Chapter 6 - Principles of Medication Administration and Medication Safety Questions and Answers with Complete solutions

Chapter 6 - Principles of Medication Administration and Medication Safety Questions and Answers with Complete solutions D - ANS- Which action related to medication administration is outside the scope of basic nursing practice? A. Monitoring the patient's response to medications B. Teaching the patient about the medications C. Knowing the expected action and side effects of medications D. Deciding the best route of administration of medications A - ANS- The prescriber writes an order to administer cefazolin sodium (Ancef) 500 mg every 6 hours × 2 doses. What type of medication order is this? A. Standing order B. Single order C. Stat order D. PRN order D - ANS- The nurse is preparing to give an oral narcotic drug to a patient. As the medication package is opened, the tablet falls onto the floor. What does the nurse do? A. Retrieves and administers the tablet after checking that it is not wet or dirty B. Puts the tablet back in the package, marks it contaminated, and returns it to the pharmacy C. Flushes it down the toilet and records the event on an incident report sheet D. Destroys the tablet in front of another nurse, and both nurses sign the narcotic control record B - ANS- A new medication order written at 8:00 AM by the physician reads: Demerol 75 mg stat. What action does the nurse take? A. Verifies the dose of the drug with the pharmacist B. Clarifies the order with the physician C. Administers the medication right away D. Gives the medication with the 9:00 AM meds D, E - ANS- Which statements about safe medication administration are true? Select all that apply. A. Bar coding and handheld devices have eliminated the need for the nurse to check the medication order. B. Daily medications can be recorded just before administering the medication. C. The pharmacist assumes responsibility for verification and safety of the medication order. D. There must be a clear policy statement that authorizes the act of administering medicines. E. The nurse must have a current license to practice. D - ANS- What information is recorded in the nurse's notes if a medication error occurs? A. Circumstances surrounding the error B. The fact that an incident report was filed C. The time, name of the drug, dosage, and type of error made D. Patient assessments related to adverse effects of the error C - ANS- What does the nurse do when a patient suddenly stops taking his or her prescribed heart medication? A. Convince the patient that it is in his or her best interest to take the medication. B. Record the medication as refused and continue with the care of the patient. C. Record the patient's refusal of the medication in the nurse's notes and notify the prescriber. D. Provide patient teaching concerning how the drug alleviates heart symptoms. D - ANS- Which is a basic safety measure related to medication administration? A. Always address the patient by his or her full name. B. Never cover the label on a medication bottle when pouring the drug. C. Always have a second person verify the dose of injectables. D. Never leave a medication on a bedside table for the patient to take later. D - ANS- Which order does the nurse carry out when giving medications at 8:00 AM? A. Ticlopidine HCL (Ticlid) 50 mg PO bid PC B. Metoprolol succinate (Toprol XL) 50 mg PO at bedtime C. Aspirin 650 mg q4h PRN for headache D. Irbesartan (Avapro) 150 mg PO daily B - ANS- Which medication distribution system is identified as the safest system in current use? A. Individual prescription order B. Computer controlled dispensing C. Unit dose D. Floor stock prescriber, cannot - ANS- The route of administration is part of the medication order and is determined by the ___________. The nurse may give input into the decision at times or may request a change in route, but ______ make the decision. The nurse is responsible for knowing the actions and side effects of medications given and for assessing the patient's response to them. standing - ANS- A ________ order indicates that a medication is to be given for a specified number of doses. single - ANS- A ______ order means that the drug is administered at a certain time, but only once PRN - ANS- A ___ order means administer as needed. stat - ANS- A ____ order is used generally on an emergency basis; the drug is to be administered as soon as possible, but only once discarded, sign - ANS- Narcotic control systems require that when any controlled substance is __________, a second nurse witnesses the discard and both nurses ____ the inventory control sheet, either manually or electronically. not - ANS- Contaminated drugs are ___ routinely returned to the pharmacy