Chapter-6
1. Before-administering-medication,-the-nurse-must-have:---CORRECT-
ANSWER--Current-license-to-practice.
-Clear-policy-statement-authorizing-the-act.
-Signed-medication-order.
-Understanding-of-rationale-for-drug-use.
-Understanding-of-drug-action,-dosing,-dilution,-route-and-rate-of-
administration,-common-and-serious-adverse-effects,-and-contraindications.
2. What-are-the-contents-of-Patient-Charts?---CORRECT-ANSWER--summary-
action
-consent-section
-order-section
-history-and-physical-examination-section
-progress-notes
-nurse's-notes
-laboratory-tests-record
-graphic-record
-flow-sheets
-consultation-reports
-other-diagnostic-reports
-medication-administration-record-(MAR)-or-medication-profile
-PRN-or-unscheduled-medication-record
-patient-education-record
-additional-patient-chart-records
-nursing-care-plans
3. Kardex-Records---CORRECT-ANSWER--large-index-type-card-usually-kept-in-
a-flip-file-or-a-separate-holder-that-contains-pertinent-information
-unit-dose-systems-not-listed-on-Kardex
-often-completed-in-pencil-and-updated-regularly
4. Documentation-process-needs-to-adhere-to:---CORRECT-ANSWER-The-Joint-
Commission-standards-and-CMS-requirements-(defines-most-important-
aspects-to-document)
5. Drug-Distribution-Systems-include:---CORRECT-ANSWER--floor-or-ward-
stock-system,-cart-fill
, Clayton's-Basic-Pharmacology-for-Nurses-19th-Edition-
Chapter-6
-individual-prescription-order-system
-unit-dose-drug-distribution-system
-computer-controlled-dispensing-system-Pyxis,-Omnicell,-etc.
-Long-term-care-unit-dose-system
6. Floor-or-ward-stock-system-is-used-primarily-in:---CORRECT-ANSWER-small-
hospitals
7. What-is-the-safest-and-most-economical-method-of-drug-distribution-used-
today?---CORRECT-ANSWER-computer-controlled-dispensing-system
8. What-is-the-primary-goal-of-computerized-drug-distribution-systems?---
CORRECT-ANSWER-preventing-medication-errors
9. Single-unit-package-of-drugs-dispensed-into-labeled-drawers-assigned-to-
patients:---CORRECT-ANSWER-Unit-dose-distribution-system
10. Advantages-of-unit-dose-systems:---CORRECT-ANSWER--less-prep-time-by-
nurses
-pharmacy-review
-less-wastage
11. Disadvantage-of-unit-dose-system:---CORRECT-ANSWER-pharmacy,-not-
nurse,-prepares-some-medications
12. Computer-controlled-dispensing-system:---CORRECT-ANSWER--stocked-by-
pharmacy-with-single-unit-packages-of-medications
-nurse-uses-security-code-and-password-or-fingerprint-to-access-system,-
select's-patient's-name,-profile,-and-drugs-due-for-administration,-cart-opens-
with-medications
-scanner-used-on-nurse's-ID,-patient's-ID,-and-bar-code-on-individual-
medications,-with-automatic-documentation
-safe-and-economical
13. Long-term-care-unit-dose-system---CORRECT-ANSWER--each-resident's-
medication-container-is-for-1-week