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30 Cards in this Set

  • Front
  • Back
Drugs given for _____________ are called medications.
Therapeutic purposes
____________ may administer medication in physicians offices and _____________ often administer medications in long term care facilities.
Certified Medical Assistants (CMA's) Certified Medication Aids (nursing assistants with a short course of training called CMA.
The ______________ system is a method of drug administration in which most drugs are dispensed in a single dose containers for individual clients.
Unit dose
______________ are usually kept as a stock supply in a locked drawer or auto mated cabinet and replaced as needed.
Controlled Drugs
____________ is a process designed to avoid medication errors such as omissions duplications, dosing errors, or drug interactions that occur when a patient is admitted to a health care agency, transferred from one department or unit to another within the agency or discharged home from the agency.
Medical reconciliation
Put into the correct sequence

a. The nurse removes the medication and give it to the patient.

b. The nurse identifies the patient

c. The nurse records the drug on the medication.

d. The nurse identifies the medication and compares it with the doctors order.
d, b, a, c
ad lib?
Means as desired
PRN?
Means as needed
mL?
Milliliter
mcg?
Microgram
g?
Gram
A client refuses a PRN medication; you document the reason for the refusal on the back of the medication administration record and dispose of the medication according to facility policy. By documenting the medication, you are adhering to which of the "rights" for medication administration?

a. Right dose

b. Right medication

c. Right documentation

d. Right patient
c
Which of the following is considered essential information to consider about a medication prior to administration?

a. Cost of the drug

b. The brand name

c. Therapeutic effects

d. The clients insurance
c
Mrs. Walker requires a PRN pain medication for pain at a level of 5 on a scale of 0 to 10. The physician order acetaminophen 650mg and phone reception is interrupted. What information would you need to clarify the physician's order?

a. Frequency of administration

b. Brand Name

c. Cost of the medication

d. Generic name of the medication
b
Part of your job is to mentor new nurse graduates during medication administration. The doctor orders acetaminophen 1000mg by mouth at bedtime for general discomfort for your client. There are several containers of acetaminophen. You instruct the new nurse to do which of the following?

a. Choose the acetaminophen 325mg bottle and administer 2 tablets.

b. Choose the acetaminophen 500mg bottle and administer 2 tablets

c. Choose the acetaminophen 500mg bottle and administer 2 tablets.

d. Choose the acetaminophen325mg bottle and administer 2 tablets.
b
The charge nurse on the unit transcribes a physicians order onto the medication administration record. She writes, "Digoxin0.25mg qod x3d" on the MAR. How should the order be written to prevent medication error?

a. Digoxin 0.25mg PO every other day x 3d

b. Digoxin 0.25mg PO qod for three doses

c. Digoxin 0.25mg by mouth every other say for three doses.

d. Digoxin 0.25mg PO qod x3d
c
The physician orders NPH U100 Insulin 16 units SC every am for Mrs. Styles. You prepare the insulin dose, and to ensure safety, you do which of the following?

a. Give the insulin to the client

b. Bring the vial with you.

c. Ask another nurse to double check your measurement.

d. Encourage the client to administer her own insulin.
c
Your physicians order states that a medication must be given IM. You enter the clients room and he states that he will partially remove his pants and asks you to give the injection quickly. You do which of the following?

a. Agree, because a fast injection is less painful than a slow one.

b. Refuse, because IM injections may be given only in the deltoid muscle of the arm.

c. Agree, because you which to respect the client wishes.

d. Refuse, because you are unable to identify anatomic landmarks with the clients partially clothed.
d
Mr. Reed has a physicians order to administer Lasix 40mg by mouth each day at noon. You enter his room and he states, " I was waiting for my Lasix dose you can give it to me now." You should do which of the following?

a. Administer the dose

b. Clarify the clients identification by checking his name band.

c. Clarify the clients identification by asking his name.

d. Call the physician to clarify the order because the dose is too high.
b
During a medication pass, you notice that the physician ordered a dose of medication that appears to be excessive, based on your knowledge of the medication. You call the physician and he instructs you to administer the medication anyway. You should do which of the following?

a. Administer the Medication.

b. Consult with your supervisor, refuse to administer the medication and notify the physician.

c. Refuse to administer the medication, and notify the physician.

d. Ask the physician on call for a new order.
b
Which of the following specific drugs are often associated with errors and adverse drug events (ADE's)? (select all that apply)

a. Insulin

b. Acetaminophen

c. Heparin

d. Salicylates

e. Warfarin
a, c, e
Which of the following is a safety feature inherent in using the bar code method to administer drugs?

a. The bar code on the drug label contains the clients name.

b. When administering medications, the nurse is only required to scan the bar code on the drug label.

c. The bar code on the patients identification band contains the MAR.

d. A wireless computer network processes the scanned information and gives an error message when the MAR has not been inputted onto the computer.
c
Mrs. Smith has a one time order of lasix 60mg IM. You enter the clients room to administer the mediation and she refuses administration of the medication as ordered. She states that Lasix is only given in a pill form and the physician must have made a mistake. As part of your teaching plan, you tell the client which of the following?

a. Lasix is available in more than one form.

b. You are correct; the physician must have made an error

c. The physician order the medication the way it needs to be administered.

d. Lasix is available in more than one form
d
Mrs. Janis physician orders entreric coated aspirin 81mg by mouth once a day. When you attempt to administer the medication, the patient informs you that the aspirin that she takes at home is not coated and works just fine. As part of your education plan you instruct the client, saying which of the following?

a. Enteric coated tablets and capsules are coated with a substance that is insoluble in stomach acid. This delays dissolution until the medication reaches the intestine usually to avoid gastric acid.

b. Enteric coated tablets and capsules are coated with a substance that is soluble in stomach acid. This delays dissolution until the medication reaches the intestine, usually to avoid gastric irritation or to keep the drug from being destroyed by gastric acid.

c. Entreric coated tablets and capsules are coated with a substance that is soluble in stomach acid. This delays dissolution until the medication reaches the intestine usually to avoid gastric irritation or to keep the drug from being destr
a
Mrs. Hone has a new order for Effexor XR. She asks you why she does not have to take the medication as frequently as her other antidepressant. As part of your teaching plan, you tell her which of the following?

a. XR means that the drug is extended release, wich means that there are less consistent serum drug levels and you need to take it less frequently

b. XR means that the drug is delayed release which means that there are more consistent serum drug levels and you need to take it less frequently

c. XR means that the drug is extended release which means that there are more consistent serum drug levels and you need to take it less frequently

d. XR means that the drug is extended release which means that there are more consistent serum drug levels and you need to take it more frequently.
b
How many 60mg tablets of lasix are needed to give a dose of 120mg? _________________ Show the mathematical formula used to achieve your answer__________________
If one tablet is 60mg and you need 120mg just just divide the dose needed by 60 and it will give you the correct tablet count.

Two 60mg tablets.
Which of the following are common parenteral routes? (select all that apply)

a. Subcutaneous

b. Trans-dermal

c. Intramusculaar

d. Intravenous
a, c, d
You are mentoring a new nurse to the units medication pass. She asks you why you used two separate needles to prepare a drug for injection using a ampule. Which of the following is the correct response.

a. A filter needle is used to withdraw the medication from an ampule or vial because the solution may be too thick to be removed from the drug vial. The filter needle is then replaced with a regular needle before injecting the client.

b. A filter needle is used to with draw the medication from an ampule or vial because broken glass or rubber fragments may need to be removed from the drug solution. A new filter needle may be used before injecting the client.

c. A filter needle is used to withdraw the medication from an ampule or vial because broken glass or rubber fragments may need to be removed from the drug solution. The filter needle is then replaced with a regular needle before injecting the client.

d. A filter needle is used to withdraw the medication from an ampule or vial because broken gla
c
Which of the following is the smallest needle according to its gauge?

a. 18 gauge

b. dorsogluteal

c. Ventrogluteal

d. Vastur lateralis

e. Latissimus dorsi
b
Which of the following are common sites for IM injections? (select all that apply)

a. Deltoid

b. Dorsogluteal

c. Ventrogluteal

d. Vastus lateralis

e. latissimuss dorsi
a, b, c