Chapter 9 Safety And Quality

Question 1

Five plus five rights of medication administration

Answer 1

Right patient, right drug, right dose, right route, right time
Right assessment, right documentation, the patients right to education, right evaluation, patients right to refuse

Question 2

Components of a drug order

Answer 2

Patient name and birth date
Date the order is written
Provider signature

Question 3

Rx

Answer 3

What the drug is

Question 4

Inscription

Answer 4

Contains drug name, strength, and dose

Question 5

Signature

Answer 5

Information to be written on the label, such as directions to the patient

Question 6

Superscrition

Answer 6

Patients name, address, and age and the dat given

Question 7

DEA

Answer 7

Practitioners who wish to prescribe controlled substances must register with the DEA. DEA number must be on It

Question 8

Nurses rights when administering medication

Answer 8

Right to complete and clear order
Right to have the correct drug, route, and dose
Right to have access to information
Right to have policies to guide safe medication administration
Right to administer medication safely and to identify problems in the system
Right to stop and think

Question 9

Root cause analysis

Answer 9

A method of problem solving used to identify potential workplace errors

Question 10

Do not use abbreviations:

Answer 10

q.d (every day)
Q.o.d (every other day)
U (unit)
IU (international unit)
MS, MSO4 (morphine sulfate)
MgSO4 (magnesium sulfate)
.5 mg (0.5 mg)
1.0 mg (1 mg)

Question 11

Acceptable abbreviations

Answer 11

Cap (capsule)
Elix (elixir)
ER (extended release) 
Gtt (drops)
L, mcg, ml, kg, g, mg, tbsp, tsp
M^2 (square meter)
MEq (milliequivalent)
NKA (no known allergies)
SR (substance released)
Supp (suppository)
Susp (suspension)

Question 12

Routes of medication abbreviations

Answer 12

ID (intradermal)
Inj (injection)
IM (intramuscular)
IV (intravenous)
IVPB (intravenous piggy back)
KVO (keep vein open)
PO (by mouth)
subQ (subcutaneous)
TKO (to keep open)
Vag (vaginal)

Question 13

Times of administration abbreviations

Answer 13

Ac (before meals)
Ad lib (as desired)
Bid (twice daily)
Hs (bedtime)
NPO (nothing by mouth)
Pc (after meals)
PCA (patient controlled Analgesia)
Per (through, by, route)
Prn (as needed)
Q (every)
Q6h (every hour)

Question 14

Patient asks about siposal of meds. The nurse should reply with

Answer 14

Mix drugs with coffee ground or cat litter before disposal

Remove any identifiers

Question 15

Strategy recommended to decrease risk for error with high risk meds

Answer 15

Limit access
Use special labels
Provide increased information to staff
Standardize the ordering and preparation of the drugs

Question 16

Do not use abbreviation is

Answer 16

qd

Question 17

Refusal of meds. The nurse should

Answer 17

Explain the risks of not taking the meds

Question 18

Essential for right documentation

Answer 18

Correct site of injectable med
Patient response to antiemetic
Patients BP before antihypertensive drug
Date and time of dose with nurses initials

Question 19

Complete drug order examples

Answer 19

Aspirin 81 mg P.O. daily

Promethizine 50 mg IV q3-6h PRN for nausea