Med Admin Part One Exam 5

Question 1

Medical error is the —- leading cause of death

Answer 1

Third

Question 2

Medication error lead to

Answer 2

Death
Life threatening situation
Hospitalization
Disability
Birth defect

Question 3

Who makes medication orders

Answer 3

Provider
Pharmacist
Nurse

Question 4

Provider order

Answer 4

Prescribes and monitors

Question 5

Pharmacist

Answer 5

Verification and preparation

Question 6

Nurse

Answer 6

Administers and monitors

Question 7

Types of medication errors

Answer 7

Wrong patient
Wrong drug
Wrong route
Wrong time
Wrong dose
Wrong dosage form
Wrong technique
Deteriorated drug error
Compliance
Wrong documentation

Question 8

Nurse med errors

Answer 8

Distractions
Poor communication
Lack of training
Inadequate knowledge of training of pt
Inadequate knowledge of drug
Overworked or fatigued
Physical/emotional health issues/ stress
Lack of knowledge drug-drug interactions
Miscalculation of dosage
Drug preparation
Computer error
Stocking error *****

Question 9

Factor associated with med errors - patients

Answer 9

Personality
Literacy
Language barriers
Multiple health conditions
Poly pharmacy
Inconsistent mood

Question 10

Communication

Answer 10

Name confusion
Illegible handwriting
Verbal order
Brand name confusion
Generic name confusion
Labeling

Question 11

Ways to reduce medication errors

Answer 11

Educating the patient and family
Computerized order
Pharmacist rounding
Bar code systems
Up to date list of meds
Abbreviations
Education
Limits on verbal orders

Question 12

Complacency

Answer 12

When you become so secure in your work that you take potentially dangerous shortcuts

Question 13

Cause for high alert

Answer 13

Look alike or sound alike medications

Question 14

Black box warning

Answer 14

Alert or increased risk - may result in death or serious injury
Strict labeling requirements

Question 15

When an error occurs

Answer 15

• monitor patient ** first priority

Question 16

Every step of safe medication administration requires a —- —- and a comprehensive, —- approach

Answer 16

Disciplined attitude: systematic

Question 17

Nurses need to know

Answer 17

Medication knowledge
Patient allergies
Calculate med dosages
Pts response
Nursing process
Nurse practice act NPA

Question 18

Roles of the nurse
Up to date —— base

Answer 18

Knowledge

Question 19

What to know about medication

Answer 19

• dose
• what can be given
• route
• frequency
• reason
• instructions/ considerations/ precautions/ drug-drug interactions

Question 20

Nurse skills ensure what

Answer 20

Know your patient
Implement the nursing care plan

Question 21

Implement the nursing care plan

Answer 21

Assessments
Problem
Desired outcomes/ goals
Interventions
Evaluation

Question 22

Advocate by — the patient

Answer 22

Protecting

Question 23

Question / clarify — or — medication errors

Answer 23

Incorrect : incomplete

Question 24

Know when to — medications or request alternate — if needed

Answer 24

Hold : route

Question 25

Know if meds are

Answer 25

Compatible

Question 26

Never leave meds unattended or at the

Answer 26

Bedside

Question 27

Role of patient
Understand their

Answer 27

Responsibilities

Question 28

Role of patient
Understand the treatment and —- what they do not understand

Answer 28

Question

Question 29

Role of patient
Adhere to the —- (take medications correctly)

Answer 29

Regimen

Question 30

Role of patient
Avoid misuse or —- of medications

Answer 30

Abuse

Question 31

Role of patient
Report —- effects of medications or changes in medical condition

Answer 31

Adverse

Question 32

Qualified nursing assessment

Answer 32

VS, blood glucose, pain, allergies

Question 33

Be informed of

Answer 33

The drug name
The drug dosage
Reason for receiving the drug
Frequency
The route
Potential undesired effects

Question 34

The patient has the right to

Answer 34

Received labeled medications
Meds administered correctly
Not to receive unnecessary meds
Refuse to take a medication - always double check when patient questions you!

Question 35

Components of medication error

Answer 35

Patient name
Date & time
Name of medication
Dosage
Route of administration
Time/frequency of administration
Signature/ verification of prescriber

Question 36

Administered until the dosage is changed or another medication is prescribed

Answer 36

Standing or routine

Question 37

Given when the patient requires it

Answer 37

PRN/ contingency

Question 38

Given one time only for a specific reason

Answer 38

Single- one time order

Question 39

Given immediately in an emergency

Answer 39

STAT

Question 40

When a medication is needed right away, but not STAT

Answer 40

NOW

Question 41

Medications to be taken outside of the hospital

Answer 41

Prescriptions

Question 42

Medication order is written with dosage having a range

Answer 42

Range order

Question 43

Verbal telephone orders

Answer 43

Spell back and read back!

Question 44

Medication administration

Answer 44

Right patient
Right medication
Right dose
Right time
Right route
Right reason
Right documentation

Question 45

Right patient

Answer 45

Use two identifiers

Question 46

Right medication

Answer 46

Check label

Question 47

Right dose

Answer 47

Appropriate dose range

Question 48

Right route

Answer 48

Know how the drug can and cannot be given
Order determines thus

Question 49

Right time

Answer 49

Know schedule

Question 50

Right reason

Answer 50

Is the order/medication appropriate

Question 51

Right documentation

Answer 51

Always document

Question 52

Stress and chronic illness are contributing factors leading to

Answer 52

Abuse

Question 53

Hospital —- are drug of choice (DOC) for —

Answer 53

Narcotics : abusers

Question 54

Diversion investigators assess

Answer 54

Concerning activity

Question 55

Wastage of narcotics is always —— and immediately—-

Answer 55

Witnessed : documented

Question 56

Consequences for drug use

Answer 56

Drug screening
Termination
Reported to peer review
Reported to BNE
Police can be notified
Lose license
Texas peer assistance program for nurses
> mandated volunteering