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Which are examples of medication errors that may cause direct harm to the patient?
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Which are examples of medication errors that may cause direct harm to the patient?
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concepts of nursing
week 3
| Question | Answer |
|---|---|
| Which are examples of medication errors that may cause direct harm to the patient? | Administering a medication via the intravenous route instead of the ordered intramuscular route. Administering a medication to a patient with the same surname as the intended patient. |
| Which are examples of medication errors that may cause direct harm to the patient? | Administering long acting insulin to a patient who has short-acting insulin ordered. Administering 10 milligrams of a medication instead of the 10 micrograms ordered. |
| A nurse administers medication to the wrong patient. Which is the most appropriate nursing action? | Notifying the patient’s health care provider |
| A nurse is teaching a student nurse about verbal medication orders. Which statement shows the teaching has been effective? | “If the medication is required for immediate patient care a verbal medication order is acceptable.” |
| A nurse is teaching a student nurse about using safe abbreviations to prevent medication errors. Which statement shows that the teaching has been effective? | “PRN is the correct abbreviation for as needed. |
| A patient with pneumonia was prescribed penicillin 500 mg PO, bid. The pharmacy sent 250-mg tablets. Which is the correct dosage for this patient? | 2 tablets by mouth two times per day |
| A medication order calls for 5 mL tid, pc. What is the correct medication order? | One teaspoon taken three times per day after meals |
| A patient is to be given two tablespoons of medication every eight hours. How much would the nurse administer? | 30 mL |
| A prescription written for two teaspoons is equivalent to______ mL? | 10mL |
| A patient is prescribed two grams of a drug every 12 hours. The available quantity is 800 mg per tablet. For each dose of medication, the nurse will administer______ tablets. | 2.5 |
| A nurse is teaching the student nurse about the Six Rights of Medication Administration. Which statement by the student nurse shows a need for further education? | “The last check using the Six Rights occurs directly following medication administration.” |
| A nurse is preparing to administer medication to a patient. What should the nurse do directly after checking that the medication matches the medication administration record (MAR)? | Perform a dosage calculation. Check the medications expiration date.- Recheck the label against the MAR |
| A nurse is teaching as student nurse about the Six Rights of Medication Administration. Which statement by the student nurse shows a need for further teaching? | “Medications should be administered between an hour before and an hour after the scheduled time frame.” |
| diabetic patient reluctant to allow nurse to give insulin. claims dosage is too high. Another RN prepared the med, validated dosage, so nurse is sure amount is correct. nurse documents administration and administers med. Which Rights did nurse violate? | Right drug Right dose Right documentation. |
| The patient has medications due at 1800. The patient states that one of his medications makes him dizzy and refuses to take it. Which are appropriate actions for the nurse to take? | Stop the administration of the medication Verify that the medication order is correct. Consult with the patient's health care provider. |
| A nurse is teaching a student nurse about patient’s rights related to medication administration. Which statement shows a need for further teaching? | “It is a patient’s right to change the dosage of the medication.” |
| A nurse is getting ready to administer Advil to the patient. The nurse understands that Advil is the name for which designation? | Trade Name |
| nurse getting ready to administer morphine to patient complaining of severe abdominal pain. nurse understands morphine has high potential for abuse, may lead to severe psychological or physical dependence, because it is classified as which schedule drug? | Schedule II drug |
| The nurse is preparing to administer alprazolam to a patient who complains of anxiety. The nurse understands that alprazolam is a type of drug that may lead to limited dependence, because it belongs to which drug classification? | Schedule IV drug |
| A new nurse is participating in medication safety training. The new nurse demonstrates understanding of the penalties for violating medication regulations by making which statement? | "According to the state's nurse practice act, I could be fined for violating medication regulations." |
| nurse administering IV med to patient, nurse notices this particular med (ondansetron) is also available as a sublingual tablet. nurse understands IV form of med acts faster than the sublingual tablet form, which is a concept described by which term? | Absorption |
| student nurse administering med to a patient under the charge nurse’s observation. The patient has a jeopardized cardiac system. Which statement made by the student nurse demonstrates understanding of the factors that affect the action of a medication? | "The patient's cardiac system could affect the distribution of the drug." |
| nurse is administering medication to a patient who has a variety of medical conditions. The nurse understands that which medical condition is most likely to affect the metabolism of the medication? | End-stage liver disease |
| A nurse is administering a medication to the patient. The nurse understands that most metabolites exit the body through which body fluid? | Urine |
| nurse caring for patient who takes narcotics for lower back pain caused by vehicle accident. reports constipation, getting worse over last 2wks. After reviewing chart, nurse sees med dosage was upped 3wks. nurse understands patient’s situation can be des | Systemic response |
| A nurse is teaching a group of student nurses about factors affecting drug action. Which statement made by a student nurse indicates the need for further teaching? | "The peak level refers to the lowest concentration of a drug in the bloodstream over time." |
| nurse is caring for a patient who is receiving an IV antibiotic. The patient reports new signs and symptoms, including a rash and pruritus. The nurse understands that this is which kind of response from the medication? | Allergic reaction |
| nurse is caring for a patient who complains of an upset stomach and was recently diagnosed with kidney stones. The nurse notices that the patient is taking a vitamin supplement. The nurse understands that the patient is most likely taking which vitamin? | Vitamin C |
| patient who is taking anabolic steroids is fighting a cold and asks the nurse about possibly taking echinacea to help boost the immune system. Which response by the nurse indicates effective knowledge of herbal remedies? | "Echinacea can cause liver inflammation if taken with anabolic steroids." |
| The nurse sees a new medication order in the patient’s chart. The order is as follows: Amoxicillin 250 mg PO q 8 hr × 10 days. What is this order an example of? | Routine medication order |
| The nurse is caring for a patient who has difficulty swallowing pills. Which action made by the nurse is most appropriate for administering the patient’s medication? | Giving the patient the medication in powder form |
| The nurse is caring for a patient who is taking a drug that delivers the medication over an extended period. The nurse understands that the patient is taking what form of medication? | Time-release capsule |
| The nurse is preparing a patient’s medication. The medication to be administered is finely crushed and dissolved into water. The nurse understands that this is an example of what form of medication? | Suspension |
| nurse is caring for a patient who complains of nausea. The nurse must administer medication to the patient. Considering the patient recently vomited, the nurse understands that which routes of administration are a good choice for this patient? | B. IV medication C. Sublingual tablet D. Topical ointment |
| student nurse is caring for a patient with an order for a sublingual antiemetic. Which statement made by the student nurse correctly explains why sublingual and buccal medications are more potent than oral tablets? | “Sublingual and buccal medications bypass the liver and enter the blood stream directly.” |
| The registered nurse is administering parenteral medication to the patient. The nurse understands that the disadvantages of parenteral medications include what? | A. There is risk of tissue damage. E. Parenteral medications are more expensive than other routes of administration. |
| The nurse is developing a care plan for a patient with an infection who is starting on a new antibiotic. Which nursing diagnosis would be the most appropriate to add to the patient’s plan of care? | Risk for Allergy Response with risk factor of new medication administration. |
| A patient has been started on a new antibiotic and is complaining of abdominal cramping and nausea. Which nursing diagnosis would be the most appropriate to add to the patient’s plan of care? | Dysfunctional Gastrointestinal Motility related to pharmaceutical agents. |
| A patient is started on several new medications for heart failure and is requesting information on all the medications. Which nursing diagnosis would be the most appropriate to add to the patient’s plan of care? | Readiness for Enhanced Knowledge as evidenced by expressed patient interest in learning about new medications. |
| nurse teaching student nurse about diagnoses related to medication administration. The nurse asks the student nurse to describe the format of a health promotion nursing diagnosis. Which response indicates the student nurse understood the information? | “It contains a diagnostic label and defining characteristics.” |
| Several new medications are being prescribed for a patient with chronic obstructive pulmonary disease. What type of nursing diagnosis is used when there is an increased potential for the patient to develop a complication related to a medication? | Risk |
| A patient has been started on a new medication and complains the medication is disrupting the amount and quality of her sleep. Which nursing diagnosis would be the most appropriate to add to the patient’s plan of care? | Insomnia related to pharmaceutical agents. |
| The nurses are discussing planning related to medication administration. Which statement best describes this process? | Planning related to medication administration helps prevent medication errors. |
| A patient is being discharged home with several new medications. The patient’s spouse asked what the family can do to assist the patient with medications. What should be the nurse’s response? | “You should monitor for adverse effects of the medications.” |
| patient with chronic renal failure had been admitted several times due to electrolyte disturbances. The patient states he adheres to the medication regimen. Which interventions would be very important to add to the patient’s plan of care? | Contact the dietician to discuss special dietary modifications. |
| The nurse is working with unlicensed assistive personnel (UAP) in an acute care unit. What task would be appropriate for the nurse to delegate to the UAP? | Monitor for effects of medications that may impact the patient’s safety. |
| The home care nurse is developing a plan of care for a patient with a nursing diagnosis of Constipation related to opiates. What would be the most appropriate short-term goal for this patient? | Patient will verbalize understanding about the need for adequate fluid and fiber intake before the conclusion of the home visit. |
| nurse is developing a plan of care with a student nurse. The nurse asks the student nurse what the goals for medication administration should focus on. Which statement would indicate the student nurse needs further education? | Goals should be broad and very generalizable.” |
| nurse is developing a discharge plan of care for a dementia patient with a nursing diagnosis of Risk for Allergy Response with related to antibiotic therapy. What would be an appropriate short-term goal for this patient? | Family will state signs and symptoms of allergic response to medication before discharge home. |
| nurse is developing a discharge plan of care for a cardiac patient with a nursing diagnosis of Noncompliance related to deficient knowledge about medications. What would be an appropriate long-term goal for this patient? | Patient will demonstrate adherence to the medication regimen by next provider visit. |
| nurse caring for patient who is being discharged on several new meds. patient is voicing concerns about how to properly use the medications. What member of the multidisciplinary team would be most appropriate to discuss these concerns with the patient? | Pharmacist |
Created by:
colby.caswell