McCuistion Chapter 9 - Safety and Quality

5. What information is essential for the nurse to document when giving drugs? (Select all that apply.) a. Document all drugs given by the end of a shift. b. Document the correct site of an injectable drug. c. Document the patient's response to the drug. d. Document the blood pressure before giving a drug. e. Document the date, time, and dose drug is given. f. b,c,d,e

f

4. A patient refuses to take the prescribed medication. Which is the nurse's best response to this patient? a. Leave the medication at the patient's bedside. b. Persuade the patient to take the medication. c. Tell the patient there is no choice in the matter. d. Explain the benefits and side effects of the drug.

d.

7. The Quality and Safety Education for Nurses' focus on safety is best exemplified by which competency? a. Patient advocacy b. Technology c. Infection control d. Collaborative patient and family care

d.

6. The nurse prepares to administer medications. Which drug orders are complete? (Select all that apply.) a. Aspirin 81 mg PO daily b. Multivitamin sustained c. Vitamin D PO d. Ciprofloxacin 500 mg PO tid e. Promethazine 25 mg STAT

-Aspirin 81 mg PO daily -Ciprofloxacin 500 mg PO tid

1. The patient asks the nurse how to dispose of old medications. What should the nurse tell the patient? (Select all that apply.) a. Mix old drugs with cat litter before disposing. b. Flush the medications down the toilet. c. Remove personal information from the bottle. d. Add water and crush drugs before disposing. e. Throw bottle of medications into the trashcan.

-Mix old drugs with cat litter before disposing. -Remove personal information from the bottle.

The nurse administers a medication that was ordered for a patient at 60 mg. The medication's recommended dosage was 10 mg. The patient suffers from symptoms of overdose. Which personnel have liability for the medication error? (Select all that apply.) A. The physician who wrote the order B. The pharmacist who filled the order C. The drug manufacturer D. The nurse E. The hospital

-The physician who wrote the order -The pharmacist who filled the order -The nurse -The hospital

Which are nurse's rights related to safe medication administration? (Select all that apply.) A. The right to a complete and clear order Correct B. The right to have the correct drug, route, dose dispensed Correct C. The right to policies to guide safe medication administration Correct D. The right to no more than 10 patients to administer medications to E. The right to allow students to work without supervision if too busy F. The right to change medication start dates if times are difficult to schedule

-The right to a complete and clear order -The right to have the correct drug, route, dose dispensed -The right to policies to guide safe medication administration

What does the term "Just Culture" refer to in medication administration? A. Treating all the patients the same B. Avoiding punishment in the reporting of drug errors C. Documenting uncommon patient responses to drug therapy D. Just-in-time charting of medication administration and patient response

B.

Which patient assessment takes priority when a nurse is administering oral medications? A. Nutritional status B. Ability to swallow C. Time since last meal D. Cognitive orientation

B.

Which variable should the nurse identify as having the most impact on determining the right dose? A. Age B. Ethnicity C. Weight D. Sex

C.

3. The Joint Commission recommends which of the following abbreviations for the "Do Not Use" list? a. qd b. NPO c. qid d. bid

a.

2. The nurse educator on the unit receives a list of high-alert drugs. Which strategy is recommended to decrease the risk of errors? (Select all that apply.) a. Store drugs on a shelf for quick retrieval. b. Limit access to high-alert drugs. c. Use special labels for high-alert drugs. d. Provide increased training to staff. e. Prior to administration, have two nurses confirm and document correct drug and dose.

b,c,d,e

The nurse is uncertain regarding directions for preparing a medication. For clarification, who should the nurse contact? a. The health care provider b. The facility pharmacy c. The shift supervisor d. The charge nurse

b. The facility pharmacy [The facility pharmacy will have information regarding the directions for preparation of medications. Neither the health care provider, shift supervisor, nor the charge nurse would have information regarding this.]

The nurse recognizes that he has made a medication error. What is the nurse's highest priority initial action? a. Notify the health care provider. b. Notify the shift supervisor. c. Assess the patient's condition. d. Verify the drug that should have been given.

c. Assess the patient's condition. [Although all of the actions should be implemented, the highest priority initial action is to assess the patient's condition. The patient's safety is always paramount.]

The nurse is reading a medication order and is not sure of the drug name. What action will the nurse perform first? a. Look up the generic name of the medication. b. Call the pharmacy. c. Call the health care provider. d. Ask the patient what medications he or she was taking at home.

c. Call the health care provider. [If the nurse cannot understand all components of a drug order, the nurse needs to call the health care provider who wrote the order. If the health care provider is not available, the pharmacist may be able to identify which drug has been prescribed.]

The nurse administered an opioid medication. What intervention is most important to perform after the medication has been administered? a. Assess the patient's vital signs. b. Teach the patient about the medication action. c. Document patient response to the medication. d. Write a nursing note.

c. Document patient response to the medication. [Documentation of the patient's response to the medication is required.]

The nurse checks a medication dose that seems high. What is the nurse's highest priority initial action? a. Consult another nurse to double-check calculations. b. Consult a pharmacist. c. Administer the dose anyway. d. Call the health care provider.

d. Call the health care provider. [The nurse can have others double-check the dosage or the math calculations; however, the nurse should call the health care provider who ordered the medication to report the discrepancies in the dose. Patient safety is the primary concern.]