mod 2

Question 1

What information should be reviewed before administering a medication?

Answer 1

• correct pt
• recheck pt allergies
• verify calculations on high-alter meds

Question 2

When two antibiotics are ordered at the same time, what steps are taken to ensure each medication is properly administered?

Answer 2

• id admin rate
• ask pharmacy for alt time intervals if possible
• schedule dose within appr time frames

Question 3

When in doubt about a medication dosage, which would be an appropriate resource for clarification?

Answer 3

pharmacology reference book

Question 4

When preparing a medication, what steps help to ensure safe administration?

Answer 4

• clarify any unclear orders
• know pt current health status
• check pt allergies before preparing med
• check pt name against armband

Question 5

Which actions should be taken when a medication order is unclear?

Answer 5

• check drug reference
• recheck original order
• clarify with pharmacy
• contact prescribing HCP

Question 6

When should patient teaching about medications occur?

Answer 6

from first nurse-pt encounter through discharge

Question 7

Which problems may occur following misuse of medications?

Answer 7

• fluid imbalances
• neurological problems
• psychological problems
  nitritional imbalances

Question 8

If a home patient states, “I gave my son one of my pain pills,” which is the most important clarification to teach this patient regarding the seven rights of medication administration?

Answer 8

importance of right pt taking med

Question 9

An older patient states: “I know that I have to take two blue pills and 1 white pill every evening before bed.” Which is the most important clarification to teach the patient?

Answer 9

name and action on med

Question 10

Which medication administration suggestions are helpful for an older patient?

Answer 10

• use med aids
• establish specific routine
• know action of each med
• engage family member or friend for assistance

Question 11

Which biological or physiological changes in older adults have a direct effect on medication administration and action of medications?

Answer 11

• changes in vision
• difficulty swallowing
• decrease circulation
• mental status changes
• ## decrease body weight

Question 12

When should the administration of a medication be questioned?

Answer 12

• The dose is three or more tablets or capsules
• The dose of injectable medication is more than 2 mL
• Two dose concentrations are provided on the medication label

Question 13

Institutions use incident reports for what purpose?

Answer 13

Analysis and prevention of medical errors

Question 14

When prioritizing medication administration times, which type of medication is considered first?

Answer 14

pain meds

Question 15

When taking a phone order, what precautions ensure the correct information is received?

Answer 15

• read order back to provider

- repeat numbers and doses by numeral

Question 16

Which of the following are important reasons to teach patients about the medications they are taking?

Answer 16

• enhances compliance
• reduces med errors
• reinforces knowledge of adverse effects
• enables optimum med performance

Question 17

What strategies are considered when planning patient education?

Answer 17

• id spec learning needs
• plan teaching around spec reqs
• teach accord to 7 rights med admin
• emphasize import right med for right pt

Question 18

What are common causes of medication errors for the elderly?

Answer 18

• forgetfulness
• inadequate income
• changes eyesight
• use childproof caps
• multi HCP

Question 19

What ability should be determined before teaching an older adult about medication administration?

Answer 19

• ability understand teaching
• ability participate in teaching
• ability to follow through on teaching
• ability to afford all meds prescribed

Question 20

7 rights

Answer 20

right medication
right patient
right dose
right route
right time
right to refuse
right documentation

Question 21

The medication label is read
_____
times to ensure the right medication is being administered.

Answer 21

3

twice during the preparation of the medication and once prior to the administration of the medication

Question 22

When calculating a medication dosage, how is a questionable result verified?

Answer 22

Check with another nurse

Question 23

A healthcare provider prescribes a medication for a specific patient and includes the dose and the time. What other information must be included when a medication is prescribed?

Answer 23

The route of administration

Question 24

What is the cause of up to 50% of all medication errors?

Answer 24

Poor communication at transition points

Question 25

What is the purpose of medication reconciliation when a patient is discharged from a hospital to home care?

Answer 25

To compare a patient’s medication orders to all the medication being taken

Question 26

At what point during patient transition should the process of medication reconciliation begin?

Answer 26

Admission

Question 27

Which components are included in the documentation of medication administration?

Answer 27

• right date
• right time
• refusal of meds
• initials of nurse admin meds

Question 28

In what situations can medication reconciliation be performed?

Answer 28

• admission
• discharge
• home health

Question 29

What helps to ensure that drug-to-drug interactions are avoided?

Answer 29

• family education
• medication reconciliation
• obtaining health history
• HCP collaboration

Question 30

Match each of the four statements to the correct right of medication administration.

Answer 30

The medication is ordered orally.
- Right route
The nurse reads the medical record number.
- Right patient
The correct date is placed on the medication record.
- Right documentation
The nurse knows the amount of medicine to administer.
- Right dosage

Question 31

Which medication right is verified by checking the patient number on the medication record?

Answer 31

right patient

Question 32

When a patient refuses a medication, what information should be documented in the record?

Answer 32

mental status

Question 33

Along with the physician order, what needs to be taken into account when scheduling medication administration times for patients?

Answer 33

scheduled therapies

Question 34

The Joint Commission’s focus on medication reconciliation as a National Patient Safety Goal (NSPG) is in response to what issue?

Answer 34

medication errors during transition periods

Question 35

With what other healthcare information must a patient’s discharge medication orders be reconciled?

Answer 35

admission orders

Question 36

What important step helps to prevent pre- and post-hospital medication errors?

Answer 36

ensuring pt knowledge