Pharmacy and Medication Administration

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Questions and Answers

What type of medication requires monitoring by the provider and does not pose a risk for misuse?

Scheduled medication

Uncontrolled medication (correct)

Controlled substance

Prescription medication

What is the primary role of the FDA in the medication approval process?

Determining the classification of controlled substances

Administering medication to clients

Prescribing medication to clients

Testing new drugs for effectiveness and safety (correct)

What is the purpose of medication reconciliation?

To monitor controlled substances

To administer medication to clients

To determine the dosage of a medication

To compare the list of a client's current medications to new prescriptions (correct)

What is the main difference between a routine prescription and a single or one-time order?

Frequency of administration Signup and view all the answers

What is the primary purpose of the 'right client' step in the right to safe medication administration?

To check the client's identification Signup and view all the answers

What is the purpose of the 'right dose' step in the right to safe medication administration?

To calculate the correct dosage Signup and view all the answers

Why is it important to document medication administration immediately after administration?

To ensure accurate records and prevent errors Signup and view all the answers

What is the purpose of the 'right route' step in the right to safe medication administration?

To determine the correct route of administration Signup and view all the answers

What is the classification of Heroin according to the controlled substances schedule?

Schedule 1 Signup and view all the answers

What is the purpose of the 'right client education' step in the right to safe medication administration?

To educate the client on their medication Signup and view all the answers

What is the first step to take when a client refuses medication?

Explain and inform the client of the sequences Signup and view all the answers

Where can a nurse obtain information about a medication?

From sources including providers, nurses, physicians, pharmacists, poison control center, and sales representatives from drug companies Signup and view all the answers

What is an essential aspect of the planning phase of the nursing process when administering medications?

Identifying the client's outcomes of medication administration Signup and view all the answers

What is a crucial step during the implementation phase of medication administration?

Avoiding interruptions during medication preparation Signup and view all the answers

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

Bring the pack and show the client their prescription, explaining the medication's appearance Signup and view all the answers

What is an essential aspect of evaluating a client's response to medication?

Comparing the expected effects of the medication to the client's actual outcomes Signup and view all the answers

What should a nurse do if a medication error occurs?

Notify the provider, document the error, and report it to the facility to identify ways to prevent similar errors Signup and view all the answers

What is a critical step in the data collection phase of the nursing process when administering medications?

Gathering information from multiple sources, including the client's medical history Signup and view all the answers

What is a crucial aspect of the right to refuse medication?

Respecting the client's autonomy and explaining the risks and benefits of refusal Signup and view all the answers

What is an essential component of documenting a medication error?

Providing an accurate and objective account of the event Signup and view all the answers

Study Notes

Medication Administration

Uncontrolled medications require monitoring by the provider but do not pose a risk for misuse.

Controlled Substances

Have a potential for misuse and dependence
Have a schedule classification (e.g., Heroin is Schedule 1, morphine is Schedule 2, phenobarbital is Schedule 5)

FDA Regulations

The Food and Drug Administration (FDA) tests new drugs to determine effectiveness and safety before approval

Pregnancy Schedule

Categories medications based on safety during pregnancy (A, B, C, D, X)
X is the most dangerous category

Types of Medication Prescriptions

Routine or standing order
Single or one-time order
Stat prescription
PRN prescription

Components of a Medication Prescription

Client's full name
Date and time of prescription
Name of medication (generic or trade)
Strength and dose of medication
Route of administration
Time and frequency
Quantity to dispense
Signature of the prescribing provider

Medication Reconciliation

Comparing the list of the client's current medications to new prescriptions
Process takes place during admission, transfer, and discharge

Right to Safe Medication Administration

Right client (check client's name, assigned ID number, telephone number, ID band, check for allergies, use barcode)
Right medication (read medication label and compare it with MAR)
Right dose (check drug reference, have another nurse verify)
Right time (critical: 30 minutes before, non-critical: 20-30 minutes before or after)
Right route (oral is the most used)
Right documentation (after administration, document immediately)
Right client education (nurse should inform client about medication, right to refuse)
Right evaluation (follow up with client to verify therapeutic effects and adverse effects)

Nursing Process

Data collection (know the medication, sources include provider, nurses, physicians, pharmacists, poison control center, etc.)
Planning (identifies client's outcomes of medication administration, set priorities)
Implementation (avoid interruptions during medication preparation, prepare one client's medication at a time, double-check with another nurse)
Evaluation (evaluate client's responses to medications, document and report)

Error Reporting

Notify provider of all errors (include client's identification, name and dose of medication, time and place of incident, accurate and objective account of event)
Do not include incident report in client's medical record
Report all errors to facility to prepare and find ways to avoid errors

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Description

Understand the basics of medication administration, including controlled substances, FDA regulations, and pregnancy schedules. Learn about the different categories and classifications of medications.