MED 112 Chapter 7 8 9 10
A nurse on the orthopedic unit is making morning rounds and administering 9:00 a.m. medications. She is preparing to dispense these to a client when a colleague comes by the room and informs her that she has a phone call. What action should the nurse take?
Do not answer the phone, and keep administrating the medication.
A health care practitioner knows the proper procedures following the occurrence of a medication error. What is the BEST action the health care practitioner can take with regard to documentation?
Document the error and the corrective action taken, and complete an incident report.
The client requests a pain pill. The medication is administered at 11:00 a.m. Thirty minutes later, the client calls complaining of nausea and proceeds to vomit his medication. What action is necessary with regard to documentation?
Documentation of the incident is required on the client's record.
A client at the family health clinic has been diagnosed with new onset mild asthma. What is the BEST advice to give this client?
Explain and demonstrate the use of an inhaler.
The wrong medication is given to a client. What is the first action the nurse should take?
Report it immediately to a supervisor, and call the physician so corrective action can be taken if needed.
A nurse is preparing to give a vaccine to a client in the OB/GYN office. What should the nurse review before giving the medication?
The Six Rights of Medication Administration
A client is being shown how to use an insulin syringe to administer insulin. What is the BEST indicator that the client will be able to take this drug appropriately?
The client can demonstrate the process to the nurse.
Client education is an important aspect of medication administration, so a nurse is discussing the use of an oral pediatric syringe for the caregiver to use at home. What should the nurse share with the caregiver?
The syringe allows for proper measurement of the drug.
When being discharged from the cardiac floor, a client is concerned about the cumulative side effects of drugs on his body. How should the health care practitioner BEST respond to the client concerning how long these drugs will stay in his system?
This is dependent on a variety of factors, such as the drug, absorption, age, comorbidities, and so on.
A health care practitioner is working on the oncology floor of a hospital. What should be of primary importance to him regarding the responsibilities of drug administration?
To remain current and up-to-date about all medications being administered
medication errors can & do occur in all health care settings
True
What is the authoritative organization that established a medication error reporting program?
U.S. Pharmacopoeia
The nurse is assigned to an unfamiliar unit. She prepares to administer the evening medications to her clients and realizes that she does not recognize some of them. What action should she take?
Use a resource such as a book, electronic resource, a pharmacist, or package insert prior to administering any unfamiliar medications.
A nurse is talking to an adolescent client in the health clinic about the use of a medication for acne. What educational information might the nurse share with her client?
Whether to wear sunscreen while using the medication
An older adult client being treated for atrial fibrillation and hypertension is about to receive her morning medications, including a diuretic blood pressure pill and a nitrate heart medicine. The nurse gathers the data regarding her blood pressure and discovers it to be considerably lower than it has been. What action should the nurse take?
Withhold the medicine until she speaks to the physician.
where are most errors reported from a & are a greater risk
acute care settings
medication errors can occur in the following siutations
administering drug to the wrong patient, wrong drug, given wrong route, given at the wrong time, wrong dosage, and wrong documentation
Institute for Safe Medication Practices (ISMP)
as a patient safety organization (PSO) to operate a national error-reporting program for both vaccine & medication errors
Basic Principles to remember when administering medications
cleanliness: wash hands before handling medications organization: always be sure medication & supplies are in the correct area preparation area: should be well lighted & away from distracting influences
responsibility for the safe administration of medications requires
complete planning for patient care, including prior assessment, inventions, & evaluations
5 steps The Joint Commission, October 2012 consist of
develop a list of current medications, develop a list of prescribed medications, compare medications on both list, make clinical decisions based on the comparison, & communicate the new list to appropriate caregivers & to the pt
evaluate
documentation of results also play a vital role for all health care providers, including the physician, in planning effective drug therapy
assessment
involves taking a complete history, including all medical conditions. also involves careful observation of the patient's vital signs
medication reconciliation
method used to compare the medications a patient is taking to what the physician has ordered
administration of medication carries
moral, ethical, and legal responsibilities
if there are error while giving medicaton
report it immediately to the one in charge so that corrective action can occur
"First, do no harm"
reporting of medication errors
inventions
require judgment timing, discontinuing medicate if required & taking counteract adverse reaction
Being responsible with regard to medication administration is paramount for health care practitioners. Which of the following is a responsibility of medication administration?
using judgement accurately assess the client's needs, adequately maintaining up-to-date info regarding administered medications, & using skill in delivery of medication administration & providing necessary client education
4 words to describe responsible of drug administration
wisdom, asses, evaluate, & plan