Nursing Medication Management Quiz

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Questions and Answers

Which one of the following is NOT one of the 9 Rights of Medication Administration?

Right time

Right patient

Right drug classification (correct)

Right dose

What should a nurse do immediately after discovering a medication error?

Report the error to the supervisor or physician (correct)

Administer the correct medication

Notify the patient's family

Document the error in the patient's records

In the context of medication reconciliation, what is the primary goal?

To identify patients' allergies to medications

To ensure the patient receives the correct medication regimen across transitions of care (correct)

To document all medications the patient has taken in the past

To improve the nurse's knowledge of the medications

Which of the following is essential for a prescription to be considered legal?

The prescriber's signature Signup and view all the answers

Mr. John Wright has an allergy to penicillin. What is the best nursing action in relation to medication administration?

Double-check all medication orders for safe administration Signup and view all the answers

Which of the following is NOT a required element of a legal prescription?

Date of administration Signup and view all the answers

What is the purpose of a Standing Order in medication administration?

To give medication indefinitely until a discontinuation order is received Signup and view all the answers

Which ethical consideration must a nurse take into account before administering medication?

If administering the medication could cause harm to the patient Signup and view all the answers

In the context of medication orders, what does a STAT order represent?

A one-time order to be given immediately Signup and view all the answers

Which scenario best describes a PRN order for medication administration?

The patient receives medication as needed, based on symptoms Signup and view all the answers

What legal obligation exists regarding the administration of controlled substances?

They can only be administered with a valid legal prescription Signup and view all the answers

When conducting medication reconciliation, what is the primary goal?

To ensure accuracy in medication lists during transitions of care Signup and view all the answers

Which scenario exemplifies a potential medication error?

Administering the wrong medication due to a similar name Signup and view all the answers

Which of the following is an aspect of the nursing process in medication administration?

Regularly evaluate patient responses and document findings Signup and view all the answers

What aspect must a nurse consider when determining the route of administration for a medication?

The pharmacokinetics and patient's condition Signup and view all the answers

What are the critical points during which medication errors can occur?

During medication preparation, bringing medication to the patient, and administering medication Signup and view all the answers

Which of the following is NOT a cause of medication errors?

Excessive hospital staffing Signup and view all the answers

Which action should a nurse take immediately after a medication error has been identified?

Report the medication error Signup and view all the answers

What is the primary purpose of medication reconciliation?

To compare prescribed medications with those taken by the patient Signup and view all the answers

What defines a high-alert drug?

A drug that has a higher-than-normal risk for causing harm Signup and view all the answers

Which of the following statements regarding the nurse's responsibilities during medication administration is correct?

Nurses should follow agency policies and monitor the patient continually Signup and view all the answers

In which situation does the legal aspect of medication administration in nursing become crucial?

When a nurse administers a dose greater than prescribed Signup and view all the answers

Which scenario represents a common medication error related to patient care?

Omitting an essential medication from the administration checklist Signup and view all the answers

What is the primary purpose of medication reconciliation in nursing?

To identify discrepancies in a patient's medication orders Signup and view all the answers

Which step in the nursing process involves setting goals based on collected patient data?

Planning Signup and view all the answers

Which of the following is NOT one of the 9 Rights of Medication Administration?

Right condition Signup and view all the answers

During the evaluation phase of medication administration, which questions should be asked?

Was the treatment effective, and were there any side effects? Signup and view all the answers

If a nurse holds a medication due to uncertainties about the dosage, what principle of medication administration are they applying?

Good clinical judgment Signup and view all the answers

What is the best method for verifying that a medication is given to the correct patient?

Using two patient identifiers, such as name and date of birth Signup and view all the answers

Which type of data is included in the assessment phase of the nursing process?

Subjective and objective data Signup and view all the answers

In a scenario where a nurse administers medication without checking for allergies, what has been violated?

The right assessment Signup and view all the answers

What should a nurse do first if they notice a medication administration error?

Report the error to a supervisor Signup and view all the answers

Which of the following best describes the legal aspect of medication administration?

Every nurse must adhere strictly to prescribed medication orders Signup and view all the answers

Study Notes

Medication Errors

Medication errors are costly and can lead to death.
They can occur during medication preparation, bringing medication to the patient, or administering medication.
The fast-paced work environment, low staffing, multitasking, and interruptions can contribute to medication errors.
All medication errors must be reported.

Nursing Considerations

Nurses must report medication errors, monitor the patient's vital signs, labs, and physical assessment, follow agency policies, and avoid using abbreviations.

High-Alert Drugs

High-alert drugs are medications with a high risk for causing harm.
They can be wrongly administered to patients, in an incorrect dose, or not administered at all.
The Food and Drug Administration (FDA) assigns a "black box designation" to medications with a higher-than-normal risk.

Medication Reconciliation

Medication reconciliation involves comparing all prescribed medications with the patient's medication list.
This helps prevent medication errors like wrong dosages, duplication of medications, and omitted medications.
Nurses review the patient's medication list, including over-the-counter, herbal, vitamin, and all prescription medications.

Protection of Healthcare Workers

Healthcare workers are protected from exposure to bloodborne pathogens using written plans to reduce needlestick injuries.
They are provided with needlestick prevention equipment.
The control plan is reviewed annually.

Pharmacology Basics

Pharmacology is the study of how the body interacts with medications.
It involves understanding the effects of drugs on the body and how the body processes drugs.
Medications are used to treat various diseases.

The Role of the LPN/LVN

Licensed Practical Nurses (LPNs)/ Licensed Vocational Nurses (LVNs) provide nursing care across the lifespan in various settings.
They are responsible for providing safe, quality, and cost-effective care, including safe medication administration.

Medication Administration and the Nursing Process

The nursing process is a framework for nurses to provide care.
It consists of five steps: assessment, diagnosis, planning, implementation, and evaluation.

Assessment

Assessment involves gathering information about the patient, including subjective and objective data.
Nurses perform medication reconciliation to ensure a complete list of medications.
Allergies and contraindications must be considered during the assessment process.

Diagnosis

Nurses analyze the patient's condition and use the data to contribute to the plan of care.

Planning

Planning involves setting goals based on collected data and nursing diagnoses, and collaborating with the multidisciplinary team, patient, and family.
Nurses verify medication orders to ensure they are correct.

Implementation

Implementation involves safely administering medications and applying knowledge of the medication's expected action.
Nurses document medication administration and utilize the nine rights of medication administration.

Nine Rights of Medication Administration

Nine rights of medication administration is a strategy for nurses to safely administer medications.

Evaluation

Evaluation determines if the treatment was effective, if there were side effects, and if there were any adverse effects.

Regulation of Drug Administration

Medication administration is governed by federal and state laws and hospital or agency policies.
Federal laws regulate controlled substances, prescription drugs, and over-the-counter drugs.
Legal prescriptions are required for all medications.

Legal Prescription Components

A legal prescription includes the patient's full name, date of the prescription, the name of the drug, route of administration, dosage, frequency, duration, and the prescriber's signature.

Aspects of Medication Administration

Nurses should consider the legal and ethical implications of administering medication and how the medication affects the patient's health and safety.

Types of Medication Orders

There are several types of medication orders: standing orders, emergency (STAT) orders, single-drug orders, and as-needed (PRN) orders.

Standing Order

Standing orders are for medications that are routinely administered until discontinued or given for a specific number of doses.

STAT Order

A STAT order is a one-time order to be given immediately.

Single-drug Order

A single-drug order is a one-time order to be administered at a specific time.

PRN Order

A PRN order is given "as needed" based on the nurse's judgment and patient need.

Drug Cards

Drug cards help nurses learn and remember medication information.
They are a helpful resource for unfamiliar medications and help nurses understand why a medication is prescribed.

Drug Card Components

Drug cards include the trade name, generic name, route of administration, dosage range, desired action, expected side effects, adverse effects, drug classification, and nursing implications.

Example Patient Scenario

The example scenario highlights the importance of the nine rights of medication administration and how errors can occur.

Legal, Regulatory and Ethical Aspects

The nurse must be aware of and comply with federal and state laws governing medication administration, agency policies, and ethical considerations when administering medications.
The nurse must assess the patient's health and safety, legality, and potential ethical dilemmas when administering medications.

Learning Objectives

Understanding the fundamentals of pharmacology and the nurse's roles and responsibilities in medication administration.
Describing the legal, regulatory, and ethical aspects of medication administration.

Key Takeaways

Medication errors can be costly and lead to adverse patient outcomes.
Nurses play a crucial role in safe medication administration.
Understanding the nine rights of medication administration is critical.
Nurses must comply with regulations, legal requirements, and ethical considerations.
Medication administration is a complex process that requires knowledge, attention to detail, and critical thinking.

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Description

Test your knowledge on medication errors, high-alert drugs, and nursing considerations for safe medication administration. This quiz covers critical aspects of medication reconciliation and the responsibilities of nurses in managing medication safety. Ensure you understand the implications and reporting requirements related to medication errors.