Chapter 4 & 6

Question 1

r/t drug therapy assess for (5)

Answer 1

Medical conditions & drug use (Prescription, OTC, illicit)
Allergies
Level of understanding
Family support
VS, age, weight

Question 2

3 parts of intervention r/t drug therapy

Answer 2

Proper drug admin
Providing comfort measures & managing needs
Pt/family education about drugs

Question 3

8 RIGHTS OF DRUG ADMIN

Answer 3

PATIENT
DRUG
DOSE
STORAGE
ROUTE
PREPARATION
TIME
DOCUMENATION

Question 4

“right patient” check for… (3)

Answer 4

name, birthdate, allergies

Question 5

3 CHECKS

Answer 5

When removing med from where it is stored
When preparing med
Before admin

Question 6

ac

Answer 6

before meals

Question 7

pc

Answer 7

after meals

Question 8

cap

Answer 8

capsule

Question 9

gtt

Answer 9

drop

Question 10

prn

Answer 10

as needed

Question 11

BID

Answer 11

2x/day

Question 12

TID

Answer 12

3x/day

Question 13

QID

Answer 13

4x/day

Question 14

q#h

Answer 14

every # hours

Question 15

d/c

Answer 15

discontinue

Question 16

contributing factors to med errors (9)

Answer 16

Incorrect admin
Failure to follow agency safety checks
Failure to account for pt variables
Stressful work conditions
Fatigue
Multiple prescribers
Polypharmacy
Pt not filling or refilling prescriptions
Pt not taking as directed

Question 17

reduction of med errors (7)

Answer 17

ID of factors that contribute to errors - allergies, drug interactions, etc
Proper ID of pt
Proper techniques of admin
Monitoring self-admin, especially high-risk pop
Medication reconciliation
Avoiding polypharmacy
Effective pt teaching

Question 18

what is medication reconciliation?

Answer 18

verifying Physician Order Sheet & Medication Administration Record (MAR) match

Question 19

define sentinel event

Answer 19

incident that results in an unexpected serious or fatal injury following a med error

Question 20

6 challenges to effective drug therapy

Answer 20

media
internet
OTC drugs
alternative therapies
off-label use
issues r/t healthcare cost