Sherpath CHP 31 Principles of Safe Medication Admin
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In which situation related to medication administration is the use of the teach-back method essential?

  • Patient refuses a medication. (correct)
  • New medication is prescribed.
  • Dosage of a medication is changed.
  • More than one medication is taken at the same time.
  • To confirm the right drug, medication labels are checked against the medication administration record (MAR) at least how many times before the medication is administered to the patient? Record your answer as a whole number. _______ times (Use numbers only.)

    3

    At which times does the nurse check for the “right drug”? (Select all that apply.)

  • When removing the drug from the dispensing unit (correct)
  • When preparing the medication (correct)
  • At the bedside immediately before administration (correct)
  • On completion of documentation that the medication was given
  • Match the prescription abbreviation with its meaning.

    <p>Before meals = ac Milliliter = mL Four times per day = qid Sublingual = SL</p> Signup and view all the answers

    Which medication prescription requires clarification with the health care provider?

    <p>Heparin 7500 units subcutaneously</p> Signup and view all the answers

    What is the meaning of “qid” in a medication prescription?

    <p>Four times per day</p> Signup and view all the answers

    The metric system has a basic unit of_______

    (Use numbers only.)

    <p>10</p> Signup and view all the answers

    Which information are needed to set up a dimensional analysis equation for calculating a medication dosage? (Select all that apply.)

    <p>Dose to be given</p> Signup and view all the answers

    Which step in dimensional analysis is done first?

    <p>Identify the unit of measure needed for the answer.</p> Signup and view all the answers

    Which factors related to medication errors are considered systems factors? (Select all that apply.)

    <p>Communication of prescriptions</p> Signup and view all the answers

    At which times would the nurse perform medication reconciliation? (Select all that apply.)

    <p>When a patient is discharged home</p> Signup and view all the answers

    Which factor best explains the need for medication reconciliation as a routine part of medication error prevention?

    <p>Prevalence of polypharmacy</p> Signup and view all the answers

    Which actions are taken when a patient refuses a medication? (Select all that apply.)

    <p>Notify the health care provider.</p> Signup and view all the answers

    As a general rule, which information should be given to a patient when a drug is being administered? Select all that apply.

    <p>Name of the drug</p> Signup and view all the answers

    The nurse looks up an unfamiliar medication when preparing to administer it. The reference indicates the medication is on the Institute for Safe Medication Practices (ISMP) high-alert list. Which action would the nurse take?

    <p>Have a second nurse verify the dosage.</p> Signup and view all the answers

    The nurse would contact the health care provider for clarification for which medication prescription?

    <p>Lisinopril 5 mg PO qd</p> Signup and view all the answers

    To which aspect does the abbreviation STAT refer when used in a prescription for a medication?

    <p>Frequency/time of administration</p> Signup and view all the answers

    Which medication would the nurse plan to give without first clarifying the prescription with the health care provider?

    <p>Naltrexone hydrochloride 50 mg PO daily</p> Signup and view all the answers

    Medication prescription: cimetidine 0.4 g PO, q6h Available: 400-mg tablets

    How many tablets should be given to the patient? __________ tablet(s) Use numbers only.

    <p>1 tablet</p> Signup and view all the answers

    Medication prescription: digoxin 0.25 mg IV stat Available: digoxin 0.5 mg/2 mL

    How many milliliters should be given to the patient? _________ mL Use numbers only.

    <p>1 mL</p> Signup and view all the answers

    Medication prescription: hydrochlorothiazide 25 mg PO daily Available: 50-mg tablets

    How many tablets should be given to the patient? (Record your answer as a decimal and include a leading zero, if applicable.) ________ tablet(s) Use numbers only.

    <p>0.5 tablet</p> Signup and view all the answers

    Patient reluctance to share information is a major obstacle to which process?

    <p>Medication reconciliation</p> Signup and view all the answers

    Match each right of medication administration to the factor that puts it at risk for being violated.

    <p>Need to crush a tablet = Right Route Narrow window of administration = Right Time Smudged patient name on wristband = Right Patient Look-alike and soundalike medications = Right Drug</p> Signup and view all the answers

    Which questions are answered by the medication reconciliation process? (Select all that apply.)

    <p>Are any of the prescribed medications duplicated for each other?</p> Signup and view all the answers

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