Fundamentals chapter 20

Question 1

involves the pharmacy or manufacturer prepackaging and pre-labeling an individual patient dose is called?

• is considered gold standard in hospitals
• long care facilities use “bingo cards” a multi dose unit packet

Answer 1

unit dose

Question 2

the medication is in a locked machine and delivered in a unit-dose package what type of medication distribution is this?
- common in health care facilities

Answer 2

automated medication dispensing system.

Question 3

lightweight handheld laser scanner, a laptop computer attached to a med cart and car codes what type of medication distribution is this?
- unit dose packaged meds

Answer 3

bar code medication administration

Question 4

supplies each pt. with his or her prescribed doses and quantities for a given period. what type of medication distribution is this?

Answer 4

self administration medication system

Question 5

Who approves OTC meds??

Answer 5

FDA

Question 6

OTC med are safe when?

Answer 6

used as directed

Question 7

People who use OTF drugs often put off?

Answer 7

minor issues that develop into big ones because of mistreatment.

Question 8

Some botanicals can cause?

Answer 8

toxic effects and drug on drug interactions.

Question 9

Herbs and botanicals can lack?

Answer 9

standard quality and regulation

Question 10

Should you asses a pt. before botanical use?

Answer 10

YES it is a drug

Question 11

What needs a legal order for the preparation and administration of a medication?

Answer 11

prescription drugs

Question 12

What are the components of a medication order?

Answer 12

• medication name
• medication dosage (freq. and strength)
• route of administration
• purpose
• signature

Question 13

WHO:

• regulates the manufacture, sale, and effectiveness of medications
• in-charge with keeping ineffective of safe drugs off the market and recalling inadequately tested or dangerous drugs
• identifying which meds can be obtained with or without prescription
• setting and enforcing standards of purity and potency
• controlling drug advertising to the medical profession

Answer 13

FDA

Question 14

LPN’s and student nurses can only administer drug when?

Answer 14

supervised by an RN

Question 15

What are the “six rights” a nurse must observe in patient rights?

Answer 15

• the right pt.
• the right med
• the right dose
• the right route
• the right time
• the right documentation

Question 16

Do patients have the right to refuse meds?

Answer 16

yes, but explain the importance of the med and report the refusal to the dr.

Question 17

Does the law require nurses to report any known diversion of controlled substances by colleagues?

Answer 17

yes

Question 18

What the body does to the drug is called?

Answer 18

pharmacokinetics

Question 19

What the drug does to the body is called?

Answer 19

pharmacodynamics

Question 20

Name the information sources.

Answer 20

• Institute for Safe Medication Practices (ISMP) : Medication Safety Alert and Nurse - ERR
• Nursing Drug Handbook: Drug monographs (lippincott)
• Epocrates (www.epocrates.com) free
• Lexi-Comp (www.lexi.com) (paid)
• Healthcare institution’s pharmacists and formularies

Question 21

What is the information collected during the initial RN admission history?

Answer 21

• med history which includes a medication reconciliation form
• allergy and intolerances
• medical history
• pregnancy and lactation status

Question 22

What is the information collected before every medication administration?

Answer 22

• MAR
• diet and Fluid orders
• laboratory values
• physical assessment (focused)
• ability to swallow
• gastrointestinal motility
• adequate muscle mass
• body system assessment

Question 23

What are common preventable errors?

Answer 23

• medication is given in the wrong dose or at the wrong time
• documentation is inaccurate or not performed in a timely manner
• medication is administered according to the order, but the order is inappropriate for the patient.
• IV medication is given at the wrong rate

Question 24

What are some system issues?

Answer 24

• inadequate staffing
• increased patient acuity levels
• lack of access to medication information
• conflicting organizational routines
• issues with organizational communication channels such as lack of medication reconciliation policies at patient handoff
• inappropriate care delivery models

Question 25

What are some practice errors?

Answer 25

• failure to comply with policy and procedures
• distraction
• improper dosage calculation
• inadequate knowledge about medications

Question 26

pertaining to the inside of the check?

Answer 26

buccal

Question 27

drugs given by injections of infusions?

Answer 27

parenteral

Question 28

medication reaction that increases the drugs effects is?

Answer 28

synergism

Question 29

drugs known to cause birth defects are?

Answer 29

teratogenic