Safe Medications Principles - Quiz, Quizzes of Medical Sciences

Download Safe Medications Principles - Quiz and more Quizzes Medical Sciences in PDF only on Docsity! Medications Administration: Safe Medication Principles Quiz I page 1 Safe Medications Principles 1. Prescription errors can be minimized by observing all of the following practices, EXCEPT for: a. Specifying concentration b. Using abbreviations c. Noting the patient's age and, when appropriate, weight d. Writing legibly 2. Regarding prescription instructions, nurses should: a. Give the patient website addresses where he or she can learn more about the drug b. Explain what the medication is and does, as well as its potential side effects c. Tell the patient to read the detailed sheet that accompanies the medication d. Do nothing, it just confuses the patient 3. Why should numbers / quantities for controlled substances be fully written? a. To prevent alterations by the patient b. To use up more space on the prescription form c. Numbers written out are more legible d. To help the pharmacist understand the prescription 4. Since the dosage amounts "5 mg" and "5.0 mg" mean the same thing, nurses can use them interchangeably. True False 5. Nurses are not doctors or pharmacists; therefore they don’t need to know much about the drugs they are giving to their patients / clients. True False PRINCIPLES: QUIZ 1 Medications Administration: Safe Medication Principles Quiz I page 2 6. Which of the following is most important to check prior to administering a medication to a patient? a. Medical condition b. Vital signs c. Allergy status d. Other prescription medications e. Over-the-counter drugs being taken 7. When checking to see that you have the right patient for medication administration, you should ask the patient whether he is “Mr. John Smith?” True False 8. If a drug calculation is required, this should be documented and retained within the patient’s notes. True False 9. A nurse should delay administration if she is unsure of the clinical condition of the patient in relation to the drug to be given. True False 10. Which area of medication administration is most commonly neglected and is frequently the subject of investigations by professional nursing regulatory bodies? a. Record keeping b. Dosage calculations c. Routes of administration d. Drug given to the wrong patient 11. Any drug errors must be reported as soon as recognized to minimize the possible negative outcomes. True False Medications Administration: Safe Medication Principles Quiz I page 5 27. The nurse should check to see what non-prescription or botanical medications the patient may be taking and note these on the patient’s record. True False 28. A nurse must ensure that her patient has relevant information / warnings concerning the medication and its action, any side effects and how to report them. True False 29. Injectable medicines should be for single use only. True False 30. Medication packaging should be broken while at the nurses’ station or in the med room and dropped into a pill cup. True False 31. The cap of the IV catheter should be removed well in advance of its insertion. True False 32. The purpose of a PICC (peripherally inserted central catheter) dressing is to: a. Control bleeding b. Prevent infection c. Absorb blood and wound drainage d. Protect wound from further injury Medications Administration: Safe Medication Principles Quiz I page 6 Answer Key to Safe Medications Principles: Quiz 1 Q01 b Q02 b Q03 a Q04 F 5.0 mg can be mistaken for 50 mg; never use the .0 as it can result in dosage errors. Q05 F A nurse should NEVER administer a drug about which she knows very little or nothing; her knowledge should be at a level that she is able to question any uncertainty in the dose, route of administration, frequency and potential interactions with other medicines being taken. Q06 c Check the patient’s chart to see if any allergy status is recorded. If not, be sure to ask the patient. Also remember to check the drug’s generic and brand names to avoid inadvertent administration. Q07 F Many older patients who are hard of hearing will simply nod their head and say “Yes.” The correct identification procedure is to ask them their name. Remember to use at least one other approved identifier as well. Q08 T Q09 T For example, digoxin should not be given if the patient’s pulse is below 60 beats per minute. Q10 a Nurses must know and follow professional codes and employer’s guidelines on medication administration record keeping. Q11 T Use the employer’s incident reporting forms and follow their policies. Q12 T Q13 T Q14 F Tablets should NEVER be crushed unless the manufacturer has specifically identified crushing as a suitable method to administer the medication. Q15 F Parenteral drugs are administered by injection or infusion. Q16 T Unless the drugs are available ready prepared and labeled in prefilled syringes. Q17 T Q18 T Unless they are being kept for a specific reason. Medications Administration: Safe Medication Principles Quiz I page 7 Q19 F Drug calculations for children should be based on ideal body weight and not the actual body weight; the reason is that in an obese child, it is not unusual for the total daily dosage to exceed the adult dosage when calculations are based on a per kilogram weight. Q20 T Q21 F Never argue with a patient who tells you he or she is not supposed to receive the medication; apologize and reassure the patient that you will go back and check again. Q22 a,b,c,d,e Q23 d Q24 T This is particularly important in the very young and older patients. It is essential to check doses for particular age groups since even small doses of opiates and iron can be harmful in young children. Q25 T These include anti-epileptics and antibiotics. Q26 a,b Changes in kidney and liver function can affect drugs excreted or metabolized. Q27 T Many over-the-counter and herbal remedies interact with prescription- only drugs. Q28 T Q29 T Unless the label specifically indicates that they are licensed and suitable for multi-dosing. Q30 F The packaged medication should be taken to the patient’s bedside and the drug name and dosage compared with the written order. Q31 F The caps should NOT be removed until just prior to insertion to prevent contamination of the catheter. Q32 a,b,c,d ALL of these are functions of a PICC dressing.