Medication Effects and Interactions Quiz

Questions and Answers

What is the chemical name for acetaminophen?

N-acetyl-para-aminophenol (correct)

Acetylsalicylic acid

Paracetamol

Tylenol

What is a potential effect of taking digoxin?

Nausea

Dysrhythmias (correct)

Hearing loss

Hypotension

Which of the following names is considered the official name given by the United States Adopted Names Council?

Atenolol

Tylenol

N-acetyl-para-aminophenol

Acetaminophen (correct)

What defines a stat prescription?

For immediate administration only once Signup and view all the answers

Which statement regarding adverse effects is true?

Some adverse effects can take weeks or months to develop. Signup and view all the answers

Why might nurses monitor clients taking digoxin?

To check for signs of toxicity Signup and view all the answers

Which statement about trade names is true?

One medication can have multiple trade names. Signup and view all the answers

What is a potential outcome of medication interactions?

They can result in harmful effects. Signup and view all the answers

What is the primary reason for administering medication on time?

To maintain a consistent therapeutic blood level Signup and view all the answers

Which of the following is necessary to verify before initiating cytotoxic medication therapy?

The client's health problems and current reason for care Signup and view all the answers

For time-critical medications, when should they be administered?

Within 30 minutes of the prescribed time Signup and view all the answers

Which type of medication should be administered within 1 hour of the prescribed time?

Non-time-critical medications prescribed more than once daily Signup and view all the answers

What information is NOT required to be updated before starting medication therapy?

Family medical history Signup and view all the answers

Clients should be asked about their use of which product as part of their health history?

Herbal or 'natural' products Signup and view all the answers

Which of the following is an example of non-time-critical medication administration guidance?

Administer once daily medications within 4 hours of the prescribed time Signup and view all the answers

Which aspect of the medication therapy process is crucial for ensuring client safety?

Checking food allergies and cross-reactivity Signup and view all the answers

What should be done if a client refuses medication?

Respect their right to refuse and document the refusal. Signup and view all the answers

Which of the following is NOT a common medication error?

Administration of medication within the correct protocol Signup and view all the answers

What is the primary role of the Institute for Safe Medication Practices (ISMP)?

To educate about safe medication practices Signup and view all the answers

Which abbreviation should NEVER be used due to the risk of medication errors?

q.o.d. Signup and view all the answers

What is essential to assess before administering digoxin?

Apical heart rate Signup and view all the answers

If a medication administered to a client is something they are allergic to, this is categorized as which type of error?

Administration of a medication to which the client is allergic Signup and view all the answers

What should one do to ensure correct administration of medications?

Verify the medication with the provider and assess the client. Signup and view all the answers

What should a healthcare provider do after administering medication?

Follow up to verify therapeutic and adverse effects. Signup and view all the answers

What should a nurse do if a medication prescription is unclear or seems inappropriate for the client's condition?

Question the provider for clarification Signup and view all the answers

What is one of the first steps in medication administration prioritization?

Administer critical medications first Signup and view all the answers

How can distractions impact the medication administration process?

They can increase the risk of errors Signup and view all the answers

What should a nurse do if a client questions the size of their medication dose?

Omit or delay the dose and investigate further Signup and view all the answers

What is a key practice for ensuring safe medication administration?

Always check medication labels for accuracy Signup and view all the answers

Who should verify dosages of high-alert medications before administration?

A colleague or another qualified healthcare provider Signup and view all the answers

What is the appropriate action if a medication has expired?

Dispose of it and obtain a new supply Signup and view all the answers

What role should clients play in their medication safety?

They should be encouraged to understand their medications and dosage Signup and view all the answers

What should a nurse do immediately after administering medication?

Record the medication in the client's medical record. Signup and view all the answers

What is a key factor in ensuring the correct administration of medication by telephone prescription?

A second nurse should listen to the prescription. Signup and view all the answers

Which routes are commonly recognized for medication administration?

The most common routes include oral, topical, and subcutaneous. Signup and view all the answers

How much time before or after the scheduled time can medication be administered?

30 minutes before or after. Signup and view all the answers

What is the role of the nurse regarding client education about medication?

To provide comprehensive information about the medication, including its purpose and expected effects. Signup and view all the answers

Which of the following best describes the act of reading back a prescription?

A method to confirm the accuracy of a telephone prescription. Signup and view all the answers

What is crucial when verifying a telephone prescription?

Ensure all necessary components are complete and accurate. Signup and view all the answers

What should be documented after administering a medication?

Details of the client's response to the medication. Signup and view all the answers

Study Notes

Medication Effects and Types

Medications can have multiple therapeutic effects; for instance, diphenhydramine can be taken for allergies or sleep induction.
Each medication has a unique chemical name (e.g., acetaminophen: N-acetyl-para-aminophenol), one generic name (e.g., acetaminophen), and multiple trade names (e.g., Tylenol, Tempra).

Adverse and Toxic Effects

Adverse effects are undesirable responses that can be immediate or develop over weeks/months; for example, gentamicin can lead to hearing loss.
Toxic effects vary by medication; digoxin can cause dysrhythmias due to cardiotoxicity, especially with hypokalemia increasing risk.

Medication Interactions and Administration

Medications can interact, producing beneficial or harmful effects; for example, atenolol may be used with nifedipine to prevent tachycardia.
Stat prescriptions require immediate administration (e.g., digoxin 0.125 mg IV bolus).

Important Pre-Administration Assessments

Gather health history, including age, health problems, current medications, herbal products, allergies, and clients' understanding of medications.
Evaluate clients physically before medication administration (e.g., measure heart rate before digoxin).

Client Rights and Safety Measures

Clients have the right to refuse medication; inform them of consequences and document refusals.
Right assessment involves collecting data before and after administration; essential for verifying therapeutic effects and side effects.

Medication Error Prevention

Common medication errors include incorrect medication or dose, administration to allergic clients, and incorrect timing.
ISMP educates on safe medication practices and identifies error-prone abbreviations and high-alert medications.

Medication Administration Protocols

Time-critical medications should be administered within 30 minutes of scheduled times; non-time-critical medications can be given within specific hours.
Distractions during medication preparation increase risk; best to prepare for one client at a time.

Best Practices for Administration

Follow the five rights of medication administration: right patient, medication, dose, route, and time.
Verify orders, maintain clear documentation, and educate clients about medications and their uses.

Communication and Documentation

Document medications immediately after administration, including client responses and observations of adverse effects.
Verify telephone prescriptions with read-back protocols to prevent miscommunication.

Routes of Administration

Common administration routes include oral, topical, subcutaneous, intramuscular, and intravenous; additional routes include sublingual, buccal, nasal, and more.
Ensure correct preparation for the prescribed route to prevent complications.

Client Education

Inform clients about the purpose, expected outcomes, administration method, and any adverse effects to report.

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Description

Test your knowledge on the various effects and types of medications. This quiz covers therapeutic effects, adverse reactions, toxic effects, and interactions between different medications. Enhance your understanding of medication administration and their implications in healthcare.