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CHAPTER 16
Administration of Medications
| Question | Answer |
|---|---|
| True or false. Each patient is entitled to the "five rights" for safe, appropriate drug administration. | TRUE |
| A transdermal drug is applied externally but still has what type of effect? | SYSTEMIC |
| What type of orders are orders for drugs that should be immediately administered? | STAT orders |
| When oral medication lodges in throat it is called a(n): | ESOPHAGEAL EROSION |
| When active ingredient is held inside a patch it is called: | TRANDERMAL DRUGS |
| Frequency of doses refers to: | DOSAGE SCHEDULE |
| Which technology is replacing handwritten physician orders? | CPOE |
| CPOE | COMPUTERIZED PHYSICIAN ORDER ENTRY |
| Inserted into the rectum: | SUPPOSITORIES |
| Identified top high-risk drugs: | ISMP |
| ISMP | INSTITUTE FOR SAFE MEDICATION PRACTICES |
| The person administering drugs always gives top priority to making sure the patient receives which type of drugs in a timely fashion? | STAT |
| What is drug administration initiated with? | PHYSICIAN'S MEDICATION ORDER |
| What can be a critical factor in pharmacokinetic laboratory results? | TIME OF ADMINISTRATION |
| What should usually be given to the patient to allow for easy swallowing, dissolution of the tablet or capsule, and prevention of esophageal erosion? | AN ADEQUATE AMOUNT OF WATER |
| No drugs are given to patients without: | PHYSICIAN AUTHORIZATION |
| Diabetic patients may receive their hypoglycemic drugs (unless otherwise specified) how much time before meals? | A HALF-HOUR |
| What is an important patient medication limitation that is especially followed prior to surgeries? | NOTHING BY MOUTH |
| Infections that occur in the hospital are also known as what? | NOSOCOMIAL INFECTIONS |
| PRN orders are: | ORDERS ONLY IF REQUIRED |
| Nosocomial infections are: | HOSPITAL ACQUIRED INFECTIONS |
| STAT orders are: | IMMEDIATELY ADMINISTERED |
| Systemic action is: | ACTION IN AND THROUGHOUT THE BODY |
| Hypoglycemic drugs are: | DRUGS FOR DIABETICS |
| Medication adminstrator: | NURSE OR OTHER AUTHORIZED PRACTITIONER |
| What can occur when oral medication lodges and remains in the esophagus and does not move into the stomach? | ESOPHAGEAL EROSION |
| Who is responsible for screening orders for rationale drug therapy and appropriateness? | PHARMACIST |
| The Institute for Safe Medication Practices has identified top high-risk what? | DRUGS |
| What is the goal of the performance improvement process? | TO IDENTIFY INDIVIDUAL AND SYSTEM PROBLEMS |
| What type of drug is applied to the skin or mucous membrane? | TOPICAL |
| Before leaving the patient, the person administering the drug should make sure the patient has taken the drug and has had: | NO DIFFICULTY SWALLOWING |
| True or Fase. Generally, absorption of topically applied medications is less predictable than other routes. | TRUE |
| Internal medications and what other type of medication should always be stored separately? | EXTERNAL |
| Age, developmental level, and educational level will all be considered when a nurse or pharmacist develops what for a patient? | TEACHING PLAN |
| Time of administration can be a critical factor in which type of laboratory results? | PHARMACOKINETIC |
| Illegibility of handwritten physician orders has been identified as a key contributor to what? | MEDICATION ERRORS |
| The right drug, right dose, right route (or right dosage form), right time, and right patient are all rights of whom? | THE PATIENT |
| Each patient is entitled to this for safe, appropriate drug administration. | THE FIVE RIGHTS |
| A PRN drug is administered when: | THE PATIENT ASKS FOR THE MEDICATION, OR THE PATIENT'S CONDITION REQUIRES IT. |
| The drug administration process begins with: | THE PHYSICIAN'S PRESCRIPTION |
| At least four ounces of water should be given following the drug administration of: | AN ASPIRIN TABLET |
| Transdermal drug patches are placed: | ON THE MOST ACCESSIBLE SPOT |
| Never administer a medication without checking it how many times against the MAR? | THREE |
| This focuses on the needs of the patient and the information to be presented to the patient. | TEACHING PLAN |
| The determination and regulation of the size, frequency, and number of doses: | DOSAGE SCHEDULE |
| A drug that lowers the level of glucose in the blood; used primarily by diabetics: | HYPOGLYCEMIC |
| The person who administers or gives medication to patients: | MEDICATION ADMINISTRATOR |
| An infection or illness that occurs as a result of the patient's stay in the hospital or health facility: | NOSOCOMIAL INFECTION |
| Drugs to be given as needed when a clinical situation arises: | PRN (PRO RE NATA) ORDERS |
| To be given immediately: | STAT ORDER |
| Affects the body as a whole: | SYSTEMIC ACTION |
| An order for a drug or other treatment that is given verbally to an authorized receiver by an autorized prescriber: | VERBAL ORDER |
| List the five patient rights. | THE RIGHT DRUG, RIGHT DOSE, RIGHT ROUTE (OR DOSAGE FORM), RIGHT TIME, AND RIGHT PATIENT |