Safe Medication Administration Quiz
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Questions and Answers

Which step should be taken if a patient refuses medication?

  • Administer the medication under duress.
  • Notify the provider and document the refusal. (correct)
  • Ignore the refusal if the medication is essential.
  • Reassess the patient's condition before their next appointment.

What is NOT a reason to withhold medication from a patient?

  • The patient has allergies.
  • The order is unsigned.
  • The medication order is incomplete.
  • The patient requests to delay the medication for a couple of hours. (correct)

What should be done immediately after administering medication?

  • Double-check the patient's allergies again.
  • Wait for the patient to respond first.
  • Document the administration. (correct)
  • Report to the nursing supervisor.

When might a healthcare provider need to reconsider medication administration?

<p>The patient has abnormal physical findings. (A)</p> Signup and view all the answers

Which of the following is essential for infection control during medication administration?

<p>Adhere to the 'one needle, one syringe, one patient' rule. (D)</p> Signup and view all the answers

What should be done if a medication error occurs?

<p>Document the error and analyze the system for improvements. (A)</p> Signup and view all the answers

What is a critical aspect of the right response after medication administration?

<p>Providing patient education and monitoring for complications. (B)</p> Signup and view all the answers

Which is a requirement for safe medication administration?

<p>Double-checking that all 'Eleven Rights' are met. (C)</p> Signup and view all the answers

What should be the immediate action if a medication is found to be outdated or expired?

<p>Notify the provider and withhold the medication. (C)</p> Signup and view all the answers

Which action regarding patient education is required before administering medication?

<p>Assess the patient's knowledge level about the medication. (B)</p> Signup and view all the answers

What is a vital step that should be followed to ensure safe medication administration?

<p>Perform the 'Three Checks' before administering any medication. (D)</p> Signup and view all the answers

When should a healthcare provider notify a patient about the consequences of refusing medication?

<p>Prior to administering the medication, if the patient intends to refuse. (B)</p> Signup and view all the answers

What is the correct approach in the event of a medication error?

<p>Immediately report the error and document it. (B)</p> Signup and view all the answers

Why is it important to wash hands thoroughly before medication administration?

<p>To prevent the transmission of infections to the patient. (B)</p> Signup and view all the answers

What should be done if a patient shows signs of confusion or disorientation after medication administration?

<p>Notify the provider and document the patient's response. (B)</p> Signup and view all the answers

What should be included when documenting the administration of medication?

<p>The medication name, dosage, administration time, and patient’s response. (C)</p> Signup and view all the answers

Flashcards

Right Assessment

Checking if the medication is safe and appropriate for the patient before giving it. Notify the provider immediately if it's not.

Right Documentation

Recording the medication administration immediately after giving it. Follow facility policy and document any signs or symptoms.

Right Response

Monitoring the patient to see how they're responding to the medication, detecting any problems, and educating them.

Right to Education

Explaining the medication to the patient, including dosage, how to take it, side effects, and things to avoid.

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Right to Refuse

Respecting the patient's decision to decline medication. Inform them of the consequences, ensure they understand, and document the refusal.

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Medication Errors

Any mistake made with medication, including giving the wrong dose, wrong drug, or wrong route. Report all errors and near misses.

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Infection Control

Following strict hygiene measures during medication administration to prevent infections. Wash hands, scrub the hub, use single-use needles and syringes.

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Medication Administration Basics

Following essential procedures: minimize distractions, never pre-pour medications, double-check allergies, ensure proper landmarking for injections, reconcile medications, and monitor for delirium.

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Right Documentation: When?

Document medication administration immediately after giving it, following facility policy.

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Right Documentation: What else?

Document any relevant signs and symptoms to the provider.

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Right Response: What to do?

Monitor the patient, detect and prevent complications, evaluate health changes, assess lab values, document the patient's response to the medication, and provide patient education.

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Right to Refuse: What to do?

Inform the patient of the consequences of refusing medication, ensure they understand, notify the provider, and document the refusal and their understanding of the consequences.

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Outdated Medications

Do not administer outdated, expired, or chemically altered medications.

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Medication Errors: Reporting

Report all medication errors and near misses. Never conceal an error.

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Medication Errors: Prioritize

Prioritize the patient's immediate care and use errors to identify system issues and enhance patient safety.

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Withhold Medications: When?

Withhold medications if the order is incomplete, unsigned, the patient has abnormal physical findings, any of the 11 rights are missing, the patient refuses, or any questions about the order remain unanswered.

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Study Notes

Safe Medication Administration

  • Right Assessment: Assess the patient to ensure the medication is safe and appropriate. Notify the provider immediately if it's not. Document and report if the medication was not given.

  • Right Documentation: Document administration immediately after giving the medication, following facility policy. Document and report any relevant signs and symptoms to the provider.

  • Right Response: Monitor the patient, detect and prevent complications, evaluate health changes, assess lab values, document the patient's response to the medication, and provide patient education.

  • Right to Education: Determine the patient's knowledge level and educate them on dosage, administration times, side effects, and contraindications.

  • Right to Refuse: The patient or their legal representative has the right to refuse medication. Inform them of the consequences, ensure they understand, notify the provider, and document the refusal and their understanding of the consequences.

Additional Considerations

  • Medication Integrity: Do not administer outdated, expired, or chemically altered medications. Administer only correctly labeled medications. Report all medication errors and near misses. Never conceal an error. Prioritize the patient's immediate care. Use errors to identify system issues and enhance patient safety.

  • Order Verification: Withhold medications if the order is incomplete, unsigned, the patient has abnormal physical findings, any of the 11 rights are missing, the patient refuses, or any questions about the order remain unanswered.

  • Infection Control: Thoroughly wash hands. Scrub the injection site hub for 15-30 seconds. Adhere to the "one needle, one syringe, one patient" rule. Use a new sterile needle and syringe for each vial access. Avoid using multi-dose vials whenever possible.

  • Clinical Practices: Minimize distractions during medication administration. Follow facility policy for medication co-signing. Never pre-pour medications. Document immediately after administration. Perform the "Three Checks" and ensure all "Eleven Rights" are met. Always double-check allergies. Never leave medication at the bedside. Elevate the patient's head, confirm they swallowed their medication, consider any oral motor concerns, and ensure proper landmarking for injections. Reconcile medications as needed and per facility policy. Monitor patients for signs of delirium (confusion and disorientation).

  • Patient Education: Emphasize adhering to the prescribed medication regimen and duration. Advise against altering dosages without consulting a physician. Caution the patient against sharing medications.

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Description

Test your knowledge on the principles of safe medication administration. This quiz covers essential topics including assessment, documentation, patient education, and the rights of patients regarding medication. Ensure you understand the critical aspects of administering medications safely.

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