CHAMBERLAIN EDAPT UNIT 1 AND 2
QUESTIONS WITH COMPLETE AND
100% CORRECT ANSWERS
Charlie has been increasing his use of calcium carbonate for heart burn to 5
to 6 times a day. After reviewing his home medications again, the nurse asks
a few assessment questions to identify a possible drug interaction. Which
one of Charlie's statements could indicate an interaction between his
increased calcium carbonate using and aspirin? - Correct Answer-Charlie's
increase in back and knee pain could show an interaction between the
calcium carbonate and aspirin.
Ways to prevent medication errors - Correct Answer-Be prepared and
knowledgeable of pharmacological principles.
Understand "High-Alert" medications.
Recognize name of medications may sound the same or look alike. Correct
spelling is essential.
Use approved abbreviations.
Adopt computerized provider order entry systems.
Reconcile medication.
Encourage patients to ask questions and question any concern about the
drug or medication administration process.
Encourage patients to carry drug allergy information and keep a list of
updated medications.
Report medication errors and "near-misses."
Follow standard medication practices.
all health care providers who prescribe and/or administer drugs learn these
priority drug assessment topics: - Correct Answer-Drug's action
Adverse effects
Dosages and routes of administration
Contraindications
Drug incompatibilities
Drug-drug and drug-food interactions
Drug-laboratory test interactions
Drug toxicities and available reversal agents (i.e. antidotes)
The nurse is reviewing medication errors. Which situation is an example of a
medication error? - Correct Answer-A patient receives two doses of
medication because the nurse did not document the first dose
,The nurse can prevent medication errors by following which principles?
Select all that apply. - Correct Answer-Use two patient identifiers before
giving medications
Use generic names instead of trade names to avoid confusion
Understand pharmacological principles prior to medication administration
When given a scheduled evening medication, the patient states, "That pill
looks different than the one I took this morning. Are you sure it's correct?"
The nurse checks the electronic medical record (EMR) and verifies that it is
the correct medication as listed on the EMR. Which is the nurse's best
response? - Correct Answer-"Let me check on the order first before you take
it."
A nurse is reviewing a patient's medical record before administering a
medication. Which factors can alter the patient's physiologic response to the
drug? Select all that apply. - Correct Answer-Age, Gender, genetic factors
Nursing diagnosis - Correct Answer-The nursing diagnosis is a human need
statement (part one) with attention to the differences in human need
fulfillment or alteration occurring (part 2) as evidenced by a listing of cues,
clues, evidence, signs, symptoms, or other data to support the human need
statement (part 3). A medical diagnosis is not part of nursing diagnosis.
Evaluate components - Correct Answer-Drug Action (i.e. Mechanism of
action)
Adverse effects
Dosages and routes of administration
Contraindications
Drug incompatibilities
Drug-drug and drug-food interactions
Drug-laboratory test interactions
Drug toxicities and available reversal agents (i.e. antidotes)
A nurse consults a drug manual before giving a medication to an 80-year-old
patient. The manual states that older adult patients are at increased risk for
hepatic side effects. Which action by the nurse is correct? - Correct Answer-
Contact the provider to discuss an order for pretreatment laboratory work.
Medication profile - Correct Answer-Allergies (NOTE: Make sure to ask your
patient what type of reaction occurs when they take a particular medication.
Understand and help identify if it is an adverse reaction or allergic reaction.)
Any and all drug use
List of all prescribed medications
Use of home or folk remedies
, List of herbal and or homeopathic treatments, plant or animal extracts, and
dietary supplements
Intake of alcohol, tobacco products (include e-cigarette), and caffeine use
Current or past history of illegal or recreational drug use
Use of OTC medications
Use of hormonal drugs
Past and present health history and associated drug therapy
Family history and racial, ethnic, and/or cultural attributes, with attention to
specific or different responses to medications, as well as any unusual
individual responses
Growth and development stage (e.g. Erikson's developmental task) with
attention to issues related to age and medication regimen
medication order - Correct Answer-Patient's name
Date the drug order was written
Name of drug(s)
Drug dosage amount
Drug dosage frequency
Route of administration
Prescriber's signature
Planning - Correct Answer-or healthy patient outcomes. The major purpose of
the planning phase is to prioritize the nursing diagnosis (i.e. human needs),
specify outcomes that are objective, measurable, and realistic within the
established time frame.
Medication planning - Correct Answer-In regard to medication administration,
planning drug therapy may include administration order and procedures,
equipment needed, drug interactions, adverse effects, contraindications, and
what to assess prior to medication administration (i.e. vital signs, lab results,
etc). Take the time to review guidelines for nursing care planning in your
learning resources.
Image Description
A nurse is preparing to administer medications. Which patient would the
nurse consider to have the greatest predisposition to an adverse reaction? -
Correct Answer-A 75-year-old woman with impaired kidney function
(wrong) a 30 year old man with kidney disease
A patient has been receiving intravenous penicillin for pneumonia for several
days and begins to complain of generalized itching. The nurse auscultates
bilateral wheezing and notes a temperature of 38.5°C (101°F). Which is the
correct action by the nurse? - Correct Answer-Hold the next dose and notify
the prescriber of the symptoms
QUESTIONS WITH COMPLETE AND
100% CORRECT ANSWERS
Charlie has been increasing his use of calcium carbonate for heart burn to 5
to 6 times a day. After reviewing his home medications again, the nurse asks
a few assessment questions to identify a possible drug interaction. Which
one of Charlie's statements could indicate an interaction between his
increased calcium carbonate using and aspirin? - Correct Answer-Charlie's
increase in back and knee pain could show an interaction between the
calcium carbonate and aspirin.
Ways to prevent medication errors - Correct Answer-Be prepared and
knowledgeable of pharmacological principles.
Understand "High-Alert" medications.
Recognize name of medications may sound the same or look alike. Correct
spelling is essential.
Use approved abbreviations.
Adopt computerized provider order entry systems.
Reconcile medication.
Encourage patients to ask questions and question any concern about the
drug or medication administration process.
Encourage patients to carry drug allergy information and keep a list of
updated medications.
Report medication errors and "near-misses."
Follow standard medication practices.
all health care providers who prescribe and/or administer drugs learn these
priority drug assessment topics: - Correct Answer-Drug's action
Adverse effects
Dosages and routes of administration
Contraindications
Drug incompatibilities
Drug-drug and drug-food interactions
Drug-laboratory test interactions
Drug toxicities and available reversal agents (i.e. antidotes)
The nurse is reviewing medication errors. Which situation is an example of a
medication error? - Correct Answer-A patient receives two doses of
medication because the nurse did not document the first dose
,The nurse can prevent medication errors by following which principles?
Select all that apply. - Correct Answer-Use two patient identifiers before
giving medications
Use generic names instead of trade names to avoid confusion
Understand pharmacological principles prior to medication administration
When given a scheduled evening medication, the patient states, "That pill
looks different than the one I took this morning. Are you sure it's correct?"
The nurse checks the electronic medical record (EMR) and verifies that it is
the correct medication as listed on the EMR. Which is the nurse's best
response? - Correct Answer-"Let me check on the order first before you take
it."
A nurse is reviewing a patient's medical record before administering a
medication. Which factors can alter the patient's physiologic response to the
drug? Select all that apply. - Correct Answer-Age, Gender, genetic factors
Nursing diagnosis - Correct Answer-The nursing diagnosis is a human need
statement (part one) with attention to the differences in human need
fulfillment or alteration occurring (part 2) as evidenced by a listing of cues,
clues, evidence, signs, symptoms, or other data to support the human need
statement (part 3). A medical diagnosis is not part of nursing diagnosis.
Evaluate components - Correct Answer-Drug Action (i.e. Mechanism of
action)
Adverse effects
Dosages and routes of administration
Contraindications
Drug incompatibilities
Drug-drug and drug-food interactions
Drug-laboratory test interactions
Drug toxicities and available reversal agents (i.e. antidotes)
A nurse consults a drug manual before giving a medication to an 80-year-old
patient. The manual states that older adult patients are at increased risk for
hepatic side effects. Which action by the nurse is correct? - Correct Answer-
Contact the provider to discuss an order for pretreatment laboratory work.
Medication profile - Correct Answer-Allergies (NOTE: Make sure to ask your
patient what type of reaction occurs when they take a particular medication.
Understand and help identify if it is an adverse reaction or allergic reaction.)
Any and all drug use
List of all prescribed medications
Use of home or folk remedies
, List of herbal and or homeopathic treatments, plant or animal extracts, and
dietary supplements
Intake of alcohol, tobacco products (include e-cigarette), and caffeine use
Current or past history of illegal or recreational drug use
Use of OTC medications
Use of hormonal drugs
Past and present health history and associated drug therapy
Family history and racial, ethnic, and/or cultural attributes, with attention to
specific or different responses to medications, as well as any unusual
individual responses
Growth and development stage (e.g. Erikson's developmental task) with
attention to issues related to age and medication regimen
medication order - Correct Answer-Patient's name
Date the drug order was written
Name of drug(s)
Drug dosage amount
Drug dosage frequency
Route of administration
Prescriber's signature
Planning - Correct Answer-or healthy patient outcomes. The major purpose of
the planning phase is to prioritize the nursing diagnosis (i.e. human needs),
specify outcomes that are objective, measurable, and realistic within the
established time frame.
Medication planning - Correct Answer-In regard to medication administration,
planning drug therapy may include administration order and procedures,
equipment needed, drug interactions, adverse effects, contraindications, and
what to assess prior to medication administration (i.e. vital signs, lab results,
etc). Take the time to review guidelines for nursing care planning in your
learning resources.
Image Description
A nurse is preparing to administer medications. Which patient would the
nurse consider to have the greatest predisposition to an adverse reaction? -
Correct Answer-A 75-year-old woman with impaired kidney function
(wrong) a 30 year old man with kidney disease
A patient has been receiving intravenous penicillin for pneumonia for several
days and begins to complain of generalized itching. The nurse auscultates
bilateral wheezing and notes a temperature of 38.5°C (101°F). Which is the
correct action by the nurse? - Correct Answer-Hold the next dose and notify
the prescriber of the symptoms
