Question 1

Which of the following is the proper notation of the dose of the drug ordered?&#10;A)digoxin .125 mg&#10;B)digoxin .1250 mg&#10;C)digoxin 0.125 mg&#10;D)digoxin 0.1250 mg

Accepted Answer

Always use a leading zero for decimal dosages (e.g. ,digoxin 0.125 mg)with medication orders or their transcription.
Omitting the leading zero may cause the order to be misread,resulting in a large drug overdose.Never use trailing zeros.

Question 2

Health care professionals should report actual and potential medication errors to which of the following organizations?&#10;A)Institute for Safe Medications Practices (ISMP)Canada&#10;B)Accreditation Canada&#10;C)Canadian Patient Safety Institute (CPSI)&#10;D)Health Canada

Accepted Answer

Actual and potential medication errors should be reported to ISMP Canada.Confidentiality of the reporter is respected.
Accreditation Canada,the Canadian Patient Safety Institute (CPSI),and Health Canada all offer information pertaining to medication safety.

Question 3

The physician has written admission orders,and the nurse is transcribing them.The nurse is having difficulty transcribing one order because of the physician's handwriting.Which of the following is the best action for the nurse to take?

A)Ask a colleague what the order says
B)Contact the physician to clarify the order
C)Contact the pharmacy to clarify the order
D)Ask the patient what medications he takes at home

Accepted Answer

If a prescriber writes an order that is illegible,the nurse should contact the prescriber for clarification.
The nurse should not ask a colleague what the order says because the colleague did not write the order.The nurse should not contact the pharmacy to clarify the order because this action would delay implementation of the order.Asking the patient what medications he takes at home is incorrect because this question will not clarify the current order.

Question 4

Which of the following statements is true regarding an adverse drug reaction (ADR)? Select all that apply.&#10;A)Adverse effects are ADRs that are usually predictable.&#10;B)ADRs always result in harm to patients.&#10;C)All ADRs are preventable if proper precautions are taken.&#10;D)ADRs can be unexpected and unintended responses to medications.

Accepted Answer

An adverse drug reaction is defined as any unexpected,undesired,or excessive response to a medication.Adverse effects are ADRs that are usually not severe enough to warrant stopping the medication.
Not all ADRs result in harm to the patient.Some ADRs,such as allergic or idiosyncratic reactions,may not be preventable or predicted.

Question 5

When the nurse is giving a scheduled morning medication,the patient states,"I haven't seen that pill before.Are you sure it's correct?" The nurse checks the medication administration record and sees that it is listed.Which of the following is the nurse's best response to the patient?

A)"It's listed here on the medication sheet,so you should take it."
B)"Go ahead and take it and then I'll check with your doctor about it."
C)"It wouldn't be listed here if it wasn't ordered for you!"
D)"I'll check on the order first,before you take it."

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Accepted Answer

When giving medications,the nurse must always listen to and honour any concerns or doubts expressed by the patient.If the patient doubts an order,the nurse should check the written order,check with the prescriber,or both.
The other options included with this example illustrate the nurse not listening to the patient's concerns.

Question 6

Which of the following situations is an example of a medication error?&#10;A)A patient refuses her morning medications.&#10;B)A patient receives a double dose of a medication because the nurse did not cut the pill in half.&#10;C)A patient develops hives after starting an intravenous (IV) antibiotic 24 hours earlier.&#10;D)A patient complains of severe pain still present 60 minutes after a pain medication was given.

Accepted Answer

A medication error is defined as a preventable adverse drug event that involves inappropriate medication use by a patient or health care provider.
A patient refusing her morning medications and a patient complaining of severe pain after medication was given are examples of patient behaviours.The development of hives is a possible allergic reaction.None of these situations is preventable.

Deck 5: Medication Errors