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concepts of nursing
Principles of Safe Medication Administration
Question | Answer |
---|---|
Which actions are taken when a patient refuses a medication? | Notify the health care provider. Inquire why the patient is refusing. Explain the consequences of refusal with teach-back. Document the circumstances of the situation and the actions taken. |
As a general rule, which information should be given to a patient when a drug is being administered? | Name of the drug Why the drug has been prescribed Expected side effects |
The nurse looks up an unfamiliar medication when preparing to administer it. The reference indicates the medication is on the Institute for Safe Medication Practices (ISMP) high-alert list. Which action would the nurse take? | Have a second nurse verify the dosage. |
The nurse would contact the health care provider for clarification for which medication prescription? | Lisinopril 5 mg PO qd |
To which aspect does the abbreviation STAT refer when used in a prescription for a medication? | Frequency/time of administration |
Which medication would the nurse plan to give without first clarifying the prescription with the health care provider? | Naltrexone hydrochloride 50 mg PO daily |
Medication prescription: cimetidine 0.4 g PO, q6h Available: 400-mg tablets How many tablets should be given to the patient? __ tablet(s) | 1 |
Medication prescription: digoxin 0.25 mg IV stat Available: digoxin 0.5 mg/2 mL How many milliliters should be given to the patient? __ mL | 1 |
Medication prescription: hydrochlorothiazide 25 mg PO daily Available: 50-mg tablets How many tablets should be given to the patient? __ tablet(s) | 0.5 |
Patient reluctance to share information is a major obstacle to which process? | Medication reconciliation |
Look-alike and soundalike medications | Right drug |
Need to crush a tablet | Right dose |
Narrow window of administration | Right time |
Smudged patient name on wristband | Right patient |
Which questions are answered by the medication reconciliation process? | Are any of the prescribed medications duplicates of each other? Does the patient currently need every medication that is prescribed? |
Are there any medications that the patient needs that are not prescribed? Do any of the prescribed medications interact with one another, requiring an adjustment in dosage or a change in the medications themselves? |