you may be dispensed a full tablet but the order only calls for 1/2)
- Right time (always check that it's time to give the med)
- Right route (IV push vs bolus vs drip, IM vs SubQ injection. there are very deadly effects to administering incorrectly)
- Right documentation (rule of thumb: if it wasn't documented, it didn't happen, if it was documented, that's how it happened unless you have other documentation or proof to alter and adjust it)
- Right vitals (this is not one you are always taught or tested on but it's good practice to have a recent set of vitals before admin a drug, especially certain drugs that can only be administered if vitals are in a certain range like Digoxin)
Med administration should always be taken seriously. There are way too many medication errors that occur in the hospital setting. Many can be stopped on the nursing level if the nurse takes the time to verify everything correctly.