Med D&C quiz 2 prep Flashcards
PRN
as needed
single dose /one-time order
only givien one time, like a pre surgery medication
Stat order
an emergent form of a one-time order medication
the order needs to be done immediately
the situation can be life threatening if the patient does not receive the medication in time
How many parts do all medication orders have
7
the Seven parts of medication order are.
- Patient’s name and secondary identifier
- Date and time the order is written
- Name of drug to be administered
- Dosage of the drug
- Route by which the drug is to be administered
- Frequency of administration of the drug
- Signature of the prescribing provider
If any parts of a medication order are missing or questionable, the nurse should
call the prescriber for clarification and document the phone call
The 6 Rights of Medication Administration
How do you verify a patients name with them.
Ask them to state their name, do NOT state it for them
How many identifiers must we use to verify a patient
two
What are the three checks a nurse uses when administering medication
A doctor writes an order for a medication to be given PRN every 6 hours. It was last given 2 hours ago. Which statement by the patient best indicates understanding?
- “I can take my medication after four hours if I need it.”
- “It is important to make sure to take my medication on time in four hours.”
- “If I don’t take my medication in at least 6 hours I will be noncompliant.”
- “I need to wait at least 8 hours before I can take my medication.”
“I can take my medication after four hours if I need it.”
A nurse is reviewing an order first by noting the correct patient name and date of birth. Which order is written correctly?
- 4/11/XX 1:20 pm; Lipitor 20 mg daily
- 9/3/XX 4:10 pm; Lipitor 20 mg PO
- 6/8/XX; Lipitor 20 mg PO daily
- 3/4/XX 11:30 am; Lipitor 20 mg PO daily
6/8/XX; Lipitor 20 mg PO daily - wrong
3/4/XX 11:30 am; Lipitor 20 mg PO daily
What are the main six rights of medication administration? (Select all that apply)
- Right medication
- Right time
- Right documentation
- Right route
- Right patient
- Right dosage
All of them
Which of the following are included in the rights of medication administration? (Select all that apply)
- Right assessment data
- Right to education
- Right response
- Right to refuse
- Right reason
All of them
A nurse enters a room to give medication to a patient and discovers that the patient is in the bathroom. The patient tells the nurse to leave the medication and they will take the medicine when they are done in the bathroom. What is your best course of action as the nurse?
- Tell the patient that you cannot leave the medication but will return with it later.
- Have the patient take the medication while sitting on the toilet in the bathroom.
- Leave the medication on the bedside table for the nurse to take later.
- Give it to another nurse for them to give to the patient at a later time.
Tell the patient that you cannot leave the medication but will return with it later.
Which of the following may be used as a second patient identifier? (Select all that apply)
Photograph of patient
- Scanning patient’s wristband
- Date of admission
- Room number
- Date of birth
All except Room Number and date of admission
How many times should the medication be checked during medication administration?
- At the end of each shift
- At least three times
- Twice, before and after
- Only once is necessary
At least three times
When should the first medication check occur during medication administration?
- At the end of the nurse’s shift before leaving for the day.
- While preparing the medication and comparing to the MAR.
- Before giving the medication or replacing the medication if a multidose vial.
- When the nurse removes the medication from the medication draw
When the nurse removes the medication from the medication draw
When should the second medication check occur during medication administration?
- At the end of the nurse’s shift before leaving for the day.
- Before giving the medication or replacing the medication if a multidose vial.
- While preparing the medication and comparing to the MAR.
- When the nurse removes the medication from the medication drawer/pyxis
While preparing the medication and comparing to the MAR.
When should the third medication check occur during medication administration?
- At the end of the nurse’s shift before leaving for the day.
- When the nurse removes the medication from the medication drawer/pyxis.
- Before giving the medication or replacing the medication if a multidose vial.
- While preparing the medication and comparing to the MAR.
Before giving the medication or replacing the medication if a multi-dose vial.
