Week 3 Study Guide

Question 1

T/F

Right physician and right drug are two of the five rights of medication administration

Answer 1

True

Question 2

T/F

Poor handwriting of prescribing physicians is one of the four main reasons for medication errors

Answer 2

True

Question 3

T/F

PREDnisone and predNISOLONE are an example of Tall-Man lettering

Answer 3

True

Question 4

Steps the pharmacy staff can take to help prevent medication errors:

Answer 4

Recheck calculations against weight based dosage ranges
Reconfirm confusing orders with physician/pharmacist
Check for current allergies and drug compatibility’s
Prepare drugs in a clean environment, and avoid interruptions during preparation
If possible, use a unit one or ready to use medication form
Store sound alike or look alike drugs next to each other for organizational purposes

Question 5

T/F

eRX is an electronic means of receiving medication from your physicians

Answer 5

True

Question 6

National Coordinating council for medication error reporting and prevention defines a medication error as?

Answer 6

Any preventable event that may cause or lead to inappropriate med use or patient harm while med is in control of RX personal or the patient

Question 7

Of he estimated 98,000 deaths occurring from medical errors, more than _______ or what % are a result of medication errors?

Answer 7

1.8%

Question 8

A medication administration error is defined as:

Answer 8

Any deviation from the prescriber’s written order, or as entered into a computer system by the provider

Question 9

What is the FDA’s solution for drugs with similar names?

Answer 9

Tall man lettering

Question 10

Pharmacy dispensing errors account for what percentage of all medication errors?

Answer 10

12%

Question 11

The medication error where a patient has failed to receive a dose is called_____

Answer 11

Omission

Question 12

MERP is an acronym that stands for

Answer 12

Medication error reporting and prevention

Question 13

What are the various dosage forms and how can they be applied to the patient?

Answer 13

Tablet/capsule, suppository, inhaler, nasal spray

Eye/ear, IM, IV, SQ

Question 14

According to the American hospital association list of common medication errors, when are labeling errors liable to occur?

Answer 14

When the medication is repackaged into smaller units

Question 15

Which type of tablet is made by die-punching powdered or granular substances into a uniform shape?

Answer 15

Compressed

Question 16

In how many types of dosage forms can a single medication be available?

Answer 16

May different forms

Question 17

Characteristics of a generic drug name include?

Answer 17

Being used in the US Pharmacopeia and US national formulary

Question 18

What is the newest “right of administration” and therefore not included in the five traditional “rights”

Answer 18

Right technique

Question 19

To Crete a genetically engineered drug, manufactures use _____ DNA, combining two different strands of DNA to produce a new strand.

Answer 19

Recombinant

Question 20

A drug that is produced in a laboratory in imitations of a naturally occurring compound is called

Answer 20

Synthesized

Question 21

A natural occurring substance that has been altered is considered a ______ drug

Answer 21

Semi-synthetic

Question 22

What mineral is used to treat arthritis

Answer 22

Gold

Question 23

Acetylsalicylic acid, also known as aspirin, is derived from a _____ source

Answer 23

Plant

Question 24

According to a Harvard study, what percentage of medication errors are pharmacy dispensing mistakes?

Answer 24

12%

Question 25

What are the five rights of medication administration

Answer 25

Right patient, right drug, right route, right dose, right time

Question 26

The top three drug classes for medication errors include what classifications

Answer 26

Central nervous system agents. Cardiovascular, and HRT

Question 27

Calculations for drugs such as digoxin, epinephrine, theophylline, and narcotics should be checked and rechecked, especially for ______ patents

Answer 27

Pediatric

Question 28

A hospital patient is scheduled to be given a dose of pain relief medication at 730. The nurse becomes involved with another patient and the first patient ends up waiting two hours for pain medication. This is an example of what kind of error?

Answer 28

Wrong Time error

Question 29

A dose of medication mistakenly placed in the right eye instead of the left eye would be considered

Answer 29

Wrong route error

Question 30

What is noted as the cause of medication errors and is still a problem today?

Answer 30

Poor training of pharmacy staff and lack of follow though by the pharmacist in the dispensing process

Question 31

Some researchers use the more narrow definition of a wrong dose error for dose of injectable medications that are measured by the nurse, in which case only a _____ difference is allowed

Answer 31

10%

Question 32

What occurs when a dose is given in excess of the total number of times ordered by the physician, on the basis of an expired order, after a drug has been discontinued, or after a drug has been put on hold?

Answer 32

Commission error

Question 33

Incomplete information in such areas as ______ can result in medication errors

Answer 33

Other current medications

Question 34

If a pharmacy has a 1% prescription error rate, and fills 10,000 prescriptions per year, how many prescriptions will have error?

Answer 34

100