Principles of Safe Medication Administration (Sherpath study guide)

The metric system has a basic unit of

10 numbers

When more than one medication must be instilled in the eye, the nurse waits a minimum of how many minutes between instillations? OF HOW MANY minutes

3

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 times.

Which direction would be given to a patient with a prescription for a swish-and-swallow medication? "Do not rinse your mouth after taking the swish-and-swallow medication." "Tilt your head front to back while the medicine is in your mouth." "Keep the medication away from your cheeks; bubble it in the back of your throat, almost like gargling." "Take the swish-and-swallow medication before you swallow any other medications."

A

Which hypothesis is the nurse addressing by using aseptic technique as an intervention? Risk for Cross-Infection Risk for allergic reaction Risk for Adverse Medication Interaction Risk for Injury

A

Which hypothesis is the nurse addressing when the patient is assessed for urticaria, itching, and rash after administration of a medication? Risk for allergic reaction Risk for Cross-Infection Risk for Adverse Medication Interaction Risk for impaired tissue integrity

A

Which instruction would the nurse give a patient when a nasal medication is being administered? "Breathe in." "Breathe out." "Breathe normally." "Hold your breath."

A

At which times does the nurse check for the "right drug"? When removing the drug from the dispensing unit When preparing the medication Just before entering the patient's room At the bedside immediately before administration On completion of documentation that the medication was given

A,B,D

Which information are needed to set up a dimensional analysis equation for calculating a medication dosage? Dose to be given Available concentration Frequency of administration Unit conversion Time of last dose given

A,B,D

Which sites are used to administer intradermal injections? Inner forearm Lateral upper arm Deltoid area Fatty tissue Scapular area

A,B,E

In which situation related to medication administration is the use of the teach-back method essential? Patient refuses a medication. New medication is prescribed. Dosage of a medication is changed. More than one medication is taken at the same time.

A.

The mother of a 2-year-old patient asks the nurse how far a rectal suppository prescribed for her child should be inserted. Which response by the nurse is accurate? ¼ inch ½ inch 1 inch 1½ inches

B

What is the nurse's best response after noticing that the route of administration has been omitted from a medication order? Ask which route the patient prefers. Immediately notify the prescriber to request that the order be completed. Refer to a current drug book to determine the most commonly prescribed route. Contact the pharmacy to determine the most appropriate route for this patient.

B

When preparing to administer a new medication, what would the nurse do first to ensure the patient's safety? Perform hand hygiene. Compare the written order with the medication administration record (MAR). Inform the patient about the medication. Review appropriate nursing considerations

B

When using a dropper to give liquid medication to an infant, where should the medication be deposited in the mouth? Middle of tongue Alongside the tongue Behind the gum under the tongue Between the gum and the lower lip

B

Which comment made by a patient wearing a transdermal patch requires further investigation by the nurse? "I feel like a checkerboard with these patches being rotated around." "This patch itches and burns. I have to keep rubbing it to make it feel better." "I never realized I had so much hair on my chest and back until I tried to find hairless places to put a patch." "It seems that every one of these patches comes loose before it is time to remove it, and I have to tape around the sides with hypoallergenic tape to hold it in place."

B

Which concept is the major focus of nursing interventions designed to promote safe medication administration in the home? Patient comfort Patient education Patient independence and autonomy Patient relationships with equipment providers

B

Which statement or question best illustrates the nurse's understanding of the role of nursing assistive personnel (NAP) in medication administration? Does the patient need her pain medication? Let me know if she complains of any nausea. What is the quality of her pain now? Tell her she doesn't have an order for the drug she's asking for.

B

Which step in dimensional analysis is done first? Set up the equation. Identify the unit of measure needed for the answer. Calculate the numbers to get the answer. Simplify the units.

B

At which times would the nurse perform medication reconciliation? At least once every 72 hours When a patient is discharged home Whenever a new medication is prescribed When a patient is admitted to the hospital Whenever the dosage of a medication is changed

B,D

As the nurse is administering medication to a patient, the patient states, I've never seen that pill before. What is the nurse's most appropriate response? Reassure the patient that the pharmacy sent the right medication. Tell the patient that it is probably a different brand than what he takes at home and not to worry. Tell the patient that you will review the physician's order to clarify any discrepancies. Tell the patient that the doctor probably ordered a new medication.

C

For which purpose does the nurse push on the tragus after instilling an otic medication? Relieve pain. Straighten the ear canal. Prevent loss of medication. Reduce tinnitus.

C

What is the meaning of "qid" in a medication prescription? Every day Every other day Four times per day Every day as needed

C

What is the most important step the nurse can take to ensure that the patient is getting the correct medication? Assess the patient's ability to swallow oral medications without difficulty. Question the patient about his or her experience with this or similar medications. Compare the medication label with the MAR three times. Evaluate the patient's understanding of the safety issues related to the specific drug.

C

Which comment made by a patient before discharge alerts the nurse that further teaching regarding home medication administration is required? "I'm switching all my prescriptions to one pharmacy." "I'm going to keep a log of the medications and supplements I take." "I'm putting three or four of each of my pills together in a bottle for use in an emergency." "If I decide to try herbs, I will check first with my doctor to see if there would be a problem with my medications."

C

Which factor best explains the need for medication reconciliation as a routine part of medication error prevention? Cultural diversity Population mobility Prevalence of polypharmacy Increase in health care options

C

Which patient position is preferred for insertion of a vaginal suppository? Left side-lying position with upper knee flexed (Sims position) Right side-lying position Dorsal recumbent position Prone with legs apart

C

Which pieces of information should patients know about any medication prescribed for them? Appearance of the medication Manufacturer of the medication Expected side effects of the medication Adverse effects of the medication to be reported Dose, route, and frequency of the medication Expected therapeutic effect of the medication

C,D,E,F

Which action is required when using the zigzag (Z-track) method for intramuscular medication administration? Using the vastus lateralis as the site for injection Massaging the injection site after administration Waiting 15 seconds before withdrawing the needle after injecting the medication Changing needles between drawing up the medication and administering it

D

Which descriptors would the nurse use in summarizing changes in a patient's condition after a medication interaction? Critical, stable, good Satisfactory, unsatisfactory Life-threatening, urgent, immediate concern Improving, declining, unchanged

D

Which medication prescription requires clarification with the health care provider? Cefadroxil 500 mg PO bid Tobramycin 60 mg IM q8h Diazepam 6 mg IM STAT Heparin 7500 units subcutaneously

D

Which types of medication cannot be administered to patients who have difficulty swallowing and require medications to be crushed? Capsules Scored tablets Sublingual tablets Time-release tablets Enteric-coated tablets

D,E

Place the parenteral methods of medication administration in order from fastest to slowest onset of action.

Intravenous Intramuscular Subcutaneous Intradermal

Which factors related to medication errors are considered systems factors? Stress Communication of prescriptions Dispensing Miscalculation of dosage Product labeling, packaging, and nomenclature

b,c,e