ATI medication Administration

A drug's generic name is the A chemical name for the medication. B same as its nonproprietary name. C name under which the drug is marketed. C formal name of the particular drug.

same as its nonproprietary name. MY ANSWER A drug's generic name is its nonproprietary or noncommercial name. Each drug has only one generic name. For example, acetaminophen is the generic name for the drug marketed as Tylenol, while ibuprofen is the generic name for the drugs Advil, Motrin, and others.

A patient drinks 8 oz of water. Which of the following is a correct conversion of the patient's intake? 1 pint 4 tablespoons 2 cups 240 mL

240 mL One fluid oz equals 30 mL; therefore, 8 fluid oz equals 240 mL

With which route of drug administration are there no barriers to absorption? A Intravenous B Intramuscular C Subcutaneous D Oral

A Intravenous The definition of absorption is the movement of a drug from its site of administration into the blood. With intravenous administration, the drug is injected directly into a vein. Thus any possible barriers to absorption are bypassed, and the drug is completely and instantaneously absorbed.

which of the following patients is exhibiting drug tolerance? A patient continues to take a medication despite harmful effects. A patient requires an increased dose of a medication to achieve continued therapeutic benefit. A patient exhibits signs of withdrawal when a medication is discontinued. A patient develops an intense craving for a drug.

A patient requires an increased dose of a medication to achieve continued therapeutic benefit. MY ANSWER As tolerance develops to a medication, a patient requires higher and higher doses of that medication to achieve the desired effect.

You have a handwritten medication order that is difficult to read. Which of the following is the most appropriate action to take to avoid an error in medication administration? Ask another nurse to decipher the medication order. Call the medical provider for clarification of the order. Rely on your knowledge of the patient to get this order right. Inquire at the hospital pharmacy about the order.

B) Call the medical provider for clarification of the order.

As you prepare the heparin injection, a nursing student asks you for the formula for converting 125 micrograms to milligrams. Your best response is A. "I think that's a question for your clinical instructor." B. "Write it down: number of micrograms/1,000 = number of milligrams." C. "Call the pharmacy. I'm sure they can help you."

B. "Write it down: number of micrograms/1,000 = number of milligrams."

HISTORY A 58-year-old female admitted for reduction of a fractured left femur reports insomnia. She claims she is currently experiencing difficulty falling asleep and has had this problem "on and off" prior to her admission. After consulting with her physician, he prescribes zolpidem (Ambien). ASSESSMENT The patient's medication order reads: Today's date1100 Zolpidem (Ambien) 5-10 mg PO HS for sleep PRND. Harden, MD To minimize the risk of a medication error, you must A. call the physician to double-check the order . B. check the patient's chart for medication allergies. C. observe the patient's "six rights."

C. observe the patient's "six rights." Yes. You have selected the best response. By observing the six rights - the right medication, the right patient, the right dosage, the right route, the right time, and the right documentation, you are acting responsibly when preparing and administrating medication to your patient.

which of the following is the most appropriate documentation of a patient's response to a pain medication? A) The patient states, "I feel better" 10 minutes after medication administration. B)The patient is sleeping 1 hour after administration. C)The patient is up and walking in the hall 2 hours after administration. D) The patient reports pain decreased to 3/10, 30 minutes after medication administration.

D) The patient reports pain decreased to 3/10, 30 minutes after medication administration.

You are giving a patient several PO medications to take. The patient tells you that she can only take one pill at a time. It is appropriate to place all of the medications in a cup and let the patient decide the order in which to take them. crush the pills and mix them in applesauce. remain at the bedside until you are sure the patient has taken all of the medications. leave the pills at the bedside for the patient to take.

remain at the bedside until you are sure the patient has taken all of the medications. It is your responsibility to remain with the patient and observe that she has swallowed each medication. It is unacceptable to leave medications unattended for any period of time.

The patient says, "I'm becoming concerned about getting hooked on this pain medication." Your best response is: A. "It is unlikely that you will become dependent on your pain medication. You need it to help you deal with your postoperative pain, plus you need less of it now." B. "Don't worry about becoming addicted. We monitor your medication closely so that does not happen to you." C. "If you are really worried about getting too dependent on the medication, we can wait a little longer between doses."

A ) "It is unlikely that you will become dependent on your pain medication. You need it to help you deal with your postoperative pain, plus you need less of it now." It provides a rational explanation directed towards the patient's concerns and does so in a sensitive manner. It helps the patient understand that his needing less and less medication is a pattern opposite that of drug dependence.

HISTORY The physician has also prescribed subcutaneous heparin, 6,000 units every 12 hours for deep-vein thrombosis prophylaxis. WHAT'S NEXT? When you attempt to prepare this medication, you find that is has not yet been delivered to the patient's drug box. You know that another patient on the unit is also receiving subcutaneous heparin. Would it be appropriate for you to borrow the medication so you can begin the patient's drug therapy expediently and then return it to the other patient's box when the drugs arrive? A yes B no

A - CORRECT You have selected the best response. It is neither appropriate nor safe practice to borrow medications from other patients; to do so overrides the built-in checks and balances implemented to detect prescribing and distributing errors. Instead, notify the pharmacy of the missing medication and the need to begin the therapy promptly.

An uncommon, unexpected, or individual drug response thought to result from a genetic predisposition is called A) an idiosyncratic effect. B) an allergic response. B) toxic effect. C)synergistic effect.

A an idiosyncratic effect An idiosyncratic effect is an uncommon, unexpected, or individual drug response thought to result from a genetic predisposition.

Which of the following patients is exhibiting drug tolerance? A patient continues to take a medication despite harmful effects. A patient requires an increased dose of a medication to achieve continued therapeutic benefit. A patient exhibits signs of withdrawal when a medication is discontinued. A patient develops an intense craving for a drug

A patient requires an increased dose of a medication to achieve continued therapeutic benefit.

HISTORY The patient had surgery and radiation treatments for breast cancer 7 months ago. The patient says, "I know I'm supposed to take my tamoxifen twice a day, but I usually take both pills with breakfast because then I won't forget the second pill. It's just easier that way." WHAT'S NEXT? When you find that a patient consistently takes her medication inappropriately, you should A. explain to the patient why it is important to take the medication exactly as her physician prescribed it. B. emphasize to the patient that she isn't helping herself by not following the prescription times exactly. C. suggest that the patient discuss this deviation from the prescription order with her physician.

A. explain to the patient why it is important to take the medication exactly as her physician prescribed it.

Which of the following demonstrates the correct use of one of the Six Rights of Medication Administration? Administering a patient's medication by the route the provider has prescribed A) Administering a patient's medication by the route the provider has prescribed b) Adhering as closely as possible to the medication schedule the patient follows at home c) Gathering a medication history from the patient before administering any drugs d) Respecting a patient's refusal to take a new medication the provider has prescribed

Administering a patient's medication by the route the provider has prescribed MY ANSWER The Six Rights of Medication Administration are the right medication, the right dose, the right patient, the right route, the right time, and the right documentation. Giving the medication by the route prescribed is indeed an application of the Six Rights of Medication Administration.

Which of the following represents the correct administration of the prescribed medication? Acetaminophen 650 mg PO prescribed; 5 tsp of 325 mg/10 mL liquid given Levothyroxine 100 mcg PO prescribed; three 0.025 mg tablets given Amoxicillin 1 g PO prescribed; two 500-mg tablets given Diphenhydramine 40 mg IM prescribed; 1.25 mL of 50 mg/1 mL for injection given

Amoxicillin 1 g PO prescribed; two 500-mg tablets given MY ANSWER To determine the correct dosage, start with the amount prescribed: 1 g (gram). To determine how many tablets to give, divide the dose ordered by the dose on hand and multiply the result by the amount on hand. So, 1 g (dose ordered, and also equivalent to 1,000 mg) divided by 500 mg (dose on hand) = 2, then 2 X 1 (amount on hand) = 2 tablets. So this is the correct amount to give.

A drug's generic name is the A)chemical name for the medication. B) same as its nonproprietary name. B) name under which the drug is marketed. c) formal name of the particular drug.

B) same as its nonproprietary name.

You are ready to administer the patient's sleeping medication when her phone rings. She says, "Just leave the pill on my night stand. I'll take it as soon as I've finished talking to my son." Please select from the options below. A. "All right, but use your call bell to let me know when you've taken it." B. "Let me know when you are finished with your call, and I will bring it to you." C. "This will only take a few seconds. Please, just take it now."

B. "Let me know when you are finished with your call, and I will bring it to you."

HISTORY The patient is now 4 days post surgery. The physician has discontinued the morphine injection and prescribed an oral pain medication in its place. WHAT'S NEXT? When you respond to the patient's pain assessment of a 4 on a scale of 0 to 10 by offering him the oral medication, the patient asks, "Why am I getting pills instead of the injection?" Your best response is A. "Since you are rating your pain at a 4, you really don't need the injections any more, and pills are less expensive than the injections anyway." B. "Since you are having no problem with eating and your pain seems to be less severe, your doctor would like see if these pills will control your pain." C. "Your doctor usually orders pain pills on the 4th postoperative day. You can talk to her about it when she comes in later."

B. "Since you are having no problem with eating and your pain seems to be less severe, your doctor would like see if these pills will control your pain." B - CORRECT It provides the patient with a thorough answer to his question and shows sensitivity to his concerns.

To help the patient take her medications safely, you add which of the following goals and outcomes to the patient's care plan? A. The patient will show an understanding of the desired effects of her medications. The patient will verbalize an understanding of the desired effects and adverse reactions of her medications. B. The patient will administer medication as prescribed: The patient will establish a daily routine that promotes compliance with ordered medications. C. The patient will show an understanding of the signs and symptoms of her chronic conditions that require medication therapy: She will verbalize an understanding of the signs and symptoms requiring medication therapy.

B. The patient will administer medication as prescribed: The patient will establish a daily routine that promotes compliance with ordered medications.

When administering the medication for the first time, you identify the drug as zolpidem and tell the patient it is intended to help her sleep. The patient replies, "The doctor said I would be getting Ambien, so why did he change his mind?" Your best response is . A. "Well, I will recheck the order with your physician to be sure there is no mistake." B. "Oh, the doctor didn't change his mind. This is Ambien." C. "The doctor was using the drug's manufacturer's or trade name while I was using its generic name. Zolpidem is simply another name for Ambien."

C - CORRECT Yes. This is the best response. Healthcare providers often use generic or noncommercial drug names, while the general public is usually more familiar with the more advertised trade name. This response provides the patient with a plausible and easily understood explanation for what might have sounded like a discrepancy to her.

HISTORY It is 24 hours later. WHAT'S NEXT? This evening, you ask the patient whether or not she will again . A. "It may take a few days to feel full effect of this drug. Let's try it again tonight." B. "Let me call your doctor and ask if he'll prescribe another sleep medication." C. "I can increase the dosage this evening, and we can see it that helps."

C - CORRECT Yes. You have selected the best response. The physician prescribed 5 to 10 mg of the drug each bedtime. It is not at all uncommon to adjust a medication's dosage. Your most appropriate action is to administer 10 mg of the medication and assess its effectiveness the next day.

which of the following represents the correct administration of the prescribed medication? A) Acetaminophen 650 mg PO prescribed; 5 tsp of 325 mg/10 mL liquid given B) Levothyroxine 100 mcg PO prescribed; three 0.025 mg tablets given C) Amoxicillin 1 g PO prescribed; two 500-mg tablets given D) Diphenhydramine 40 mg IM prescribed; 1.25 mL of 50 mg/1 mL for injection given

C Amoxicillin 1 g PO prescribed; two 500-mg tablets given To determine the correct dosage, start with the amount prescribed: 1 g (gram). To determine how many tablets to give, divide the dose ordered by the dose on hand and multiply the result by the amount on hand. So, 1 g (dose ordered, and also equivalent to 1,000 mg) divided by 500 mg (dose on hand) = 2, then 2 X 1 (amount on hand) = 2 tablets. So this is the correct amount to give.

HISTORY A 70-year-old male is hospitalized for knee surgery. Post surgery, the patient rates his pain at 8 on a scale of 0 to 10. The physician prescribes morphine sulfate for pain management. ASSESSMENT The medication order reads: Today's date0900 MS 5-10 mg IV 1-3 hr PRN for incisional painD. Wilson, MD You prepare to administer the first dose of the prescribed pain medication. While it is a common to see or hear morphine sulfate abbreviated as "MS," your institution's policy does not recognize it as an accepted abbreviation for the drug. You should A. call the nursing supervisor to confirm the drug intended in the order. B. ask the hospital's pharmacist to confirm the drug intended in the order. C. call the prescribing healthcare provider to confirm the drug intended in the order

C. call the prescribing healthcare provider to confirm the drug intended in the order. feedback You have selected the best response. Do not administer a medication when you have any doubt about the appropriateness or accuracy of the original order. The person who wrote the prescription is the only one who can clarify any possible misinformation about the medication to be administered.

HISTORY That same evening, the patient asks you for "my sleeping pill." WHAT'S NEXT? You prepare the patient's HS dose of zolpidem. The medication is labeled "1 tablet = 10 mg." To provide the patient with the minimum dose of the medication, you administer ______ tablet(s). Please select from the options below. A. 1 tablet B. 2 tablets C. ½ tablet

C. ½ tablet

HISTORY You are a home health nurse visiting a 72-year-old female patient who has a history of several chronic conditions. She is currently taking a variety of medications to manage these conditions. The patient's son tells you that his mother is supposed to take nitroglycerin tablets for angina pain, but he is concerned that she does not understand how to take them properly. ASSESSMENT You ask the patient to describe the method she should use when taking her antianginal medication. The patient responds, "It's a pill. You swallow pills." You realize that your patient is not taking her nitroglycerin tablet appropriately when she cannot describe the buccal route of administration prescribed with this medication. Your best response is to A. discuss the buccal route with the patient's son so that he can verify appropriate administration. B. tell the patient she is taking the drug improperly while providing her with a written explanation of the technique. C. explain to the patient and her son the importance of placing the pill firmly into her inner cheek until it is dissolved.

C.) explain to the patient and her son the importance of placing the pill firmly into her inner cheek until it is dissolved.

You have a handwritten medication order that is difficult to read. Which of the following is the most appropriate action to take to avoid an error in medication administration? Ask another nurse to decipher the medication order. Call the medical provider for clarification of the order. Rely on your knowledge of the patient to get this order right. Inquire at the hospital pharmacy about the o

Call the medical provider for clarification of the order. MY ANSWER There is no other way to be sure about what was intended other than confirming it with the person who wrote the order.

HISTORY You notify the pharmacy and the medication is sent to the unit. WHAT'S NEXT? You find that the medication is labeled, "subcutaneous heparin 10,000 units/mL." You draw up ______ mL into the syringe to administer 6,000 units of heparin. Please select from the options below. A. 6 mL B. 1 mL C. 0.6 mL

Desired/Have × Quantity = x 6,000 units/10,000 units × 1 mL = x A corect )x = 0.6 mL

you are reading the physician's orders and note date and time of the prescriptions, as well as the physician's signature. Which of the following prescriptions is complete? Aspirin PO 1 tablet daily Ferrous sulfate 624 mg PO Hydrocodone/acetaminophen (Vicodin) 5/325 mg PRN Digoxin (Lanoxin) 1.25 mg PO daily

Digoxin (Lanoxin) 1.25 mg PO daily MY ANSWER This order is complete with medication dose, the route, and the frequency of administration.

You are reading the physician's orders and note date and time of the prescriptions, as well as the physician's signature. Which of the following prescriptions is complete? Aspirin PO 1 tablet daily Ferrous sulfate 624 mg PO Hydrocodone/acetaminophen (Vicodin) 5/325 mg PRN Digoxin (Lanoxin) 1.25 mg PO daily

Digoxin (Lanoxin) 1.25 mg PO daily This order is complete with medication dose, the route, and the frequency of administration.

Which of the following is your highest priority action for ensuring overall safety during medication administration? Have another nurse check the dose you will give. Teach the patient about possible adverse effects. Identify the patient by two acceptable methods. Confirm that the patient can swallow adequately.

Identify the patient by two acceptable methods. One of the six rights of medication administration is to identify that you are giving the medication to the correct patient. It is required that you check the medication administration record against the patient's identification bracelet, and use a second method of patient identification, such as asking the patient his birth date.

HISTORY You clarify the medication order and prepare to administer the drug. WHAT'S NEXT? You begin preparing the medication. The drug is stocked on the unit in prefilled syringes labeled, "10 mg/mL." You plan to administer 5 mg of morphine. How much fluid do you draw up into the syringe? A. 1 mL B. 2 mL C. ½ mL or 0.5 mL

c 5/10= 0,5

Question #2 When you administer this medication, you should Please select from the options below. A. give the patient 10 mg of zolpidem at bedtime. B. provide the patient with 5 mg of zolpidem each night. C. give the patient an oral dose of zolpidem at bedtime at the patient's request.

c give the patient an oral dose of zolpidem at bedtime at the patient's request.