Chapter 7- Principles Of Medication Administration And Medication Safety

Question 0

Ignorance to nurses responsibilities results in?

Answer 0

Delays in med administration and serious administration errors

Question 1

Before medicines are administered the nurse must understand?

Answer 1

The professional responsibilities associated with

• med administration
• drug orders
• medication delivery systems
• nursing processes related to drug therapy

Question 2

True or False

The practice of nursing under a professional license is a Devine right.

Answer 2

False. The practice of nursing under a professional license is a privilege not a right.

Question 3

Standards of care are?

Answer 3

Guidelines developed for the practice of nursing

Question 4

The guidelines of the standards of care are defined by?

Answer 4

State and federal laws
The Joint Commission
Professional organizations (American Nurse Association)
Specialty nursing organizations (Intravenous Nurses Society)

Question 5

List the four examples of policy statements relating to medication administration

Answer 5

1) education requirements of those authorized to administer medications
2) approved list of intravenous solutions & meds that nurses can start or add to infusions
3) list of restricted medications
4) list of abbreviations that are not used in documentation

Question 6

What must a nurse have in order to pass medications?

Answer 6

A current license to practice, a clear policy statement that authorizes the act, and a medication order signed by a licensed practitioner with prescriptive privileges.

Question 7

Fill in the blank

The nurse must understand the patient’s ____ and ______ that correlate with the rationale for drug use

Answer 7

Diagnosis and symptoms

Question 8

The nurse is expected to know what about medications?

Answer 8

Why it was ordered, expected actions, usual dosing, proper dilution, route and rate of administration, adverse effects, and contraindications

Question 9

True or False

The nurse does not assess the patient to ensure therapeutic and adverse effects associated with the medicine is reported

Answer 9

False. It is the nurse’s responsibility.

Question 10

Claiming unfamiliarity with nursing responsibilities when an avoidable complication arise is…

Answer 10

Unacceptable and considered NEGLIGENCE!!!!

Question 11

What do the nurses record in their notes?

Answer 11

Ongoing assessments of pt condition, responses to nursing interventions ordered by physician,and evaluations of effectiveness of nursing interventions

Question 12

What should the nurse do after administration of prn medications?

Answer 12

Record immediately after administration and its effectiveness.

Question 13

PRN medications are located where on the MAR?

Answer 13

Listed at the bottom

Question 14

What protocol should a nurse look for on a MAR?

Answer 14

Potassium protocol.

Question 15

Normal range for aPTT

Answer 15

25-35 seconds

Question 16

Normal range for INR

Answer 16

2-3

Question 17

Before administering any controlled substance the nurse should what?

Answer 17

Verify that the time interval since the last use of the drug has elapse as the physician had ordered.

Question 18

The nurse receiving a controlled substance supply is responsible for

Answer 18

Counting and verifying the number and types of controlled substances received

Question 19

Before throwing out an empty bottle one should

Answer 19

Scratch out all identifying information on the label. Make it unreadable!

Question 20

Controlled substances can be disposed by

Answer 20

Flushing down the toilet or rinsing in the drain

Question 21

All prescriptions must contain

Answer 21

1) name of pt and drug
2) date
3) route of administration
4) dose
5) duration of order
6) signature of the prescriber

Question 22

The four categories of medication orders are

Answer 22

Stat
Single
Standing
PRN

Question 23

Orders used on an emergency basis and only once. ASAP!

Answer 23

Stat order

Question 24

On order that is administered at a certain time but only once

Answer 24

Single order

Question 25

An order that indicates that a medication will be given for a specified number of doses

Answer 25

Standing order

Means drug is to be administered until discontinued at a later date

Question 26

A renewal order must be?

Answer 26

Written and signed by a physician

Question 27

PRN means

Answer 27

Administer as needed

Question 28

How long does a physician have to consign and date a verbal order?

Answer 28

Within 24 hours

Question 29

Medical errors can result in

Answer 29

Serious complications

Question 30

List examples of high alert medicines

Answer 30

Insulin
Heparin
Opioids
Potassium
Neuromuscular blocking agents
Chemotherapy

Question 31

Define Medication reconciliation.

Answer 31

Process of comparing a patients current medication orders with all the medications that they are actually taking

Question 32

What is the five step process of medical reconciliation

Answer 32

1) develop a list of current medications
2) develop a list of prescribed meds
3) compare the two lists
4) make a clinical decision based on comparison
5) communicate the new list to caregivers and patient

Question 33

How many times should a drug label be read?

Answer 33

3 times

Question 34

Drugs that require an empty stomach must be taken

Answer 34

An hour before or two hours before a meal

Question 35

Adverse symptoms should be observed and recorded

Answer 35

Promptly

Question 36

True or False

It is acceptable to record a medication before it is given

Answer 36

False. DO NOT record a medication until after it has been given

Question 37

True or false

do NOT record in the nurses notes that an incident report has been completed when a medication error has occurred

Answer 37

True

Question 38

What are some tests used to identify hepatic function?

Answer 38

AST,LDH, and GGT