Adams, Pharmacology for Nurses: A Pathophysiologic Approach, 5/E Chapter 3

The physician has ordered several medications for the patient. What does the nurse recognize as responsibilities regarding administration of medications? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Knowing whether or not the medication is on the hospital formulary 2. Knowing the reason the medication was prescribed for this patient 3. Knowing how the medication is to be administered 4. Knowing how the medication is supplied by the pharmacy 5. Knowing the name of the medication Correct Answer: 2,3,4,5 Rationale 1: Whether or not a drug is on a hospital formulary list is not a primary responsibility of the nurse. Rationale 2: Knowing the reason the medication was prescribed for the patient is the responsibility of the nurse regarding medication administration. Rationale 3: Knowing how the medication is to be administered is the responsibility of the nurse regarding medication administration. Rationale 4: Knowing how the medication is to be administered is the responsibility of the nurse regarding medication administration. Rationale 5: Knowing how the medication is supplied by the pharmacy is the responsibility of the nurse regarding medication administration. Global Rationale: How the medication is supplied by the pharmacy, how the medication is to be administered, the name of the medication, and the reason the medication was prescribed for the patient are the responsibilities of the nurse regarding medication administration. Whether or not a drug is on a hospital formulary list is not a primary responsibility of the nurse. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. AACN Essential Competencies: IX.3 Implement holistic, patient-centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management and nursing management across the health-illness continuum, across lifespan, and in all healthcare settings. NLN Competencies: Quality and Safety: Current best practices. Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-2 Describe the roles and responsibilities of nurses regarding safe drug administration. MNL Learning Outcome: 1.3.2 Apply the correct principles and procedures for safe administration of medications to clients. Page Number: 21 Question 2 Type: MCMA The nurse is preparing medications prior to administration. To promote patient safety, the nurse uses "rights" of drug administration. What do these "rights" include? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The right medication 2. The right time of delivery 3. The right dose 4. The right route of administration 5. The right nurse Correct Answer: 1,2,3,4 Rationale 1: The right medication is an essential consideration of medication administration and is considered one of the five rights. Rationale 2: The right time of delivery is an essential consideration of medication administration and is considered one of the five rights. Rationale 3: The right dose is an essential consideration of medication administration and is considered one of the five rights. Rationale 4: The right route of delivery is an essential consideration of medication administration and is considered one of the five rights. Rationale 5: The right nurse is not one of the listed rights of medication delivery. Global Rationale: The five rights of drug administration are the right patient, the right medication, the right dose, the right route of administration, and the right time of delivery. The right nurse is not one of the listed rights. Cognitive Level: Applying Client Need: Physiological Integrity Client Need Sub: Pharmacological and Parenteral Therapies QSEN Competencies: V.B.1 Demonstrate effective use of technology and standardized practices that support safety and quality. AACN Essential Competencies: IX.12 Create a safe environment that results in high quality patient outcomes. NLN Competencies: Quality and Safety: Current best practices. Nursing/Integrated Concepts: Nursing Process: Planning Learning Outcome: 3-3 Explain how the five rights of drug administration affect patient safety. MNL Learning Outcome: 1.3.2 Apply the correct principles and procedures for safe administration of medications to clients. Page Number: 22 Question 3 Type: MCSA The nurse suspects that the patient has not been taking his prescribed antihypertensive medication because the patient's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance? 1. "Taking medication is difficult for many people. What are some of your concerns about the medication?" 2. "Your blood pressure is really high; do you realize the serious consequences of not taking your medication?" 3. "I really doubt that you are taking your medication. What would you think about talking to the doctor?" 4. "You are one of my favorite patients and I want you to be safe. Are you really taking your medication?" Correct Answer: 1 Rationale 1: The most therapeutic question informs the patient that compliance is difficult for many people, and does not directly challenge the patient about not taking the medication. Rationale 2: Telling the patient his blood pressure is high and there are serious consequences is using the "scare tactic," and is non-therapeutic; the patient most likely is aware of the consequences. Rationale 3: Telling the patient that the nurse doubts he is taking the medication directly challenges him, and recommending that he see the physician is threatening. Rationale 4: Telling the patient that he is a f