Chapter 7- Principles Of Medication Administration And Medication Safety Flashcards Preview

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Flashcards in Chapter 7- Principles Of Medication Administration And Medication Safety Deck (39):
0

Before medicines are administered the nurse must understand?

The professional responsibilities associated with
-med administration
-drug orders
-medication delivery systems
-nursing processes related to drug therapy

1

Ignorance to nurses responsibilities results in?

Delays in med administration and serious administration errors

2

True or False
The practice of nursing under a professional license is a Devine right.

False. The practice of nursing under a professional license is a privilege not a right.

3

Standards of care are?

Guidelines developed for the practice of nursing

4

The guidelines of the standards of care are defined by?

State and federal laws
The Joint Commission
Professional organizations (American Nurse Association)
Specialty nursing organizations (Intravenous Nurses Society)

5

List the four examples of policy statements relating to medication administration

1) education requirements of those authorized to administer medications
2) approved list of intravenous solutions & meds that nurses can start or add to infusions
3) list of restricted medications
4) list of abbreviations that are not used in documentation

6

What must a nurse have in order to pass medications?

A current license to practice, a clear policy statement that authorizes the act, and a medication order signed by a licensed practitioner with prescriptive privileges.

7

Fill in the blank
The nurse must understand the patient's ____ and ______ that correlate with the rationale for drug use

Diagnosis and symptoms

8

The nurse is expected to know what about medications?

Why it was ordered, expected actions, usual dosing, proper dilution, route and rate of administration, adverse effects, and contraindications

9

True or False
The nurse does not assess the patient to ensure therapeutic and adverse effects associated with the medicine is reported

False. It is the nurse's responsibility.

10

Claiming unfamiliarity with nursing responsibilities when an avoidable complication arise is...

Unacceptable and considered NEGLIGENCE!!!!

11

What do the nurses record in their notes?

Ongoing assessments of pt condition, responses to nursing interventions ordered by physician,and evaluations of effectiveness of nursing interventions

12

What should the nurse do after administration of prn medications?

Record immediately after administration and its effectiveness.

13

PRN medications are located where on the MAR?

Listed at the bottom

14

What protocol should a nurse look for on a MAR?

Potassium protocol.

15

Normal range for aPTT

25-35 seconds

16

Normal range for INR

2-3

17

Before administering any controlled substance the nurse should what?

Verify that the time interval since the last use of the drug has elapse as the physician had ordered.

18

The nurse receiving a controlled substance supply is responsible for

Counting and verifying the number and types of controlled substances received

19

Before throwing out an empty bottle one should

Scratch out all identifying information on the label. Make it unreadable!

20

Controlled substances can be disposed by

Flushing down the toilet or rinsing in the drain

21

All prescriptions must contain

1) name of pt and drug
2) date
3) route of administration
4) dose
5) duration of order
6) signature of the prescriber

22

The four categories of medication orders are

Stat
Single
Standing
PRN

23

Orders used on an emergency basis and only once. ASAP!

Stat order

24

On order that is administered at a certain time but only once

Single order

25

An order that indicates that a medication will be given for a specified number of doses

Standing order

Means drug is to be administered until discontinued at a later date

26

A renewal order must be?

Written and signed by a physician

27

PRN means

Administer as needed

28

How long does a physician have to consign and date a verbal order?

Within 24 hours

29

Medical errors can result in

Serious complications

30

List examples of high alert medicines

Insulin
Heparin
Opioids
Potassium
Neuromuscular blocking agents
Chemotherapy

31

Define Medication reconciliation.

Process of comparing a patients current medication orders with all the medications that they are actually taking

32

What is the five step process of medical reconciliation

1) develop a list of current medications
2) develop a list of prescribed meds
3) compare the two lists
4) make a clinical decision based on comparison
5) communicate the new list to caregivers and patient

33

How many times should a drug label be read?

3 times

34

Drugs that require an empty stomach must be taken

An hour before or two hours before a meal

35

Adverse symptoms should be observed and recorded

Promptly

36

True or False
It is acceptable to record a medication before it is given

False. DO NOT record a medication until after it has been given

37

True or false
do NOT record in the nurses notes that an incident report has been completed when a medication error has occurred

True

38

What are some tests used to identify hepatic function?

AST,LDH, and GGT