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Medication Administration And The Nursing Process Of Drug Therapy – Q&A
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Medication Administration And The Nursing Process OfDrug Therapy – Q&A
Which of the following is part of the concept known as the five + 1 rights of
drug administration? Select all that apply.
a) Right prescriber
b) Right drug
c) Right documentation
d) Right patient
e) Right route Correct Ans - Answer: B, C, D, E
After the formulation of nursing diagnoses what is the next step in the
nursing process? (Choose one)
a) Evaluation
b) Implementation
c) Planning
d) Assessment Correct Ans - Answer: Planning
A nurse is administering IV acyclovir to a client. The pharmacy sent the
correct dose in an IV bag with the instructions to give over one hour. The
nurse realizes that the dose was ordered for 1 PM and it is now 1:45 PM.
What should the nurse do?
a) So that the medication is administered completely by the normal
finishing time, start the infusion and set the pump so that the total amount
will be given by 2 PM.
b) Run the infusion as directed (over one hour) and note the time that it
was started in the chart. Fill out any medication discrepancy reports that
the institution requires when a medication is given late.
c) Run the infusion at the normal rate but stop the pump and infusion at 2
PM so that the client does not get too much of the medication too close to
the next dose.
d) Run the infusion as directed (over one hour) and document in the chart
the time that it should have been started instead of the actual time.
Correct Ans - Answer: Run the infusion as directed (over one hour) and
note the time that it was started in the chart. Fill out any medication
,discrepancy reports that the institution requires when a medication is
given late.
Which organization is responsible for the continuation of defining,
explaining, classifying, and researching summary statements about health
problems related to nursing?
a) The National Council of State Boards of Nursing
b) The North American Nursing Diagnosis Association-International
(NANDA-I)
c) The Joint Commission
d) The individual states' nursing board Correct Ans - Answer: The
North American Nursing Diagnosis Association-International (NANDA-I)
Rationale: NANDA-I was formed to standardize the terminology used for
nursing diagnoses and continues to define, explain, classify, and research
summary statements about health problems related to nursing. The Joint
Commission is responsible for accreditation. The state board of nursing
and National Council of State Boards of Nursing affect licensing."Dose
desired / dose on hand = dose administered" is the formula for calculating
the dose to be administered. Under which of the following circumstances is
this to be used?
"Dose desired / dose on hand = dose administered" is the formula for
calculating the dose to be administered. Under which of the following
circumstances is this to be used?
a) When the dosage is written in the apothecary system.
b) When the physician is not available to calculate the dosage.
c) When the label of the drug is in the metric system.
d) When the dose desired and dose on hand are in the same system.
Correct Ans - Answer: When the dose desired and dose on hand are in
the same system.
The nurse is preparing to administer a transdermal medication and the
client asks why the medication is being delivered in this manner. What is
the nurse's best response?
, a) "This method keeps a steady amount of medicine in your body at all
times."
b) "There are no side effects when medications are given this way."
c) "This type of medicine administration means the client can take it on and
off at will."
d) "This allows the health care provider to prescribe a high dose of
medicine." Correct Ans - Answer: "This method keeps a steady
amount of medicine in your body at all times."
Many patients who the nurse cares for in the hospital are also taking over-
the-counter (OTC) medications. Which core patient variable is needed to
assess the patient's OTC medication use?
a) Environment
b) Lifestyle
c) Life span
d) Health status Correct Ans - Answer: Health Status
Rationale: Health status not only is needed to assess the patient for acute
and chronic illness but also must comprise a comprehensive drug history
that includes OTC medications. This information is essential for
determining the appropriate plan of care for the patient.
A nurse in a nutrition clinic is to give 2 cups of organic prune juice to a
client every night. The nurse is to document this on the nursing chart. What
unit will the nurse use to document the amount of juice according to the
metric system of measurement?
a) Ounce
b) Gram
c) Unit
d) Milliliter Correct Ans - Answer: Milliliter
Rationale: The nurse should document the amount of prune juice in
milliliters or increments of milliliters. The measure of liquid volume in the
metric system is based on the milliliter. Gram is a measurement of weight.
An ounce is an apothecary term used formerly; it is equivalent to 30 mL.
The term unit does not belong to the metric system of measurement.
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