Medication safety

Question 1

“Six Rights”:

Answer 1

right patient, right medication/drug, right dose, right route/form, right time, and right documentation.

Question 2

_____ from crash cart cannot be given in same IV with ______

Answer 2

calcium, Sodium Bicarb

Question 3

______ can be given in same IV as sodium bicarb though

Answer 3

calcium gluconate

Question 4

Is telemedicine coming to healthcare?

Answer 4

yes

Question 5

TEST QUESTION : NEVER PUSH IV ______ FAST

Answer 5

POTASSIUM

Question 6

HA means?

Answer 6

–high alert

Question 7

Your post-op client rates a pain of 6/10 and is due for Morphine 2 mg IVP now. You have available Morphine 5mg/1mL. How many mL of the medication does the nurse administer?

Answer 7

0.4 mL

Question 8

when are you reassessing the patient after giving IV morphine?

Answer 8

~30 min for IV reassessment

Question 9

when are you reassessing the patient after giving PO morphine?

Answer 9

~ 1 hr for PO reassessment

Question 10

TEST QUESTION: IF YOUR HOSPITAL DOESN’T HAVE A ______, IT IS PROBABLY A FINANCIAL TYPE OF THING.

Answer 10

SCANNER

Question 11

don’t ever chart that you used a different ______ bc it will be used against you in court, chart factually, never refer to it as an ______.

Answer 11

reporting system, error

Question 12

Medication Errors:
Scanning
Pumps
Look a like/sound a like
Verbal orders
Over-riding
Approved abbreviations
HS (bedtime/half strength)

_____
______
______
______
______

Answer 12

Pre-set electronic orders from physician to nurse
Weight based medications
Reports/paperwork for near misses
Charting an error
Co-signing waste and administration

Question 13

Medication Errors:

Pre-set electronic orders from physician to nurse
Weight based medications
Reports/paperwork for near misses
Charting an error
Co-signing waste and administration

_____
______
______
______
______

Answer 13

Scanning
Pumps
Look a like/sound a like
Verbal orders
Over-riding
Approved abbreviations
HS (bedtime/half strength)

Question 14

Safe Administration and Error Reduction techniques

Answer 14

Communication- telephone, electronics, over clicking

Scanning

Medication rights

Question 15

what are the medication rights from the powerpoint?
*apply this to an NCLEX style question

Answer 15

Right client, Right medication, right dose, right time, right route, right documentation,

right client education, right to refuse, right to an assessment, right to evaluation

Question 16

What are common medication errors?

Answer 16

Not scanning,

Paralytic before sedation during rapid sequence intubation

Rocephin and LR or even Sodium Bicarb with multiple medications.

Rocephin in D5 given to a diabetic. –this isn’t the best thing for them.

Question 17

are quiet zones helpful in preventing medication errors?

Answer 17

yes

Question 18

Medication reconciliation

Answer 18

What is this?
Why is it important?
What is the nurse’s role?

Question 19

TEST QUESTION: PATIENTS ______ ARE INCLUDED ON A MED RECONCILIATION (CAN INTERACT, ENHANCE, ETC W/OTHER DRUGS).

Answer 19

OTC MEDS

Question 20

what organization helps promote safe medication administration?

Answer 20

Institute for Safe Medication Practices

Question 21

TEST QUESTION: _____ IS THE ONLY INSULIN GIVEN IV (ORANGE INSULIN),

Answer 21

REGULAR INSULIN

Question 22

INSULIN ONLY COMES IN ______

Answer 22

UNITS.

Question 23

_____ CANNOT BE GIVEN IV

Answer 23

NPH

Question 24

HEPARIN IS A ______ MEDICATION AND IS ALSO MEASURED IN _____, IS ALSO _____

Answer 24

WEIGHT BASED, UNITS, HIGH ALERT

Question 25

TEST QUESTION: ______ HIGHLIGHT THE LETTERS IN TWO DIFFERENT DRUG NAMES TO HELP DIFFERENTIATE.

Answer 25

TALL MAN LETTERS

Question 26

Individual Considerations of Medication Administration: Tolerance Propofol/Diprivan Age Reduced liver and kidney function _______ _______

Answer 26

Body Weight versus Ideal body weight, is the medication lipophilic? Medication History? ACE inhibitor Olol s

Question 27

Individual Considerations of Medication Administration: Body Weight versus Ideal body weight, is the medication lipophilic? Medication History? ACE inhibitor Olol s

Answer 27

Tolerance Propofol/Diprivan Age Reduced liver and kidney function

Question 28

______ MEDS CAN BE GIVEN ACCORDING TO BODY WEIGHT

Answer 28

LIPOPHILIC

Question 29

TEST QUESTIONS: WE WANT TO OBSERVE FOR MEDICATION _______, ____ ____ ___ ____ ____ ____ ____ ___

Answer 29

SIDE EFFECTS, MONITOR THERAPEUTIC EFFECTS, AND MAINTAIN AN UP TO DATE KNOWLEDGE LEVEL

Question 30

To crush or not to crush, that is the question How to answer patient and family friend questions How to provide education

Answer 30

Oral (enteric-coated pills, capsules, time

Question 31

swallowing won’t help because of the pH in the stomach Breaks down in the cheek/under the tongue and works quickly

Answer 31

sublingual

Question 32

Family health-dilates the cervix Intubated patients/Comatose patients/Patients with excessive vomiting/Infants

Answer 32

rectal/vaginal

Question 33

has a rapid onset (not IV)

Answer 33

inhalation

Question 34

has immediate onset through the bloodstream

Answer 34

IV

Question 35

dont massage this type of route

Answer 35

indradermal

Question 36

(poorly soluble/slow absorption/insulin

Answer 36

subcutaneous

Question 37

when should you use the Z-track method?

Answer 37

with iron to prevent skin stains

Question 38

what is a painless medication route?

Answer 38

transdermal

Question 39

TEST QUESTIONS: ORAL MEDICINES PEAK AT_____HOURS

Answer 39

2-3

Question 40

what is normal BUN level?

Answer 40

6-20

Question 41

what is a normal creatinine levle?

Answer 41

0.6-1.2

Question 42

what are ways meds are excreted?

Answer 42

kidneys, liver, lungs, intestines, and exocrine glandsw

Question 43

what is important to consider about excretion with mothers?

Answer 43

if theyre breastfeeding it can be passed through the breast milk

Question 44

what med needs a peak and trough level?

Answer 44

vancomycin

Question 45

______ determines when it should be out of a normal body and also how often it should be prescribed

Answer 45

Half-life

Question 46

IV PAIN MEDS: ASSESS MED ______ AFTER ADMINISTRATION (_______)

Answer 46

30 MINUTES, PEAK EFFECT