Sherpath: Principles of Safe Medication Administration
The nurse would contact the health care provider for clarification for which medication prescription?
Lisinopril 5 mg PO qd
Patient reluctance to share information is a major obstacle to which process?
Medication reconciliation
Which medication would the nurse plan to give without first clarifying the prescription with the health care provider?
Naltrexone hydrochloride 50 mg PO daily
As a general rule, which information should be given to a patient when a drug is being administered?
Name of the drug Why the drug has been prescribed Expected side effects
Which actions are taken when a patient refuses a medication?
Notify the provider Inquire why the patient is refusing. Explain the consequences of refusal with teach-back Document the circumstances of the situation and the actions taken.
In which situation related to medication administration is the use of the teach-back method essential?
Patient refuses a medication.
Need to crush a tablet
Right dose
Look-alike and soundalike medications
Right drug
Smudged patient name on wristband
Right patient
Narrow window of administration
Right time
sublingual
SL
Medication prescription: hydrochlorothiazide 25 mg PO daily Available: 50-mg tablets How many tablets should be given to the patient?
0.5
Medication prescription: cimetidine 0.4 g PO, q6h Available: 400-mg tablets How many tablets should be given to the patient?
1
Medication prescription: digoxin 0.25 mg IV stat Available: digoxin 0.5 mg/2 mL How many milliliters should be given to the patient?
1
The metric system has a basic unit of
10
To confirm the right drug, medication labels are checked against the medication administration record (MAR) at least how many times before the medication is administered to the patient? Record your answer as a whole number.
3
Which factors related to medication errors are considered systems factors?
Communication of prescriptions Dispensing Product labeling, packaging, and nomenclature
Which information are needed to set up a dimensional analysis equation for calculating a medication dosage?
Dose to be given Available concentration Unit conversion
To which aspect does the abbreviation STAT refer when used in a prescription for a medication?
Frequency/time of administration
The nurse looks up an unfamiliar medication when preparing to administer it. The reference indicates the medication is on the Institute for Safe Medication Practices (ISMP) high-alert list. Which action would the nurse take?
Have a second nurse verify the dosage.
Which medication prescription requires clarification with the health care provider?
Heparin 7500 units subcutaneously
Which step in dimensional analysis is done first?
Identify the unit of measure needed for the answer.
At which times would the nurse perform medication reconciliation?
When a patient is discharged home When a patient is admitted to the hospital
At which times does the nurse check for the "right drug"?
When removing the drug from the dispensing unit When preparing the medication At the bedside immediately before administration
milliliter
mL
four times a day
qid
Which questions are answered by the medication reconciliation process?
Are any of the prescribed medications duplicates of each other? Does the patient currently need every medication that is prescribed? Are there any medications that the patient needs that are not prescribed? Do any of the prescribed medications interact with one another, requiring an adjustment in dosage or a change in the medications themselves?
Which factor best explains the need for medication reconciliation as a routine part of medication error prevention?
Prevalence of polypharmacy
Before meals
ac
What is the meaning of "qid" in a medication prescription?
four times per day
