Review Questions
1
.
The nurse receives an order for acetaminophen (Tylenol) 350 mg every 4 hours. What action should the nurse take?
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administer the medication to the patient
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call the pharmacy to clarify the order
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call the provider to clarify the order
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assess if the patient has a headache
2
.
Before administering any medication, what is the nurse’s priority action to ensure patient safety?
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verify the medication orders with another nurse
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assess if the patient has experienced any medication side effects
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verify patient identity using two identifiers
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document the medications given
3
.
During medication administration, how should the nurse confirm the medications are for the right patient?
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Ask the patient to state their full name and compare the name given to the name on the patient’s armband.
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Ask the patient to state their full name and birth date, comparing the information to the medication administration record and the patient’s armband.
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Ask the patient to state their full name and room number, comparing the information to the medication administration record and the patient’s armband.
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Ask the patient to state their last name and birth date, comparing the information to the medication administration record and the patient’s armband.
4
.
The patient is prescribed clopidogrel (Plavix) to prevent blood clots and is instructed not to drink grapefruit juice. These instructions are provided to prevent what potential adverse reactions?
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allergic reaction
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drug interaction
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paradoxical effect
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toxic effect
5
.
The five core “rights” of medication should be checked at three different checkpoints during the medication administration process. What are the three medication checkpoints?
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when obtaining, preparing, and documenting the medication
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when preparing, administering, and disposing of the medication
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when obtaining, preparing, and administering the medication
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when preparing, administering, and documenting the medication
6
.
Solve the following conversions:
- 2 tbsp = ________ mL
- 132 lb = ________ kg
- 3 oz = ________ mL
- 1 g = ________ mg
7
.
The nursing student is documenting administration of medications. What might the nursing student record to demonstrate an accurate understanding of how to properly document administration of medication?
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administered omeprazole (Prilosec) 20 mg PO at 0740 AM
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administered carvedilol (Coreg) 6.25mg PO @ 1902 PM
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administered 1/2 tablet of lorazepam (Ativan) PO at 1235 PM PRN anxiety
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administered 4 u of insulin aspart (Novolog) SQ at 739
8
.
When should documentation of medication administration occur?
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before the medication is administered
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while preparing the medication
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after the medication is administered
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before the end of the shift
9
.
If an error is made in the documentation of a medication administration, how should the nurse proceed?
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use Wite-Out to remove the error from the chart, initial and date the error
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use a permanent marker to mark through the error in the chart, initial and date the error
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squiggle over the error so it cannot be read, initial and date the error
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mark through the error with a single line, initial and date the error
10
.
The nurse is using a paper MAR to document medication administration. How should the nurse indicate a discontinued medication on the paper MAR?
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place a line through all subsequent dates; mark through the medication row with a permanent marker; write discontinued in the medication row
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place a line through all subsequent dates; highlight the row yellow; write discontinued, as well as the date and initials in the medication row
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place a line through the medication name; highlight the row yellow; write discontinued, the date, and initials in the medication row
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place a line through the medication name; mark through the medication row with a permanent marker; write discontinued, the date, and initials in the medication row