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Many medication errors can be linked to an inconsistency in adhering to the rights of medication administration. Which are the medication administration rights? Select all that apply. Right medication Right dose Right documentation Right Client Right Route Right Indication Right Time A nurse is caring for a client who is refusing to take prescribed medications. Which action should the nurse take first? Explore with the client the reason for medication refusal. During which step of the nursing process does the nurse administer prescribed medications to a client? Implementation Identify the category to which each of the statements belongs. Client in need of medication therapy: Where Achieve positive client outcomes: Why
Educated, titled, and licensed registered nurses: Who Use three checks and follow the rights of medication administration: What Anytime and anywhere; when and where nursing knowledge and skill in medication therapy is needed: When As the nurse prepares to administer a controlled substance, they become aware of missing narcotics in the medication dispensing cabinet. Which ethical principle obligates the nurse to report the missing tablets? Responsibility Based on this case study, select all the problems indicated and related to medication administration (1 of 3)
- Patricia is in a hurry
- falls on the floor
- tosses it into the trash can
- hands it to the charge nurse Based on this case study, select all the problems indicated and related to medication administration (2 of 3)
- places it in her pocket
- forgets to return the tablet
- leaves the building with the tablet still in her pocket
Accountability A nurse is at the bedside to administer prescribed medications to a client. Which must the nurse verify before administration? Select all that apply. Right indication Right client Right medication A nurse is reviewing several prescriptions. Which is incomplete and requires clarification by the healthcare provider? Atorvastatin 10 mg twice daily The nurse is caring for a client who refuses to take a prescribed medication. After exploring the reasons for the refusal and providing education, the client continues to refuse the medication. Which is the priority action by the nurse? Notify the healthcare provider and document the refusal. A nurse has prepared a syringe filled with a narcotic medication to administer to a client. Upon entering the room, the client refuses the medication. Which action taken by the nurse is most appropriate? Dispose of the medication in a special container while witnessed by another nurse.
Which is the most commonly used measuring system for the sciences around the world? metric system What measurement is most commonly used to measure volume in a syringe? mL (milliliters) How many liters is in 1 milliliter of medicine? 0.001 liters Match the unit with the correct measurement. Height: feet and inches Weight: pounds Pressure: mmHG Temperature: Fahrenheit Volume: mL Time: seconds Energy: Cal Current: mA
Which unit of measurement is most commonly found on the side of an intravenous (IV) bag? mL How many grams is 1 kilogram of a substance? 1,000 grams Which is the most common unit of pressure in a blood pressure gauge? mmHg A person needs 150 mL of a substance in their intravenous (IV) bag. How many liters is that? 0.15 L A colleague asks for 1 liter of fluid for a client. How many milliliters is that? 1000 mL A person was asked to carry 50 kg at work, and they have hurt their back. The job description says they should expect to lift 50 lbs to complete their job. How much did they lift in pounds?
110 lbs What does the object in the image measure? Nothing; it only amplifies sound. Three systems used for measuring medications and solutions are: Metric, apothecary, and household The client weighs 185 lb. What is the client's weight in kg? Using the dimensional analysis (DA) grid, round to the nearest tenth. 84.1 kg Your client weighs 98 lb. What is your client's weight in kg? Round to the nearest tenth. 44.5 kg What method is commonly used to individualize medication for adults and children? body weight
Let's review leading and trailing zeros. Identify which ones are safe versus unsafe. Safe: 0.5 mL, 0.9986 mcg, 1L, 0.56 mg Unsafe: 1.0 L, 0.90 mcg, 0.50 mL, .560 mg The nurse is caring for a client at home who must take magnesium hydroxide/aluminum hydroxide (Maalox) 30 mL PO for indigestion. Using ordinary household measuring devices, what amount will you instruct the client to take? Enter only a number, rounding to the nearest whole number. 2 TBSP A client consumed only 9 oz of fluids during a shift. How many mL does that convert to? Fill in the blank. Record your answer to the nearest whole number. 270 mL The client has had 10 L of fluid over the past weeks in the hospital. How many mL does that equal? Fill in the blank. For values 1,000 or greater, include a comma in the appropriate location. 10000 mL The client received 9 mcg of medication. How many mg does that equal? Fill in the blank. 0.009 mcg
Match the following unit of measure with the correct system. (Answer is wrong on edapt..... ticket has been submitted by Mondragon) Metric: Kg, mL Apothecary: oz Household: tsp, TBSP Your client has received 1 mg of medication. How many grams does that equal? Fill in the blank. 0.001 g Match the following common metric conversions: 1 tsp = 5 mL 1 TBSP = 15 mL 1 oz = 30 mL The nurse must run an intravenous (IV) antibiotic that is 50 mL on the pump over 20 minutes. What is the infusion time in hours? Fill in the blank. Record your answer to the nearest tenth. 0.3 hr
After reviewing the drug guide for safe dose ranges, levothyroxine 250 mcg is a high client dose. Levothyroxine doses greater than 200 mcg/day are seldom required. What are the nurse's priority actions? Select all that apply.
- Question the dose, "Is this really a safe dose to give?" 2)Hold the medication and contact the prescriber. Is this within the safe dose range? No, it is more than the safe dose range. The medication is supplied in 0.2 mg tablets. How many tablets will the nurse administer? 1.5 tablets How many milliliters will the nurse administer? 2 mL How many scored tablets will the nurse administer? Round to the nearest tenth. 1.5 tablets
How many milliliters will the nurse administer? 6 mL How many tablets would the nurse administer with each dose? Round to the nearest tenth. 1.5 tablets Calculate the flow rate in milliliters per hour. Round to the nearest tenth. 83.3 mL/hr Calculate the flow rate in milliliters per hour. Round to the nearest tenth. 37.5 mL/hr Calculate the flow rate in milliliters per hour. 45 mL/hr A nurse is performing the three accuracy checks before administering a rectal suppository medication to a client. When will the nurse perform the second accuracy check?
The nurse is preparing for 0900 medication administration. The first medication is furosemide. The nurse uses the medication dispensing system to retrieve furosemide. The nurse is to perform the first medication label check. Identify the key details in the medication administration record (MAR) and medication label. On the Medication Orders tab, select the information the nurse must confirm when reviewing the specific medication orders for furosemide. Furosemide 80.0 mg IV bid 0900 Second accuracy check before client's name name of medication MAR Prior to medication administration, when should medication labels be checked for accuracy? Select all that apply. 1)Prior to administering the medication at the bedside 2)When preparing the medication prior to entering the client's room 3)When retrieving medication from the medication distribution system
A nurse is performing the three accuracy checks before administering an intravenous (IV) medication to a client. When will the nurse perform the third accuracy check? At the client's bedside On the medication administration record (MAR), the healthcare provider has written Lisinopril 100 mg PO daily. The nurse recognizes that 100 mg is not the right dose based on the drug reference guide. The nurse believes that the healthcare provider meant to write 10 mg. What action should the nurse take? Call the healthcare provider to clarify the order. A registered nurse does not review the medication label with the medication administration record (MAR) based upon the three checks. The nurse administers 8 mg of the medication to a client and then discovers that the dose should have been 5 mg as per the MAR. Who is ultimately responsible for the error? nurse There is a discrepancy with the medication label and the medication administration record (MAR) based upon the three checks. The client's name on the MAR states John Rhodes and the medication label reads John Roads. What is the priority action of the nurse? Hold the medication and seek further clarification.
Drug therapy is complex, and priority interventions include understanding the "rights" of medication administration. Over the course of this module, you will explore seven rights of medication administration. Which seven rights can you identify in your assigned chapter readings? right patient right time right route right dose right med right documentation right indication The nurse is administering medications. After medication administration, the nurse realizes that patient verification (i.e., right patient) did not occur before administering the medication and the wrong medication was given. Which action should the nurse complete first? Return to the room to assess the patient immediately. The nurse is caring for two patients with the same last name. In this situation, which right of medication administration is the priority to reduce the chance of a medication error? right patient
Using the "right medication," what is the student nurse's first priority? Review the provider's medication order in the medical record and compare it to the Medication Administration Record (MAR). Miss Wallace, the student nurse, is comparing the MAR to the healthcare provider's medication orders to verify if they have been accurately transcribed. After reviewing the "eMAR" tab and the "Medication Order" tab in the EHR above, are there any discrepancies? The medication orders and the MAR do not match. What is the missing piece of information? Furosemide is missing the route. The student nurse is verifying the "right patient" using patient identifiers. What actions taken by the student nurse are to identify Mr. Jones as the right patient? Select all that apply. 1)Verify allergies with Mr. Jones. 2)Ask the patient to state their name, age, and date of birth 3)Check the patient identification (ID) band to confirm the stated name and ID number with the MAR.
