MEDICATION ADMINISTRATION Flashcards
You are reading the physician’s orders and note the date and time of prescriptions, as well as the physician’s signature. Which prescription is complete?
Aspirin PO 1 tablet daily (WRONG)
** Digoxin (Lanoxin) 1.25 mg PO daily (generic/brand name, specific dosage, route, and frequency)
A durg’s generic name is the…
name under which it’s marketed (WRONG)
**same as it’s nonpropritary name
You are giving a pt. several PO meds to take. Pt. can only take 1 pill at a time. It’s appropriate to…
place all meds in a cup and let pt. decide order to take them (WRONG)
**remain at bedside and watch them take all of them
An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called…
an allergic response (WRONG)
**idiosyncratic response
Which of the following is the most appropriate documentation of a pt’s response to pain meds?
reports of pain decreasing to 3/10, 30 mins after med administration
You have a handwritten med. order that is difficult to read. Which of the following actions is most appropriate to take to avoid a med. admin. error?
Call provider for clarification
Pt. drinks 8 oz. of water. Correct conversion of intake?
240 mL
Highest priority for ensuring pt. safety during med. admin?
identify pt. by 2 acceptable methods
Which of the following represents correct admin. of prescribed med?
Amoxicillin 1 g PO prescribed; two 500-mg tablets given
Which pt. is exhibiting drug tolerance?
pt. requires increased dose of med to achieve continued therapeutic benefit
Which of the following demonstrate the correct use of one of the “6 Rights of Med. Admin”?
Respecting pt’s refusal to take new med. provider prescribed (WRONG)
**Administering a patient’s medication by the route the provider has prescribed
With which route of drug admin. are no barriers to absorption?
intravenous
Topics to Review:
- Med Admin: The 6 Rights
- Med Orders: Essential Components
- Drug Names: Generic
- Med Admin: Oral
- Terminology: Med Effects
Which of the following patients is exhibiting drug tolerance?
A patient requires an increased dose of a medication to achieve continued therapeutic benefit.
You are reading the physician’s orders and note date and time of the prescriptions, as well as the physician’s signature. Which of the following prescriptions is complete?
Digoxin (Lanoxin) 1.25 mg PO daily
You are giving a patient several PO medications to take. The patient tells you that she can only take one pill at a time. It is appropriate to:
remain at the bedside until you are sure the patient has taken all of the medications.
Which of the following is the most appropriate documentation of a patient’s response to a pain medication?
The patient reports pain decreased to 3/10, 30 minutes after medication administration.
You have a handwritten medication order that is difficult to read. Which of the following is the most appropriate action to take to avoid an error in medication administration?
Call the medical provider for clarification of the order.
A patient drinks 8 oz of water. Which of the following is a correct conversion of the patient’s intake?
240 mL
An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called
an idiosyncratic effect.
With which route of drug administration are there no barriers to absorption?
Intravenous
A drug’s generic name is the
same as its nonproprietary name.
Which of the following represents the correct administration of the prescribed medication?
Amoxicillin 1 g PO prescribed; two 500-mg tablets given
Which of the following is your highest priority action for ensuring overall safety during medication administration?
Identify the patient by two acceptable methods.
Which of the following demonstrates the correct use of one of the Six Rights of Medication Administration?
Administering a patient’s medication by the route the provider has prescribed
Which of the following demonstrates the correct use of one of the Six Rights of Medication Administration?
Administering a patient’s medication by the route the provider has prescribed
An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called
- An idiosyncratic effect
- An allergic response
- A toxic effect
- A synergistic effect
1
Which of the following is your highest priority action for ensuring overall safety during medication administration?
- Have another nurse check the dose you will give
- Teach the patient about possible adverse effects
- Identify the patient by two acceptable methods
- Confirm that the patient can swallow adequately
3
You are reading the physicians orders and the date and time of the prescriptions, as well as the physicians signature. Which of the following prescriptions is complete?
- Aspirin PO one tablet daily
- Ferrous sulfate 624 mg PO
- Hydrocodone/acetaminophen Vicodin, 5/325 mg PRN
- Digoxin, Lanoxin, 1.25 mg PO daily
4
Which of the following represents the correct administration of the prescribed medication?
- Acetaminophen 650 mg PO prescribed, 5 teaspoon of 325 mg/10 mL liquid given
- Levothryoxine 100 mcg PO prescribed; three .025 mg tablets given
- Amoxicillin 1 g PO prescribed, two 500 mg tablets given
- Diphenhydramine 40 mg IM prescribed; 1.25 mL of 50 mg/1 mL for injection given
3
Which of the following demonstrates the correct use of one of the six rights of medication administration?
- Administering a patient’s medication by the route the provider has prescribed
- And hearing as closely as possible to the medication schedule the patient follows at home
- Gathering of medication history from the patient before administering any drugs
- Respecting a patient’s refusal to take a new medication the provider has prescribed
1
Which of the following is the most appropriate documentation of the patient’s response to a pain medication?
- The patient states, “I feel better “ 10 minutes after medication administration
- The patient is sleeping one hour after administration
- The patient is up and walking in the hall two hours after administration
- The patient reports pain decreased to a three out of 10, 30 minutes after medication administration
4
You have a hand written medication order that is difficult to read. Which of the following is the most appropriate action to take to avoid an error in medication administration?
- Ask another nurse to decipher the medication order
- Call the medical provider for clarification of the order
- Rely on your knowledge of the patient to get this order right
- Inquire at the hospital pharmacy about the order
2
You are giving a patient several PO medications to take. The patient tells you that she can only take one pill at a time. Is it appropriate to
- Place all of the medications in a cup and let the patient decide the order in which to take them
- Crush the pills and mix them in applesauce
- Remain at the bedside until you are sure the patient has taken all of the medication
- Leave the pills of the bedside for the patient to take
3
A patient drink 8 ounces of water. Which of the following is a correct conversion of the patient intake?
- 1 pint
- 4 tablespoons
- 2 cups
- 240 mL
4
Nurse is administering aspirin 81 mg PO daily as prescribed. Med is schedules for 0800 hours. Which demonstrates proper use of 1 of the “6 Rights” of med. admin?
Nurse identifies pt. w/ name as written on med. admin record (WRONG) **documentation
Nurse is preparing to instill antibiotic ear drops into toddler’s ear. Which technique should be used?
Pull pt’s auricle down and back to open canal when administering drops
Pt. is to receive 12.5 mg of prednisone (Deltasone) by mouth daily. med is available in 5 mg tablets. How many tablets should nurse administer for ea. dose?
2 tablets (WRONG) **2.5 tablets
Which should nurse assess before administering meds through NG tube?
amount of residual volume left in stomach
For which of the following inhalation med. delivery methods is it important for nurse to assess pt’s ability to inhale deeply before administering meds?
nasal spray (WRONG) **dry powder inhaler
Pt. has been prescribed Flovent HFA inhaler w/ spacer. Pt. questions need for spacer. Correct response?
no spills (WRONG) **suspends the med better and distributes through lung better
Pt. is to receive daily isoniazid (INH) dosage for TB. Pt. states nausea w/med and refuses to take it. Nurse correctly documents refusal by…
documenting reason w/ date and time in medical record
Nurse will be administering several meds to pt. who has enteral feedings via bore NG tube. Nurse administers meds correctly by…
administering meds via large bulb syringe (WRONG) **Infusing each medication by gravity and flushing with water before and after instillation.
Nurse teaches daughter of older adult pt. how to instill eyedrops in pt’s R eye. What indicates that the daughter understands?
“I will pull down her lower eyelid and drop the med in.”
An uncommon, unexpected, or individual drug response though to result from genetic predisposition is called
- An idiosyncratic effect
- An allergic reaction
- A toxic effect
- A synergistic effect
An idiosyncratic effect
Which of the following represents the correct administration of the prescribed medication?
- Acetaminophen 650 mg PO prescribed 5 tsp of 325 mg/10mL liquid given
- Levothyroxine 100mcg PO prescribed; three 0.025 mg tablets given
- Amoxicillin 1 g PO prescribed,: two 500-mg tablets given
- Diphenhydramine 40 mg IM prescribed: 1.25 mL of 50 mg/1 mL for injections given
Amoxicillin 1 g PO prescribed: two 500-mg tablets given
Which of the following demonstrates the correct use of one of the six rights of medication administration/
- Administering a patient’s medication by the route the provider has prescribed
- Adhering as closely as possible to the medication schedule the patient follows at home
- Gathering a medication history from the patient before administering any drugs
- Respecting a patient’s refusal to take a new medication the provider has prescribed
-Administering a patient’s medication by the route the provider has prescribed
Which of the following is the most appropriate documentation of a patient’s response to a pain medication?
- The patient states, “I feel better” 10 min after medication administration
- The patient is sleeping 1 hr after administration
- The patient is up & walking in the hall 2 hrs after administration
- The patient reports pain decreased to 3/10, 30 min after medication administration
The patient reports pain decreased to 3/10, 30 min after medication administration
Which of the following patient’s is exhibiting drug tolerance?
- A patient continues to take a medication despite harmful effects
- A patient requires an increased dose of a medication to achieve continued therapeutic benefit
- A patient exhibits signs of withdrawal after a medication is discontinued
- A patient develops an intense craving for a drug
A patient requires an increased dose of a medication to achieve continued therapeutic benefit
Which of the following is your highest priority action for ensuring overall safety during medication administration?
- Have mother nurse check the dose you will give
- Teach the patient about possible adverse effects
- Identify the patient by two acceptable methods
- Confirm that the patient can swallow adequately
Identify the patient by two acceptable methods
You are giving a patient several PO medications to take. The patient tells you that she can only take one pill at a time. It is appropriate to
- Place all of the medications in a cup & let the patient decide the order in which to take them
- Crush the pills & mix them i applesauce
- Remain at the bedside until you are sure the patient has taken all of the medications
- Leave the pills at the bedside for the patient to take
Remain at the bedside until you are sure the patient has taken all of the medications
You are reading the physicians orders & note date & time of the prescriptions, as well as the physicians signature. WhichDIo of the following prescriptions is complete?
- Aspirin PO 1 tablet daily
- Ferrous sulfate 624 mg PO
- Hydrocodone/acetaminophen 5/325 mg PRN
- Digoxin (Lanoxin) 1.25 mg PO daily
Digoxin (Lanoxin) 1.25 mg PO daily
A patient drinks 8 oz of water. Which of the following is a correct conversion of the patients intake?
- 1 pint
- 4 tablespoons
- 2 cups
- 240 mL
240 mL
pt drinks 8 oz of water. which is a correct conversion of the pt’s intake?
240 ml
which of the following is most appropriate documentation of a client’s response to pain medication?
pt reports pain decreased to 3/10, 30 min after medication administration
