Question 1

Medication ordered at particular time intervals should be given on time to:&#10;A) ensure that health professionals provide their care efficiently.&#10;B) maintain consistent blood levels of the medication.&#10;C) ensure that medications are not wasted.&#10;D) ensure that patients have a structured approach to their care.

Accepted Answer

Medications ordered at particular time intervals are usually prescribed to maintain consistent blood levels of the medication. Giving the medication on time ensures that the concentration of the drug in the bloodstream remains constant, which is necessary for the medication to be effective. Delaying or skipping doses may result in suboptimal treatment outcomes, adverse effects, or drug resistance. In contrast, administering medication too frequently or too much can lead to toxic levels of the drug and harm the patient. Therefore, giving medication on time is crucial to ensure safe, effective, and efficient medication therapy. The other choices (A, C, and D) are not directly related to the pharmacological rationale for administering medication on time but rather reflect organizational, economic, or patient-related factors. While they may be important considerations in healthcare, they do not answer the question of why medication should be given on time.

Question 2

Sympathomimetic agents such as adrenaline,noradrenaline and dopamine,which are commonly used in critical care areas,cannot be given through a peripheral vein because:&#10;A) it would be difficult for the nurse to control the flow rate of a peripheral infusion.&#10;B) a volumetric pump cannot be connected to a peripheral intravenous line.&#10;C) there is greater risk of infection around the cannula site.&#10;D) the agents can cause permanent necrosis of extremities.

Accepted Answer

Sympathomimetic agents such as adrenaline, noradrenaline, and dopamine can cause vasoconstriction and tissue damage if extravasated (leakage from the vein into the surrounding tissue), leading to permanent necrosis of the extremities. Therefore, they should be administered through a central venous line (such as a central catheter or a peripherally inserted central catheter) that terminates in a large central vein like the superior vena cava to prevent extravasation.

Question 3

Only one registered nurse's signature is sufficient for checking of documentation procedures of the following EXCEPT for:&#10;A) blood transfusions.&#10;B) orally administered drugs and intermittent intravenous drugs.&#10;C) intravenous fluids.&#10;D) once-only or nurse-initiated drugs.

Accepted Answer

Blood transfusions require two registered nurse's signatures for checking of documentation procedures, in accordance with established policies and procedures for safe transfusion practices.

Question 4

A nursing student involved in checking blood products should be accompanied to the bedside of the patient by:&#10;A) one registered nurse.&#10;B) two registered nurses.&#10;C) bedside checks are not required if the products and paperwork have been double-checked by two registered nurses.&#10;D) students should never check medications or blood products.

Accepted Answer

The answer of A nursing student involved in checking blood...

Question 5

How many registered nurses are needed to check information for administration of drugs such as narcotic analgesics,digoxin and warfarin?&#10;A) None&#10;B) One&#10;C) Two&#10;D) More than five

Accepted Answer

According to medication administration guidelines, it is recommended that two registered nurses check information for administration of drugs such as narcotic analgesics, digoxin, and warfarin to ensure accuracy and safety.

Question 6

The rights of drug administration are:&#10;A) giving the right drug, in the right dose, to the right person, by the right route, at the right time.&#10;B) giving the right drug, in the right dose, at the right time.&#10;C) giving the right drug, in the right dose, by the right route.&#10;D) giving the right drug, in the right dose, to the right person.

Accepted Answer

The rights of drug administration are giving the right drug, in the right dose, to the right person, by the right route, at the right time. This encompasses all the important aspects of drug administration, including making sure that the patient is getting the correct medication, in the appropriate amount, through the appropriate means, at the appropriate time, for maximum effectiveness and safety.

Question 7

A health professional is required to practice within the policies and procedures of the health care agency and to follow the legal framework of government legislation.

Accepted Answer

It is a requirement for health professionals to follow the policies and procedures of their healthcare agency and adhere to government regulations in order to ensure quality of care for patients and maintain professional conduct.

Deck 8: Medicine Administration Strategies and Documentation