A nurse is reinforcing teaching with a client who has obsessive-compulsive disorder and has a new prescription for paroxetine (Paxil). Which of the following instructions should the nurse include?

Choice A reason: Three label checks ensure dosage accuracy, part of safe practice. All steps are correct, per nursing standards. It’s universally applied, distinctly reducing errors in medication administration.

Choice B reason: Verifying spelling and dosage across order, MAR, and label prevents mistakes. All are essential, per nursing pharmacology. It’s universally critical, distinctly ensuring drug accuracy.

Choice C reason: Rights (patient, drug, dose) are core to administration; all options support them. This is fundamental, per nursing standards. It’s universally upheld, distinctly guiding safe practice.

Choice D reason: All—label checks, verification, rights—combine for safe administration comprehensively. This aligns with nursing pharmacology standards, universally recognized and distinctly applied as best practice.

Choice A reason: BP every 4 hours isn’t universal; slow rising is key. This errors per nursing standards. It’s universally distinct, not the primary responsibility.

Choice B reason: Teaching slow position changes prevents antihypertensive-induced dizziness. This fits nursing pharmacology standards. It’s universally applied, distinctly critical for safety.

Choice C reason: Stopping meds needs orders; slow rising manages drops. This misaligns with nursing pharmacology. It’s universally distinct, errors in protocol.

Choice D reason: Tachycardia doesn’t justify dose increase; slow rising helps. This errors per nursing standards. It’s universally distinct, off responsibility mark.