150 Questions
Which of the following best describes the purpose of the nursing process in drug administration?
To protect the patient from drug errors
What is the term used to describe a drug effect that is more severe than expected and has the potential to cause serious health problems?
Adverse effect
Which step of the nursing process involves gathering information about the patient that will be used in planning care?
Assessment
What are the nine rights of drug administration?
A series of nursing actions to protect the patient from drug error
Which of the following is NOT a source of information that can be included when assessing a patient's drug history?
Pharmacist
What are some examples of drugs that patients often forget to mention when asked about their drug history?
Birth control pills
Why is it important to assess any problems that the patient has had with drug therapy?
To identify potential drug interactions
Who determines the medical diagnoses for a patient?
The physician
Which of the following is NOT one of the 9 Rights of Drug Administration?
The right time
Which of the following is an essential component of safe drug administration?
The right patient
What should a nurse do if a patient refuses a drug?
Document the refusal and provide patient teaching
Why is it important for the nurse to check the drug label multiple times?
To prevent medication errors
Which of the following best describes subjective data in patient assessment?
Reports of what the patient says he or she is feeling or thinks
Which healthcare professionals may write drug orders according to individual state laws?
Physicians, nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists, and physician assistants
Which of the following best describes objective data in patient assessment?
Data that can be seen, heard, felt, or measured by someone other than the patient
What should the nurse do if any part of the drug order is incorrect or unclear?
Notify the charge nurse and the nursing supervisor
Why is it important to gather subjective and objective assessment data when a patient is first seen or admitted to the healthcare setting?
To establish a baseline for comparison as care progresses
What is one factor to consider when planning to give a drug?
The reason for giving the drug
What is the primary role of an LPN/VN in assessing a patient?
Reporting data collected to the RN or other healthcare team members
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To prevent adverse effects
Which step of the nursing process involves gathering information about the patient that will be used in planning care?
Assessment
What is the LPN/VN's role in providing nursing care?
To provide safe, quality, and cost-effective care
What are the factors that increase the demand for LPNs/VNs?
Aging nursing workforce reaching retirement age, aging population, increased number of people with chronic illnesses
Where do LPNs/VNs practice nursing?
Nursing homes, assisted living agencies, outpatient clinics, home health agencies, hospices, rehabilitation centers
According to the National Patient Safety Goals, what is the purpose of identifying the right patient before administering a drug?
To match the treatment to the person
How many identifiers should be used to properly identify the patient before administering a drug?
At least two
Which of the following can be used as identifiers to identify the right patient?
Full name
For patients who are hard of hearing or confused, what should be compared to the patient's wristband to ensure proper identification?
Name, birthdate, or medical record
What is the best practice for identifying the patient's full name?
Directly asking the patient to "tell me your full name"
Which of the following is NOT a part of the 9 Rights of Drug Administration?
Right to refuse
Which step of the nursing process involves gathering information about the patient that will be used in planning care?
Assessment
Which of the following best describes objective data in patient assessment?
Data that can be measured or observed by the nurse
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To identify potential contraindications for the drug
What is the primary role of an LPN/VN in assessing a patient?
To collect objective and subjective data
Which step of the nursing process involves using information gathered in the nursing assessment about the patient to set short-term and long-term goals?
Planning
What is the intended action of a drug, also known as a drug's beneficial outcome?
Therapeutic effect
What is the purpose of the nursing process in drug administration?
To guide the nurse's work in a logical way
What is an LPN/VN's role in providing nursing care for patients and families?
To provide safe, quality, and cost-effective care
Which of the following is NOT a factor that should be assessed when asking about a patient's drug history?
The patient's age and gender
What should be included when assessing a patient's drug history?
Reports from caregivers and past medical records
What is the purpose of assessing symptoms, signs, or diseases that explain the patient's need for a drug?
To prevent drug interactions or complications
What should be included when assessing any problems that the patient has had with drug therapy?
The patient's allergies and diseases
Which of the following is NOT one of the nine rights of drug administration?
The right documentation
How many times should the nurse check the drug label to ensure the right drug is being administered?
Three times
What should the nurse do if the patient refuses a drug?
Ask the patient to clarify the reason for refusal
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To address any problems that may arise during drug therapy
Which of the following best describes the purpose of gathering subjective and objective assessment data when a patient is first seen or admitted to the healthcare setting?
To establish a baseline for comparison as care progresses
Which of the following is an example of subjective data in patient assessment?
Patient's description of pain
What is the primary role of an LPN/VN in assessing a patient?
Gathering subjective and objective data
What is one factor to consider when planning to give a drug?
The patient's drug history
Which healthcare professionals may write drug orders according to individual state laws?
Physician assistants
What is the LPN/VN's role in providing nursing care?
Administering drugs to the patient
What is one factor to consider when planning to give a drug?
The patient's age
What are the nine rights of drug administration?
Right patient, right drug, right dose, right route, right time, right documentation, right reason, right response, right education
Which of the following is NOT one of the 9 Rights of Drug Administration?
Right response
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To provide individualized care
For patients who are hard of hearing or confused, what should be compared to the patient's wristband to ensure proper identification?
Medical record number
What should the nurse do if a patient refuses a drug?
Document the refusal and inform the healthcare provider
Why is it important for the nurse to check the drug label multiple times?
To ensure the drug is the correct dose
What is the best practice for identifying the patient's full name?
Asking the patient to state their full name
Which of the following is NOT a type of information that should be assessed when asking about a patient's drug history?
The patient's preferred brand of over-the-counter drugs
Which of the following is NOT a factor that should be considered when planning to give a drug?
The patient's preferred method of drug administration
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To prevent drug interactions or complications
Who determines the nursing diagnoses for a patient?
The RN
Which step of the nursing process involves using information gathered in the nursing assessment about the patient to set short-term and long-term goals?
Planning
What is the term used to describe information that can be seen, heard, felt, or measured by someone other than the patient?
Objective data
What is the primary role of an LPN/VN in assessing a patient?
Gather information about the patient that will be used in planning care
What are the factors that increase the demand for LPNs/VNs?
All of the above
Which step of the nursing process involves determining the right response by looking at what happens to the patient when the nursing care plan is put into action?
Evaluation
What term is used to describe a drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems?
Adverse effect
What is the purpose of the 9 Rights of Drug Administration?
To ensure patient safety
What is the difference between subjective and objective data in relation to drug administration?
Subjective data is provided by the patient, while objective data is observed by the nurse.
Which of the following is NOT one of the 9 Rights of Drug Administration?
The right response
What should the nurse do if a patient refuses a drug?
Ask the patient to clarify their reason for refusal
How many times should the nurse check the drug label to ensure the right drug is being administered?
Three times
What is the purpose of the nursing process in drug administration?
To ensure the patient's safety
Which of the following is an example of objective data in patient assessment?
The presence of edema
Which of the following is NOT a type of subjective data in patient assessment?
The patient's report of the severity of the problem
What is the primary role of an LPN/VN in assessing a patient?
To listen to what the patient says and report new information to the other healthcare team members
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To set short-term and long-term goals for the patient
Which healthcare professionals may write drug orders according to individual state laws?
Physicians, nurse practitioners, nurse midwives, nurse anesthetists, clinical nurse specialists, and physician assistants
What should a nurse do if a patient refuses a drug?
Withhold the drug and notify the charge nurse and nursing supervisor
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To identify potential risks or issues related to the drug's side effects
What are the four important steps involved in planning to give a drug?
Know the reason for giving the drug, learn specific information about the drug, plan for special storage or procedures, and consider patient problems
Which of the following is NOT one of the 9 Rights of Drug Administration?
Right documentation
What is the primary purpose of identifying the right patient before administering a drug?
To match the treatment to the person
Which of the following is NOT a recommended identifier to use when identifying the right patient?
Social security number
What is the best practice for identifying the patient's full name?
Asking the patient to 'tell me your full name'
For patients who are hard of hearing or confused, what should be compared to the patient's wristband to ensure proper identification?
Medical record
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To provide a holistic approach to care
Which of the following is an important area to assess when asking about a patient's drug history?
The patient's allergies
Which of the following is NOT a type of drug that should be included when asking about a patient's drug history?
Herbal agents
What is the primary role of a nurse in the planning step of the nursing process?
Assisting with setting goals
What is an example of a long-term goal in a nursing care plan?
The patient will show how to rotate injection sites for using his or her insulin pen by the time of discharge.
Which of the following is NOT a setting in which LPNs/VNs practice nursing?
Hospital
What percentage of work hours for new LPN/VNs is related to providing care relating to giving drugs and monitoring patients receiving drugs?
40%
What is the primary reason for the increased demand for LPNs/VNs?
All of the above
What is the therapeutic effect of a drug?
The intended action of the drug, also known as a drug's beneficial outcome
Which of the following best describes subjective data in patient assessment?
Data that are reports of what the patient says he or she is feeling or thinks
Which of the following best describes objective data in patient assessment?
Data that can be objectively observed or measured
Which of the following is an example of subjective data in patient assessment?
Patient's report of feeling nauseated after taking a drug
Which of the following is an example of objective data in patient assessment?
Presence of edema
Which of the following is NOT one of the nine rights of drug administration?
The right response
What should a nurse do if a patient refuses a drug?
Document the refusal and notify the healthcare provider
How many rights of drug administration are there?
Nine
What is the purpose of the nine rights of drug administration?
To ensure patient safety and quality care
Which of the following is an example of an adverse effect of a drug?
A drug effect that is more severe than expected and has the potential to damage tissue or cause serious health problems
What is the purpose of the nursing process in drug administration?
To protect the patient from drug error
What is the term used to describe a health-related reason for not giving a specific drug to a patient or a group of patients?
Contraindication
Which step of the nursing process involves determining the right response by looking at what happens to the patient when the nursing care plan is put into action?
Evaluation
Which healthcare professionals may write drug orders according to individual state laws?
Physicians and nurse midwives
What should the nurse do if a drug order is unclear or incorrect?
Withhold the drug until the healthcare provider can be contacted
What should be included in the nursing care plan when giving a drug?
Patient problems that may increase the risk for drug side effects
What are the four important steps involved in planning to give a drug?
Know the reason for giving the drug, learn specific information about the drug, plan for special storage or procedures, determine the drug's cost
Which of the following is NOT one of the main identifiers used to identify the right patient before administering a drug?
Telephone number
How many identifiers should be used to properly identify the patient before administering a drug?
Two
What is the best practice for directly asking the patient to identify themselves?
Ask the patient, 'Tell me your full name.'
Which of the following is NOT a recommended practice for identifying the right patient?
Using at least two identifiers
What is the purpose of identifying the right patient before administering a drug?
All of the above
Which of the following is NOT a purpose of identifying the right patient before administering a drug according to the National Patient Safety Goals?
Verify the patient's insurance information
Which of the following is an example of an adverse effect of a drug?
Toxic effect
What is the purpose of the nursing process in drug administration?
To evaluate the patient's response to drugs
What is the primary role of an LPN/VN in assessing a patient?
To gather information about the patient
What is the term used to describe a drug effect that is more severe than expected and has the potential to cause serious health problems?
Adverse effect
Which step of the nursing process involves carrying out the plan of care and safely administering drugs to the patient?
Evaluation
What is the purpose of the 9 Rights of Drug Administration?
To ensure that the right patient receives the right drug with the right dose using the right route at the right time for the right reason
What is the primary role of an LPN/VN in assessing a patient?
To assess the patient and gather information about their health status
What should be compared to the patient's wristband to ensure proper identification for patients who are hard of hearing or confused?
The patient's full name
Which of the following is NOT a healthcare setting in which LPNs/VNs practice nursing?
Pharmacies
What is the primary reason for the increased demand for LPNs/VNs?
Aging nursing workforce reaching retirement age
What is the purpose of the nursing process in relation to drug administration?
To guide the nurse's work in a logical way
What is the difference between objective data and subjective data in patient assessment?
Objective data can be measured by someone other than the patient, while subjective data is based on the patient's thoughts and feelings
Which healthcare professionals may write drug orders according to individual state laws?
All of the above
What should the nurse do if any part of the drug order is incorrect or unclear?
Withhold the drug
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To increase patient safety
What are the four important steps involved in planning to give a drug?
Know the reason for giving the drug, learn specific drug information, plan for special storage or procedures, identify patient problems
Which of the following is NOT a type of information that should be assessed when asking about a patient's drug history?
The patient's age and gender
Which step of the nursing process involves gathering information about the patient that will be used in planning care?
Assessment
What is the primary purpose of identifying the right patient before administering a drug?
To verify the patient's identity
What is the purpose of including patient problems in the nursing care plan when giving a drug?
To prevent drug interactions or complications of drug therapy
Which of the following best describes subjective data in patient assessment?
Data that is reported by the patient about their thoughts or feelings
Which of the following best describes objective data in patient assessment?
Data that can be seen, heard, felt, or measured by someone other than the patient
What is the primary role of LPN/VNs in assessing the patient?
To listen to the patient and report new information to the healthcare team
Why is it important to gather subjective and objective assessment data when the patient is first seen or admitted to the healthcare setting?
To establish a baseline for comparison as care progresses
Which of the following is NOT one of the main identifiers used to identify the right patient before administering a drug?
Telephone number
What is the best practice for directly asking the patient to identify themselves?
Asking the patient their full name
How many identifiers should be used to properly identify the patient before administering a drug?
Two
For patients who are hard of hearing or confused, what should be compared to the patient's wristband to ensure proper identification?
All of the above
What is the purpose of identifying the right patient before administering a drug?
All of the above
What should a nurse do if a patient refuses a drug?
Respect the patient's decision and document the refusal
Study Notes
Nursing Process in Drug Administration
- The nursing process ensures safe, effective drug administration by conducting assessments, planning care, implementing interventions, and evaluating outcomes.
- Assessing symptoms and patient history informs medication needs and helps mitigate risks.
- Gathering both subjective (patient-reported) and objective (measured) data is crucial during initial assessments.
Drug Effects and Therapy Issues
- An adverse drug effect can be defined as a severe reaction that may harm a patient's health.
- Patients often neglect to mention over-the-counter drugs, herbal supplements, or recent medication changes.
- Understanding past issues with drug therapy helps tailor future treatments and improve patient safety.
Identifying the Right Patient
- Correct identification of patients before drug administration is vital for preventing errors.
- Utilize at least two identifiers (e.g., name and date of birth) to ensure accurate patient identification.
- For those hard of hearing or confused, comparison of wristband details with verbal confirmation may be necessary.
The Nine Rights of Drug Administration
- The Nine Rights include Right Patient, Right Drug, Right Dose, Right Route, Right Time, Right Documentation, Right Reason, Right Response, and Right to Refuse.
- Ensuring adherence to these rights is essential for administering meds safely and effectively.
Role of Nursing Staff
- Licensed Practical Nurses (LPNs/VNs) focus on patient assessment, care planning, and execution of nursing duties within their scope.
- Responsibilities include gathering patient information, assessing drug history, and developing nursing care plans.
- LPNs/VNs must be aware of regulations regarding who can write drug orders, typically including physicians and nurse practitioners according to state laws.
Evaluation and Planning
- Evaluation of patient responses post-administration guides future care decisions and adjustments.
- Setting short-term and long-term goals assists in delivering comprehensive nursing care tailored to individual patient needs.
- Factors such as drug side effects, patient condition, and health history should be included in care planning.
Importance of Drug Label Checks
- Nurses should check drug labels multiple times to confirm the right medication is administered, minimizing potential medication errors.
- In case of confusion or unclear drug orders, nurses must seek clarification to prevent potential harm to the patient.
Subjective vs. Objective Data
- Subjective data includes the patient's feelings, perceptions, and experiences regarding their medication or health status.
- Objective data consists of measurable or observable facts, including vital signs and lab results.
Demand for LPNs/VNs
- Increased demand for LPNs/VNs stems from an aging population, healthcare accessibility, and a growing focus on patient-centered care.
- LPNs/VNs primarily practice within hospitals, clinics, long-term care facilities, and home health environments.
Overall Nursing Care Plan Purpose
- Incorporating patient problems within care plans enhances the process of medication administration, ensuring all aspects of patient health are considered.
- This holistic approach supports the delivery of safe and targeted therapeutic outcomes.
- **
Test your knowledge on developing a comprehensive teaching plan for patients regarding drug action, side effects, correct administration, and reporting problems to healthcare professionals. This quiz will assess your ability to use assessment data and drug knowledge to create an effective plan.
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