Question 1

Where would the procedures and treatments directed by the healthcare provider be found?

Accepted Answer

The procedures and treatments directed by the healthcare provider would be found on the physician's order form. The summary sheet would contain a summary of the patient's medical history and current condition. The physician's progress notes would document the provider's assessments, plans, and actions taken during the patient's treatment. The history and physical examination form would contain information about the patient's medical history, current complaints, and physical exam findings.

Question 2

What is the most reliable method to calculate a pediatric patient's medication dosage?

Accepted Answer

Body surface area (BSA) is the most reliable method to calculate a pediatric patient's medication dosage because it takes into account both the child's weight and height, which can vary greatly among children of the same age. BSA is calculated using a formula that takes into account the child's weight and height, and the resulting number is used to determine the appropriate dose of medication for the child. Age, height, and placement on a growth scale can provide important information about a child's development, but they are not as reliable for calculating medication doses as BSA.

Question 3

The nurse is preparing to administer Lanoxin to a patient on the telemetry unit.In addition to understanding the patient's diagnosis,the nurse must also know which characteristic(s)of the medication? (Select all that apply.)

Accepted Answer

The nurse must be aware of the adverse effects, expected actions, contraindications for use, and usual dosing of Lanoxin in order to safely administer the medication to the patient. Knowledge of the chemical composition may also be important, but it is not necessarily essential for administering the medication.

Question 4

Which action will the nurse take when it is determined that the narcotic count is incorrect while obtaining a medication from the narcotic area?

Accepted Answer

Reporting the discrepancy to the charge nurse immediately is the appropriate action for the nurse to take when the narcotic count is incorrect while obtaining a medication from the narcotic area. This allows for a prompt investigation and resolution of the issue, ensuring patient safety and compliance with legal and ethical standards. Determining the cause of the discrepancy at the end of the shift, notifying the healthcare provider stat, or calling the nurse from the previous shift may be appropriate actions as well, but none of them address the immediate need to address the discrepancy and ensure patient safety.

Question 5

What is medication reconciliation?

Accepted Answer

Medication reconciliation is the process of comparing the patient's current medication orders to all of the medications they are actually taking to ensure accuracy and safety. This includes prescription medications, over-the-counter medicines, and supplements.

Question 6

Which is true regarding the unit dose drug distribution system?

Accepted Answer

The answer of Which is true regarding the unit dose...

Question 7

Which is known as the "fifth vital sign"?

Accepted Answer

Pain is often referred to as the "fifth vital sign" because it is an important indicator of a patient's overall health status and can be a critical factor in managing their care. Pain assessments are commonly used in healthcare settings to help determine a patient's pain level, severity, and location, as well as to identify any underlying conditions or issues that may need to be addressed. While temperature, respiration and pulse are also important vital signs, pain is considered unique because it is subjective and can vary greatly from person to person.

Question 8

Which action will the nurse take if a dosage is unclear on a healthcare provider's order?

Accepted Answer

When a dosage is unclear on a healthcare provider's order, the nurse should contact the healthcare provider to verify the correct dosage. It is not appropriate to ask the patient or another physician for clarification as the healthcare provider who issued the order is responsible for prescribing and adjusting medication dosages. Refusing to administer the medication without clarification may compromise the patient's care.

Question 9

Which example best demonstrates safe drug administration by the nurse?

Accepted Answer

Administering an oral medication with the patient sitting upright is a common safety precaution to ensure proper absorption and decrease the risk of aspiration. Asking children to state their name before taking medication is also a good safety measure, but it is not applicable in all situations (e.g. patients who are unable to speak). Leaving medications on the bedside stand or returning unused medication to the stock supply bottle are both examples of medication errors and unsafe practices.

Question 10

A patient's liquid cough medicine has been discontinued with one-half of the bottle remaining.The home health nurse is aware that according to the US Food and Drug Administration (FDA)guidelines on prescription medication disposal,the next step should be to:

Accepted Answer

According to FDA guidelines on prescription medication disposal, it is important to read the drug label for specific disposal instructions. Different medications may have different recommended disposal methods, and some medications may even have specific instructions for partially used bottles. It is always best to follow the instructions provided by the manufacturer to ensure safe and appropriate disposal of medications.

Question 11

Who defines the standards of care for the practice of nursing? (Select all that apply.)

Accepted Answer

The answer of Who defines the standards of care for...

Question 12

Which medication order requires nursing judgment and means "administer if needed"?

Accepted Answer

The medication order that requires nursing judgment and means "administer if needed" is Morphine 4 mg IV every 4 hours PRN, as the nurse must assess the patient's pain level and make a clinical decision regarding whether or not the medication is necessary at the time of administration.

Question 13

Which statement(s)is/are true regarding the types of medication orders? (Select all that apply.)

Accepted Answer

A) Stat orders are not the same as single dose orders. Stat orders indicate that the medication should be given immediately.
B) Standing orders indicate the conditions under which a medication should be administered, and can include a specific dosage regimen. 
C) Renewal orders require physician review before continuing certain medications, especially those with a high risk of adverse effects. 
D) PRN medications do not designate a mandatory number of times the medication should be administered, but rather when it is needed. 
E) Verbal orders should be avoided whenever possible, as they carry a greater risk of miscommunication or misinterpretation compared to written orders.

Question 14

The nursing assessment identifies that the client is nauseated and cannot take acetaminophen (Tylenol)orally.Which is true regarding the substitution of this medication to suppository form?

Accepted Answer

Changing the route of medication administration requires an order from a healthcare provider, as the dosage and absorption can vary between routes.

Question 15

The nurse determines that a prescribed medication has not been administered as ordered on the previous shift.What action will the nurse take?

Accepted Answer

Completing an incident report is the appropriate action when a medication error is discovered. This allows for documentation and review to prevent future errors. Administering the medication immediately without assessing the situation, notifying the nurse responsible without following proper protocol, or only recording the occurrence in the nurse's notes without further action does not address the systemic issue or ensure patient safety.

Question 16

What must the nurse have before administering any medication? (Select all that apply.)

Accepted Answer

A nurse must have a current license to practice, a signed medication order, knowledge of the medication, and understanding of the client's diagnosis to safely administer medication. Consultation with a pharmacist is not a mandatory requirement before every administration.

Question 17

Which advantage(s)does the unit dose drug distribution system include? (Select all that apply.)

Accepted Answer

The unit dose system allows pharmacists to review medications for interactions and contraindications, reduces medication waste by providing exact doses, and credits patients for unused medications.

Question 18

Which medication route provides the most rapid onset of a medication but also poses the greatest risk of adverse effects?

Accepted Answer

Intravenous (IV) provides the most rapid onset of a medication because it goes directly into the bloodstream, but it also poses the greatest risk of adverse effects because there is no barrier to slow down the medication or prevent it from entering the bloodstream too quickly.

Question 19

Which statement(s)is/are true regarding computerized prescriber order entry (CPOE)? (Select all that apply.)

Accepted Answer

CPOE systems integrate with various hospital departments (A), offer instant access to information (B), and help in reviewing medication for interactions and dosage appropriateness (C, D). They do not eliminate the need for mathematical computations (E), as users must still understand and sometimes manually verify dosages and calculations.

Question 20

The nurse transcribes an order to administer Valium 10 mg IV stat.This order is correctly interpreted by the nurse to mean it should be provided how? (Select all that apply.)

Accepted Answer

The answer of The nurse transcribes an order to administer...

Quiz 6: Principles of Medication Administration and Medication Safety