Which of the following actions is permitted for a home health aide regarding drug administration?

The action of recording and reporting the client's reaction to medication is crucial in the context of home health care. This practice allows the home health aide to actively monitor the client's response to their medication regimen and communicate any concerns or adverse effects to the supervising registered nurse or physician. Such communication is vital for ensuring the client’s safety, adjusting treatment plans as necessary, and enhancing the overall effectiveness of care.

In contrast, administering medications without supervision can lead to potential risks, as aides are not authorized to make independent decisions regarding medication management. Additionally, making changes to prescribed dosages goes beyond the scope of an HHA’s responsibilities and would require professional supervision and authority. Similarly, providing clients with over-the-counter medications without proper guidance or physician instruction also falls outside the aide's role, as it can pose risks if the medications interact with prescribed treatments or if the client's medical history necessitates caution. Therefore, the correct focus is on the aides' role in documenting and reporting, as it aligns with maintaining the safety and well-being of the clients they serve.