Question 1

A patient with several chronic illnesses is being cared for in a hospital acute care setting.For which events should you expect to apply the principles of the process of medication reconciliation? (select all that apply)

Accepted Answer

When a patient visits a health care provider,is admitted to the hospital,or is transferred from unit to unit in the hospital,it is common to receive new prescriptions or to have changes made in currently prescribed drugs.The process of medication reconciliation is used during these transitions of patient care to avoid drug errors such as omissions,duplications,dosing errors,and drug interactions.

Question 2

You are giving morning medications to a patient who refuses to take an oral dose of docusate (Colace).What is your best response?

Accepted Answer

The patient may have a good reason for refusing to take this drug.For example,he or she may be experiencing diarrhea.Understanding the patient's reason for refusal helps you to understand how to intervene for him or her.A patient has the right to refuse any drug.Be sure that he or she understands why the drug has been prescribed and the consequences of refusing to take it.When a patient refuses to take a drug,document the refusal,including the fact that the patient understands what may happen if the drug is not taken.

Question 3

Safe drug administration requires that the individual giving a drug be knowledgeable about which drug features? (select all that apply)

Accepted Answer

You are responsible for providing competent,safe patient care,including giving drugs.To give drugs safely,you should be knowledgeable about the purpose of the drug,its actions,side effects,abnormal reactions,delivery methods,and any necessary follow-up.

Question 4

A patient is to receive an acetaminophen (Tylenol)suppository for an elevated temperature of 102.8° F.What actions must the nurse take? (select all that apply)

Accepted Answer

Diarrhea may make the rectal route of drug administration undesirable because the patient may be unable to hold the drug in the rectum long enough to be absorbed.Disposable gloves should be used,but they do not need to be sterile.The suppository is inserted pointed end first,not blunt end.The Sims' position (with the patient turned to the side and one leg bent over the other)is the best position for giving a rectal suppository.The suppository should be pushed into the rectum about 1 inch for better absorption.Be sure to instruct the patient about how long the suppository should be held in the rectum.

Question 5

You are teaching a patient about a prescribed sublingual drug.What will you be sure to tell the patient? (select all that apply)

Accepted Answer

A drug given by the sublingual route,such as nitroglycerin,is placed under the tongue.The blood supply is very good in the mouth;therefore,these drugs dissolve and are absorbed quickly.The patient should not eat or drink until the drug is completely dissolved.Teach the patient not to swallow or chew while the drug is in the mouth because these drugs are not effective if absorbed through the GI tract.A patient should be taught to notify the prescriber for any side effects.

Quiz 2: Safely Preparing and Giving Drugs

A patient with several chronic illnesses is being cared for in a hospital acute care setting.For which events should you expect to apply the principles of the process of medication reconciliation? (select all that apply)

You are giving morning medications to a patient who refuses to take an oral dose of docusate (Colace) .What is your best response?

Safe drug administration requires that the individual giving a drug be knowledgeable about which drug features? (select all that apply)

A patient is to receive an acetaminophen (Tylenol) suppository for an elevated temperature of 102.8° F.What actions must the nurse take? (select all that apply)

You are teaching a patient about a prescribed sublingual drug.What will you be sure to tell the patient? (select all that apply)