Chapter 3: Principles of Drug Administration Flashcards
Discuss drug administration as a component of safe, effective nursing care, using the nursing process
,
Describe the roles and responsibility of nurses regarding safe drug administration
g
Explain how the five rights of drug administration affect patient safety
g
Give specific examples of how nurses can increase patient adherence in taking medications
m
Interpret drug orders that contain abbreviations
f
Compare and contrast the three systems of measurement used in pharmacology
v
Explain the proper methods of administering enteral, topical, and parenteral drugs
b
Compare and contrast the advantages and disadvantages of each route of drug administration
t
What is the role of the nurse in medication administration? (Select all that apply)
a. Ensure that medications are administered in a safe manner
b. Be certain that healthcare provider orders are accurate
c. Inform the patient that prescribed medications need to be taken only if the patient agrees with the treatment plan
d. Ensure that the patient understands the use and administration technique for all prescribed medications
e. Prevent adverse drug reactions by properly administering all medications.
l
Before administering drugs by the enteral route, the nurse should evaluate which of the following?
a. Ability of the patient to lie supine
b. Compatibility of the drug with the intravenous fluid
c. Ability of the patient to swallow
d. Patency of the injection port
.
While the nurse takes the patient’s admission history, the patient describes having a severe allergy to an antibiotic. What is the nurse’s responsibility to prevent an allergic reaction? (Select all that apply)
a. Instruct the patient to alert all providers about the allergy
b. Document the allergy in the medical record
c. Notify the provider and the pharmacy of the allergy and type of allergic reaction
d. Place an allergy bracelet on the patient
e. Instruct the patient not to allow anyone to give the antibiotic
k
The order reads, “Lasix 40 mg IV STAT.” Which action should the nurse take?
a. Administer the medication within 30 minutes of the order
b. Administer the medication within 5 minutes of the order
c. Administer the medication as required by the patient’s condition
d. Assess the patient’s ability to tolerate the medication before giving.
l
Which medications would not be administered through a nasogastric tube? (Select all that apply)
a. Liquids
b. Enteric-coated tablets
c. Sustained-release tablets
d. Finely crushed tablets
e. IV medications
k
A patient with diabetes has been NPO (nothing by mouth) since midnight for surgery in the morning. He usually takes an oral type 2 anti-diabetic drug to control his diabetes. What would be the best action for the nurse to take concerning the administration of his medication?
a. Hold all medications as ordered
b. Give him the medication with a sip of water.
c. Give him half the original dose
d. Contact the provider for further orders.
.
Why do errors continue to occur despite nurses’ following the five rights and three checks of drug administration?
k
