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concepts of nursing
week 3 safe medication 4
Question | Answer |
---|---|
Patient teaching is solely the health care provider's responsibility. | FALSE |
It is the pharmacist's responsibility to notify the health care provider when a medication is ineffective. | FALSE |
It is your responsibility to monitor a patient's response to the medication. | TRUE |
As long as you, the licensed nurse, have prepared the medication, NAP may administer medications. | FALSE |
It is appropriate to delegate evaluation of the patient's response to medication to NAP since NAP are in closer contact with the patient. | FALSE |
You administer meds to patients of acute care unit. It takes time to look up meds in book. Why is it important for you to know about the medications being given when they have already been prescribed by a health care provider and filled by a pharmacist? | -This allows you to administer each medication safely. -This allows you to be able to monitor the medication's effect -Because if an error occurs, the nurse who administers the medication is responsible for the error. |
You visit a patient at home and assist the patient by setting up a weekly pill dispenser for the patient, including cardiac and antihypertensive medications. What are appropriate outcomes for this patient related to medication administration? | -The patient will self-administer medications accurately. -The patient will not experience complications related to medication administration. -The patient will maintain a normotensive blood pressure. |
Follow the six rights of medication administration. | This is to prevent medication errors |
When entering the room, inform the patient of each medication's name and its purpose. | this is the good time to review any medication information w/ the patient for self-administration |
Keep tablets and capsules in their wrappers and open them at the patient's bedside. | this allows you to review each medication with the patient |
Know the compatibility between medications and food and/or beverages. | there can be interaction with the medication and certain foods/beverages |
Remain with the patient as the patient takes the medication. | this is to ensure that the patient takes the medicine |
Never leave medications at the patient's bedside without a prescriber's order to do so. | this is to avoid someone else taking the patient's medications or misplacing the medications |
The patient asks what the medication is for and you respond, "I have given so many today, I will check and let you know." Which of the activities did you perform correctly? (Select all that apply.) | - You read the label on the medication container and compared it with the MAR at least 3 times. -You minimized distractions during medication preparation. |
You should compare the label of the medication with the MAR at least 3 times before administering it. When is this done? (Select all that apply.) | -When selecting drug from automated medication dispensing system, unit-dose drawer, or stock supply. -Before placing the drug in a medicine cup or taking it to the patient's room. -Just before administering or opening unit dose at patient's bedside. |
A nurse has administered a laxative to a patient as requested. Which is the best example of documentation in the nurses' notes of this administration of medication? (Use the hyperlinks above.) | C. Henry, RN |
Which of the following are examples of evaluation measures for administration of this medication? (Select all that apply.) | -Monitor the patient's blood glucose, according to orders, and observe for any signs and symptoms of a low or high blood glucose level. |
Which of the following are examples of evaluation measures for administration of this medication? (Select all that apply.) | -Observe for bruising at the injection site. -Determine the patient's understanding of the purpose and potential side effects of the medication. |
What should the student nurse do first? | Tell the nursing instructor what happened. |
The patient received an iron supplement, an anti-hypertensive (however, it was the same medication and same dose prescribed for both patients), and a thyroid hormone replacement. What should the nursing student do at this time? | Assess the patient |
What additional information would be important for the student to know? | The expected time of peak action and duration of action of the medications that were administered. |
An alert patient has refused to take her prescribed medications, stating, "The medication isn't doing me any good!" What should the nurse do? | Assess further as to why the patient feels this way and notify the health care provider of the patient's refusal. |
When should the nurse document medication administration? | Immediately after the medication is given |
nurse finished administering medications at 1030 when nurse realized she gave patient all meds at 1000, including some meds that should have been given at 1200 and some at 1400. Which of the six rights of medication administration did the nurse violate? | The right time |
Fortunately, Mrs. Start's order stated she could receive pain medication every 4 hours, and 5 hours had elapsed since her last dose. Since neither patient was harmed by the error, why should the nurse complete an incident report? | The nurse should do so to determine why the mistake occurred and what can be done to avoid similar errors in the future. |
nurse manager is reviewing with the nurse measures used to prevent medication errors. Which of the following statements indicate a correct understanding of steps used to prevent medication errors? | "I will shut the door of the medication room when I am preparing medications." |
The nurse finished administering medications to a patient when she realized she gave the medications to the wrong patient. What should the nurse do first? | Assess the patient's condition. |