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week 3 sherpath
Sherpath
| Question | Answer |
|---|---|
| Which statement most clearly defines an error in drug administration? | Preventable event that leads to inappropriate drug use or patient harm |
| A drug administration error occurred; after investigation, it was determined the error was category D. Which statement accurately describes the error? | An error occurred that resulted in the need for increased patient monitoring but no patient harm |
| A nurse administers metoprolol 100 mg to a patient with hypertension but does not check the patient’s apical pulse before administration. The patient develops bradycardia, becomes dizzy with standing, and falls, resulting in a fractured lumbar vertebra. W | Monitoring |
| Drug administration errors can result from which factors in the process of drug administration? | Human factors Individual factors System-level factors |
| Match the type of error to the example. Patient given written drug information but does not admit they cannot read Nurse administers an antihypertensive without checking blood pressure Nurse does not enter patient response to analgesic in EHR Nurse do | Errors in patient education Errors in baseline assessment Errors in documentation Errors in evaluation of patient responses |
| System-level failures leading to drug administration errors include which factors? | Heavy workload Distractions Fatigue |
| Computerized health care provider order entry in place of handwritten orders is an example of which strategy for preventing errors in drug administration? | Transcribing |
| Which rights are part of the six rights for nurses to ensure safe drug administration? | Right to a complete and clear order Right to have access to information Right to administer drugs safely and to identify problems in the system |
| Match the concept to its definition. Encourages health care personnel who make errors to report them Encourages everyone in the organization to keep patients free from harm Unanticipated event that results in death or serious harm Identifies opportuni | Just culture Culture of safety Sentinel event Root cause analysis |
| A drug administration error occurred resulting in myocardial infarction; after investigation, it was determined the error was category H. Which statement accurately describes the error? | An error occurred that resulted in a near-death event |
| A nurse listens to the patient’s lungs before administering albuterol for asthma control. The nurse notes wheezing on expiration. After drug administration, the nurse checks the electronic health record (EHR) to see what the patient’s lungs sounded like l | Documenting |
| The nurse caring for a patient receiving cisplatin notes extravasation of the intravenous (IV) fluid when the patient reported IV site pain. Even though the antidote (sodium thiosulfate) to cisplatin was administered, the patient experienced extensive tis | self-doubt suicidal ideation posttraumatic stress disorder (PTSD) |
| The electronic health record indicates that a patient’s continuous infusion of heparin intravenously was to be stopped at 1000. At 1900, the nurse notices that the heparin is still running. Which type of error in drug administration is this? | Wrong dose |
| After 10 hours on the job, a novice nurse struggles to program the intravenous (IV) pump; to avoid hanging the IV drug late, the nurse decides to let the drug run in by gravity, after calculating the drip rate then adjusting the roller clamp on the tubing | Long workdays Difficulty using equipment Clinical experience of the nurse |
| The nurse draws up insulin into a syringe and calls across the nurses’ station for a coworker to double-check. The second nurse, who is charting, looks up from across the room and says, “It’s okay”; the first nurse notes the initials for the second nurse | human factors |
| Match the stage of drug delivery to its safety strategy. Drug reconciliation at times of transitions in care Computerized order entry Use of “tall man” lettering Smart infusion pumps | Prescribing Transcribing Dispensing Admininistration |
| Which statement describes how drug errors are addressed in a system that operates according to principles associated with Just Culture? | Individuals are encouraged to report drug errors so that the system may be repaired. |
| Which orders are written inappropriately according to the Joint Commission’s official “Do Not Use” list? | Digoxin .25 mg PO daily Mirtazapine 15.0 mg PO every day at bedtime |
Created by:
Brandi Sizemore
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