mod 2 Flashcards
What information should be reviewed before administering a medication?
- correct pt
- recheck pt allergies
- verify calculations on high-alter meds
When two antibiotics are ordered at the same time, what steps are taken to ensure each medication is properly administered?
- id admin rate
- ask pharmacy for alt time intervals if possible
- schedule dose within appr time frames
When in doubt about a medication dosage, which would be an appropriate resource for clarification?
pharmacology reference book
When preparing a medication, what steps help to ensure safe administration?
- clarify any unclear orders
- know pt current health status
- check pt allergies before preparing med
- check pt name against armband
Which actions should be taken when a medication order is unclear?
- check drug reference
- recheck original order
- clarify with pharmacy
- contact prescribing HCP
When should patient teaching about medications occur?
from first nurse-pt encounter through discharge
Which problems may occur following misuse of medications?
- fluid imbalances
- neurological problems
- psychological problems
nitritional imbalances
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?
importance of right pt taking med
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?
name and action on med
Which medication administration suggestions are helpful for an older patient?
- use med aids
- establish specific routine
- know action of each med
- engage family member or friend for assistance
Which biological or physiological changes in older adults have a direct effect on medication administration and action of medications?
- changes in vision
- difficulty swallowing
- decrease circulation
- mental status changes
- ## decrease body weight
When should the administration of a medication be questioned?
- 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
Institutions use incident reports for what purpose?
Analysis and prevention of medical errors
When prioritizing medication administration times, which type of medication is considered first?
pain meds
When taking a phone order, what precautions ensure the correct information is received?
- read order back to provider
- repeat numbers and doses by numeral
Which of the following are important reasons to teach patients about the medications they are taking?
- enhances compliance
- reduces med errors
- reinforces knowledge of adverse effects
- enables optimum med performance
What strategies are considered when planning patient education?
- id spec learning needs
- plan teaching around spec reqs
- teach accord to 7 rights med admin
- emphasize import right med for right pt
What are common causes of medication errors for the elderly?
- forgetfulness
- inadequate income
- changes eyesight
- use childproof caps
- multi HCP
What ability should be determined before teaching an older adult about medication administration?
- ability understand teaching
- ability participate in teaching
- ability to follow through on teaching
- ability to afford all meds prescribed
7 rights
right medication right patient right dose right route right time right to refuse right documentation
The medication label is read
_____
times to ensure the right medication is being administered.
3
twice during the preparation of the medication and once prior to the administration of the medication
When calculating a medication dosage, how is a questionable result verified?
Check with another nurse
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?
The route of administration
What is the cause of up to 50% of all medication errors?
Poor communication at transition points
What is the purpose of medication reconciliation when a patient is discharged from a hospital to home care?
To compare a patient’s medication orders to all the medication being taken
At what point during patient transition should the process of medication reconciliation begin?
Admission
Which components are included in the documentation of medication administration?
- right date
- right time
- refusal of meds
- initials of nurse admin meds
In what situations can medication reconciliation be performed?
- admission
- discharge
- home health
What helps to ensure that drug-to-drug interactions are avoided?
- family education
- medication reconciliation
- obtaining health history
- HCP collaboration
Match each of the four statements to the correct right of medication administration.
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
Which medication right is verified by checking the patient number on the medication record?
right patient
When a patient refuses a medication, what information should be documented in the record?
mental status
Along with the physician order, what needs to be taken into account when scheduling medication administration times for patients?
scheduled therapies
The Joint Commission’s focus on medication reconciliation as a National Patient Safety Goal (NSPG) is in response to what issue?
medication errors during transition periods
With what other healthcare information must a patient’s discharge medication orders be reconciled?
admission orders
What important step helps to prevent pre- and post-hospital medication errors?
ensuring pt knowledge
