NURS 371 EXAM REPORTED
QUESTIONS WITH CORRECT DETAILED
ANSWERS
Three checks of medication administration - Answer-READ the label
When the nurse reaches for the container or unit dose package
After getting medication from drawer & compare with the MAR
Before you give the unit-dose medication to the patient
Guidelines for safe Narcotic Administration - Answer-Store all narcotics properly
Keys vs. computer system
Narcotic counts @ change of shift for discrepancies (pretty much thing of past)
Inventory records kept
Pt. Information
Ongoing count
All "wasted" narcotics witnessed by a second nurse
Medical Record Documentation - Answer-Each dose of medication - as soon as
possible after it is given
Intentional or inadvertently omitted drugs
Refused drugs
Medication errors
Types of medication Errors - Answer-Inappropriate prescribing of the drug
Extra, omitted, or wrong doses
Administration of drug to wrong patient
Administration of drug by wrong route or rate
Failure to give medication within prescribed time
Types of medication Errors - Answer-Incorrect preparation of a drug
Improper technique when administering drug
Medication Errors - Answer-Acknowledge
Check the patient's condition immediately; observe for adverse effects
Report
Notify nurse manager and physician
Complete special form for reporting errors
,It's not the end of the world!!!!
Learn by your mistakes
Special Considerations - Answer-Infants/Children
Various weights
Calculations
Include Parents
Tips for administration
Special Consideration - Answer-Older Patients
Poly-pharmacy (over 65 largest user of drugs)
Self-prescribing
OTC use
Noncompliance
Misuse
Angles used for injection
Review administration protocols - Answer-Know special considerations for each route.
Know needle sizes for injections
Know best sites and rational for picking that site
**Assignment - routes
See Z-track technique in book
Nursing process = - Answer-Care planning
Nursing process=care planning - Answer-Approach to Problem Solving
• Elements of Critical Thinking
• Characteristics of a Process
• Purpose, Organization, Creativity
• Five Step Process:
• Assessment, Diagnosis, Planning, Implementation, Evaluation
Critical thinking activities linked to assessment: - Answer-• Assess systematically and
comprehensively to identify nursing and medical concerns
• Detecting bias and determining the credibility of information sources
• Distinguishing normal from abnormal findings and identifying risk
• Making judgments about significance of data, distinguishing relevant from irrelevant
data
• Identifying assumptions and inconsistencies, checking accuracy and reliability, and
recognizing missing informatio
, Assessing:The primary source of information is the patient assessment Step one: -
Answer-• Assessment is the systematic and continuous collection, analysis, validation,
and communication of patient data or information
Methods of data collection assessment step one: - Answer-o Use of Assessment forms
o Interview
o Nursing Health History
o Physical
o Labs/Other Tests
Four phases of a nursing interview: - Answer-• Preparatory Phase
• Introduction
• Working Phase
• Termination
purpose of a nursing physical assessment: - Answer-• Appraisal of health status
• Identification of health problems
• Establishment of a database for nursing intervention
What are sources of data? - Answer-• Patient, family and significant others
• Physical assessment findings
• Medical history, progress notes
• Consultations
• Reports of labs and other diagnostic studies
• Reports of therapies by other health care professionals
• Medications, wounds or dressings including the LOCATION, IV sites including the
LOCATION, other tubes, drains, or devices that the patient was not born with.
• Nursing and other health care literature
Data analysis:part of step one - Answer-Data interpretation and data clustering pulling it
all together
Step one data interpretation - Answer-Compare to norms
verify
heart of critical thinking
Step one data clustering pulling it all together what goes with what - Answer-Use
functional patterns or
body systems
Diagnosis step two - Answer-Nursing disgnosis
Nursing Diagnosis - Answer-o A statement that describes a patient's actual or potential
response to a health problem that the nurse is licensed and competent to treat
o NANDA = North American Nursing Diagnostic Association
QUESTIONS WITH CORRECT DETAILED
ANSWERS
Three checks of medication administration - Answer-READ the label
When the nurse reaches for the container or unit dose package
After getting medication from drawer & compare with the MAR
Before you give the unit-dose medication to the patient
Guidelines for safe Narcotic Administration - Answer-Store all narcotics properly
Keys vs. computer system
Narcotic counts @ change of shift for discrepancies (pretty much thing of past)
Inventory records kept
Pt. Information
Ongoing count
All "wasted" narcotics witnessed by a second nurse
Medical Record Documentation - Answer-Each dose of medication - as soon as
possible after it is given
Intentional or inadvertently omitted drugs
Refused drugs
Medication errors
Types of medication Errors - Answer-Inappropriate prescribing of the drug
Extra, omitted, or wrong doses
Administration of drug to wrong patient
Administration of drug by wrong route or rate
Failure to give medication within prescribed time
Types of medication Errors - Answer-Incorrect preparation of a drug
Improper technique when administering drug
Medication Errors - Answer-Acknowledge
Check the patient's condition immediately; observe for adverse effects
Report
Notify nurse manager and physician
Complete special form for reporting errors
,It's not the end of the world!!!!
Learn by your mistakes
Special Considerations - Answer-Infants/Children
Various weights
Calculations
Include Parents
Tips for administration
Special Consideration - Answer-Older Patients
Poly-pharmacy (over 65 largest user of drugs)
Self-prescribing
OTC use
Noncompliance
Misuse
Angles used for injection
Review administration protocols - Answer-Know special considerations for each route.
Know needle sizes for injections
Know best sites and rational for picking that site
**Assignment - routes
See Z-track technique in book
Nursing process = - Answer-Care planning
Nursing process=care planning - Answer-Approach to Problem Solving
• Elements of Critical Thinking
• Characteristics of a Process
• Purpose, Organization, Creativity
• Five Step Process:
• Assessment, Diagnosis, Planning, Implementation, Evaluation
Critical thinking activities linked to assessment: - Answer-• Assess systematically and
comprehensively to identify nursing and medical concerns
• Detecting bias and determining the credibility of information sources
• Distinguishing normal from abnormal findings and identifying risk
• Making judgments about significance of data, distinguishing relevant from irrelevant
data
• Identifying assumptions and inconsistencies, checking accuracy and reliability, and
recognizing missing informatio
, Assessing:The primary source of information is the patient assessment Step one: -
Answer-• Assessment is the systematic and continuous collection, analysis, validation,
and communication of patient data or information
Methods of data collection assessment step one: - Answer-o Use of Assessment forms
o Interview
o Nursing Health History
o Physical
o Labs/Other Tests
Four phases of a nursing interview: - Answer-• Preparatory Phase
• Introduction
• Working Phase
• Termination
purpose of a nursing physical assessment: - Answer-• Appraisal of health status
• Identification of health problems
• Establishment of a database for nursing intervention
What are sources of data? - Answer-• Patient, family and significant others
• Physical assessment findings
• Medical history, progress notes
• Consultations
• Reports of labs and other diagnostic studies
• Reports of therapies by other health care professionals
• Medications, wounds or dressings including the LOCATION, IV sites including the
LOCATION, other tubes, drains, or devices that the patient was not born with.
• Nursing and other health care literature
Data analysis:part of step one - Answer-Data interpretation and data clustering pulling it
all together
Step one data interpretation - Answer-Compare to norms
verify
heart of critical thinking
Step one data clustering pulling it all together what goes with what - Answer-Use
functional patterns or
body systems
Diagnosis step two - Answer-Nursing disgnosis
Nursing Diagnosis - Answer-o A statement that describes a patient's actual or potential
response to a health problem that the nurse is licensed and competent to treat
o NANDA = North American Nursing Diagnostic Association
