Medication Administration I ATI

Which of the following demonstrates the correct use of one of the Six Rights of Medication Administration? A. Administering a patient's medication by the route the provider has prescribed B. Adhering as closely as possible to the medication schedule that 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 that the provider has prescribed

A. Administering a patient's medication by the route the provider has prescribed. 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

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.

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

A. an idiosyncratic effect

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 A. place all of the medication in a cup and let the patient decide the order in which to take them. B. crush the pills and mix them in applesauce. C. remain at the bedside until you are sure the patient has taken all of the medications D. leave the pills at the bedside for the patient to take.

C. 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 medication unattended for any period of time.

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

B. A patient requires an increased dose of medication to achieve continued therapeutic benefit. 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? A. Ask another nurse to decipher the medication order B. Call the medical provider for clarification of the order C. Rely on your knowledge of the patient to get this order right D. Inquire at the hospital pharmacy about the order

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

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 D. formal name of the particular drug

B. Same as its nonproprietary name A drug's generic name is its nonproprietary or noncommerical name. Each drug has one 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.

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. Diphenhyframine 40 mg IM prescribed; 1.25 mL of 50 mg/mL for injection given

C. Amoxicillin 1 g PO prescribed: two 500 mg tablets given

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

C. 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.

A patient drinks 8 oz of water. Which of the following is a correct conversion of the patient's intake? A. 1 pint B. 4 Tablespoons C. 2 Cups D. 240 mL

D. 240 mL One fluid oz equals 30 mL, therefore 8 fluid oz equals 240 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? A. Aspirin PO 1 Tablet daily B. Ferrous sulfate 624 mg PO C. Hydrocodone/acetaminophen (Vicodin) 5/325 mg PRN D. Digoxin (Lanoxin) 1.25 mg PO daily

D. 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 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 one 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 pain medication administration

D. the patient reports pain decreased to 3/10, 30 minutes after pain medication administration Using a standardized instrument is the most appropriate method of documenting a response to pain medication