DOSAGE EXAM
guidelines that include 12 interdiseplenary core processes for the safe use of computer controlled dispensing systems were created by what organization
The institute for safe medicine practices
what is an example of medication error
administering subcutaneous insulin using a tuberculin syringe
PC
after meals
what is most likely responsible for adverse effects experienced by a petient over 65?
age-related changes
Ad lib
as desired
PRN
as needed
HS
at bedtime
which statement about unit-dose packaging is correct?
dose calculation is sometimes necessary for unit-dose packaging
gtt
drop
oral meds can irritate the gastric lining. which does the nurse recognise as the formulation that is most effective in decreasing gastric irritation?
enteric coating
Q4H
every 4 hours
XR
extended release
QID
four times per day
what do ice chips melt to
half of their volume (30 ml ice equals 15 ml water)
IM
intramuscular
which result is a negatice consequence to when the nurse overrides the computer-controlled dispensing system in an emergency
it can result in a med error
which statement regarding a unit dose med cabinet is correct?
it has patient specific drawers to store meds
what should the nurse understand about administering a perenteral medication
it may be delivered intravenously
which statement is correct regarding controlled substances in a computer-controlled med dispensing system?
it provides a detailed record regarding the usage and the user of the controlled substances
when drawing medication for an ampule, what does the nurse understand about ampules
it requires a filter needle to draw up medication
what does the nurse understand about the abbreviation d/c
it should not be used -considered error prone
always add what zero
leading zero (0.25)
why might an institution prefer unit-dose medication dispensing systems over the stock-drug method of drug distribution?
minimizes the chance of drug errors avoids dose calculations by the nurse
NGT
nasogastric tube
what do you round to for weights
nearest tenth
what should an hourly IV rate be rounded to
nearest tenth
what should a drop per minute IV rate be rounded to
nearest whole number
what is the definition of unit dose packaging
non-reusable packaged and labeled single serving of drug dose ordered fro a patient
why do drug manufacturers not develop single doses for all medications as per the unit-dose dispensing system
not all meds that are prescribed for a petient are dosed in the exact amount manufactured
STAT
now, immidiately
when presenting the omnicell savvy mobile medication system, what feature woud the nurse be sure to include?
nurses can retrive schedules medications from this system
what is an advantage of the unit-dose method of drug dispensing
nurses save time preparing drugs for admin
PR
per rectum
who enters the details of a medication order fro the patient into a computer-controlled dispensing system
pharmasist
what is used to dispense medication via the unit-dose system for a patient who is marked "nil per os"
prefilled injectable syringe
what three steps are in the medication reconciliation process?
reconciliation, verification, clarification
what is not a right of med admin?
right circumstance
cross-checking a generic med. name with the trade name fulfills which "right" of med admin?
right med
the nurse understands that caring for two patients with the same last name can lead to a medication error involving which "right" of medication admin
right patient
patient safety is of the utmost importance in the clinical setting. which are the rights of pateint safety?
right patient right drug right time right documentation
dosage less than 1
round answers to the nearest 100th
dosage between 1-10
round answers to the nearest tenth
dosage greater than 10
round to nearest whole number
which system is not a computer controlled dispensing system
silent knight
SSI is on a list of error-prone abbreviations. How should the abbreviation be spelled out?
sliding scale of insulin
SL
sublingual
sup
suppository
susp
suspension
SR
sustained release
tab
tablet
which statement regarding a medication error is correct
the nurse who administers a medication is legally liable for the medication error
what identifiers should be used together to prevent medication admin. errors?
the patients DOB the medication record number
what is the difference between the stock-drug method and the unit-dose method of drug distribution
the unit-dose method depends more on the pharmacy
how do computer-controlled dispensing systems decrease med errors?
these systems are linked to pharmacy info systems
how does the computerized med dispensing system reduce end of shift narcotic count time
this system required the confrmation of the count of narcotics after each withdrawl
TID
three times per day
never add what zero
trailing zero (0.250)
the student nurse is explaining perenteral thereapy to the nursing instructor. The student nurse required further teaching when listing which route as perenteral?
transdermal (patch etc)
BID
two times per day
which statement regarding a unit-dose drug dispensing system (UDDS) is correct?
unit-dose meds are prepared daily in the pharmacy and sent to the unit
which statement of unit-dose packaging is correct?
unit-dose paclages contain generic and/or trade names of the medication as per the facility policy
which medication packaging can be used for multiple does
viles- there are multi dose vials
1 kg = ? lbs
2.2 lbs
2300 g = ? kg
2.3 kg
47lb = ? kg
21.4 kg
1 cup = ? mL
240 mL
1 tsp = ? mL
5 mL
.5g = ? mg
500 mg
what does 6.05 round to
6.1 mg
what does 6.02 round to
6mg
what is the correct measurement for volume in a syringe
ML
which factors in medication admin records can contribute to med errors
-confusion of dosing units -use of inappropriate abbreviations -misuse of zeros and decimal points
which differing calibrations are marked on large capacity syringes
-fractions -whole numbers in millimeters -decimals
which routes are types for perentaral drug administration
-intradermal -intravenous -intramuscular
what are the advantages of using unit-dose injectable meds?
-reduce dose errors -reduce contamination -reduce med waste
which credentials allow the nurse access to the computerized medication dispensing system to obtain meds?
-user ID -personal password -biometric fingerprint scan
250 mL = ? L
.25 L
1000 mL = ? L
1 L
240 ml to cups
1 cup
8 ounces to cup
1 cup
1000 mg = ? g
1 g
1 cc = ? mL
1 mL
what is the max amount of medicine that can be administered in the deltoid muscle of an average sized adult
1 mL
1000 mcg = ? mg
1 mg
which needle is used for subcutaneous injection
1/2 to 5/8
1 Tbsp = ? mL
15 mL
which needle is the appropriate size for an intradermal injection?
3/8ths - 1/2 inch (28 guage)
1 ounce = ? mL
30 mL
1 ounce to ml
30 ml
what does the FDA require for labeling generic name pairs that are associated with med errors?
Tall man letters mixed case of large letters to emphasize differing portions of a name
AC
before meals
PO
by mouth
cap
capsule
when caring for a petient who is transferred between units, which action is most udeful in preventing medication errors
completing a medication reconciliation between units
which statemet is correct regarding the distribution of controlled substances by a computerized med dispensing system
controlled substances are kept in a computerized med dispensing cart
what error is a reportable medication error?
cutting an enteric-coated med before admin
QD
daily