NUR 101 Exam 3
- If a nurse experiences a problem reading a physician's medication order, the most appropriate
- Call the physician to verify order.
- Call the pharmacist to verify order.
- Consult with other nursing staff to verify.
- Withhold the medication until physician makes rounds.
action will be to
Answer
- Call the physician to verify order
- list the 6 rights to medication administration
- right pt
Answer
- right medication
- right dose
- right route
- right time
- right documentation
- Nurses are legally required to document medications that are administered to patients. The
nurse is mandated to document which of the following?
- medication before administering it
- medication after administering it
- rationale for administering it
- prescriber rationale for prescribing it
Answer
- medication after administering it
- safety related to medication administration 1 / 4
Answer -pt identifiers (name, DOB, MR#) check MAR and wristband
-identify allergies
-dual sign off on high alert meds (ex
insulin, anticoags/blood thinners, controlled substances aka narcotics)
-check drug interactions (lexi comp, drug book) -be aware of pt assessment when giving med -be aware of adverse effects -limit distractions/interuptions during drug admin
- 3 checks on each med
- what percentage of errors in healthcare are med errors?
Answer
20-30%
- 6 rights of med admin
Answer -right pt
-right med -right dose -right time/frequency -right route -right documentation
- who can all order meds?
Answer
PCP NP
PA 2 / 4
- what do physicians consider before ordering meds?
Answer -indicators for use of med (why?)
-contraindications (other meds?) -age -route -weight -other health conditions (liver/renal disease) -allergies -pt hx -pharmacokinetic phases
- who does the med go through after they are ordered by the physician?
Answer -
pharmacists
- what do the pharmacists review before releasing med orders?
- is med sufficient for pt condition
Answer
-contraindications -pts past hx (liver, renal) -labs -verify if dosage is too small or large -allergies -preprare medication -dispense medication
- who do the meds get passed off through after the pharmacist?
Answer the nurse 3 / 4
- what is the nurses role when it comes to medication?
Answer -3 checks on 5 rights
-verify allergies -aware of therapeutic effects (why? what?) -adverse effects (interventions) -how does the pt take the med -can the pt self administer -educate pt and family on all effects and to report them -make sure med was taken by the pt
- routes you can give meds
Answer -IV
-topical -oral -intraocular -rectally -vaginally
-inhalation -sublingual -buccal -enterally (gtube)
-IM SQ ID
-eye gtts/ ointment -ear gtts -transdermal
- 1 mg = ? mcg
Answer 1000
- 1 gm = ? mg
- / 4