Deck 3: Safe Medication Administration

Question 1

pc

Answer 1

after meals

Question 2

Directions: Spell out the listed abbreviation in the space provided.

Answer 2

without

Question 3

q4h

Answer 3

every four hours

Question 4

6 PM

Question 5

bid

Question 6

liter

Question 7

10 AM

Question 8

microgram

Question 9

1:20 AM

Question 10

prn

Question 11

ad lib

Question 12

12:30 PM

Question 13

milliliter

Question 14

Directions: Spell out the listed abbreviation in the space provided.

Question 15

stat

Question 16

IM

Question 17

kilogram

Question 18

NPO

Question 19

milligram

Question 20

gram

Question 21

Maalox 30 mL q4h PRN upset stomach or heartburn

Question 22

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Hydralazine 50 mg po four times daily
Label: Hydroxyzine 50 mg
Given: Hydroxyzine 50 mg

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 23

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Amoxicillin 125 mg
Label: Amoxicillin 125 mg per 5 mL, 100 mL vial
Given: Amoxicillin 100 mL

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 24

1730 hours

Question 25

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: By phone: Ceftizoxime 1 g
Given: Cefotaxime 1 g

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 26

Tylenol 500 mg tab 1 q6h PO prn for fever over 100° F headache

Question 27

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Insulin subcutaneous injection daily for an older patient who is newly diagnosed with diabetes. Under supervision, the patient practiced injecting an orange for a few days, followed by self-injections under supervision until discharge shortly thereafter.
Given: At home, the patient injected an orange with insulin and ate the orange each day. The patient complained of the taste to the home-care nurse during the first post-hospital visit.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 28

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Fast-acting regular insulin 10 units for a patient with high blood glucose level Given: Intermediate-acting insulin10 units

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 29

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: 5 mL, 1 tsp Benadryl syrup q8h to be administered by a caregiver at home after discharge for patient allergies. Benadryl, an antihistamine, has a side effect of drowsiness.
Given: 1 soup spoonful Benadryl, 1 household teaspoon Benadryl 8 hours later, household tablespoon Benadryl 8 hours later, and so forth until the physician was notified about a change in the patient's condition (extreme drowsiness).

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 30

Potassium chloride sol. 10 mEq PO daily AM juice

Question 31

0045 hours

Question 32

1410 hours

Question 33

Ampicillin oral susp 125 mg PO tid

Question 34

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Potassium Chloride (KCl) 20 mEq verbal order during a bedside emergency to be added to IV infusion solution, and atropine 0.5 mg to be given by direct IV (directly into the vein). Both medications were prepared by Nurse A.
Given: KCl 20 mEq in syringe directly into the vein by nurse B, who was handed two unmarked syringes by nurse A, who verbally identified them.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 35

Penicillin G 500,000 units IM daily

Question 36

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Large amount of narcotic prescribed for Mr. Smith, room 403, bed A, who is a patient of Dr. Davis, whose name was noted on the chart and in the narcotic record. Mr. Smith is a patient with a terminal illness and has been receiving increasingly large amounts of pain medication for the past 2 months.
Given: Large amount of narcotics to Mr. Davis, an underweight patient of another physician, room 403, bed B. Mr. Davis had never received a narcotic medication before.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 37

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Percocet 1 tablet q4h prn pain for a patient allergic to aspirin
Given: Percodan 1 tablet

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 38

Directions: For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Propranolol LA (long-acting tablet) PO for a patient with a nasogastric (NG) tube (through nose to stomach)
Given: Crushed propranolol LA via the NG tube

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 39

0930 hours

Question 40

Cytotec tab 100 mcg qid PO pc and HS

Question 41

Directions: Provide answers for the following statements.
State the appropriate action to take for incomplete labels on medicines.

Question 42

Directions: Provide answers for the following statements.
State two safety requirements for identifying patients.

Question 43

Codeine tab 5 mg PO for pain

Question 44

Potassium Chloride sol 10 mEq daily in morning

Question 45

Directions: Provide answers for the following statements.
State the appropriate safeguard to take for transfer and postoperative patients before giving a medication.

Question 46

Benadryl 1 tsp PO every 12 hrs for allergies

Question 47

Directions: Provide answers for the following statements.
State the appropriate action to take for unclear orders.

Question 48

Digoxin 10 mg daily in AM

Question 49

Aspirin 2 tablets PO for headache q4h prn