NSE211 Week 5 Exam Questions And
Accurate Answers
Standing or routine - Answer administered until the dosage is changed or another
medication is prescribed
Single one time - Answer given one time only for a specific reason. Ex 1 time suppository
Now - Answer when a medication is needed right away, but not STAT. Ex. antibiotic
before surgery
PRN - Answer given when the client requires it Ex. Pain killers
STAT - Answer given immediately in an emergency
Prescriptions - Answer medication to be taken outside of hospital
nurse's role and responsibility regarding medication administration - Answer - Ensure
that you know how to calculate medication doses accurately
strictly adhere to agency policy and procedure
report any medication errors that occur
- Be aware of the different roles that members of the healthcare team play in prescribing
and administering medications
- You must determine the medication that is ordered and ensure it is the correct
medication
- Do not assume all medications in the patient's drawer or pill boz are to be given to the
patient
- Collect and interpret physical assessment data to determine whether a patient should
receive a medication at a given time, administer medications correctly and monitor the
effects of prescribed medications
- Educate the patient and family about proper medication administration and monitoring
- Nursing assessment: ask patients about hx of taking medication, any allergies, check
lab results, check VS etc. perform head to toe assessment, check pts. LOC, swallowing
- Accountability: you know what the drug is, how to take care of it
- Ethics: knowing what is wrong
Medication standards - Answer - Authority: RNs and RPNs require an order when
controlled act is involved
, - Administering prescription med
- Competence: nurses ensure that they have knowledge, skill and judgement to perform
medication practices safely
- Safety: is the order clear, complete and appropriate?
- Knowing what medications are prescribed
- Knowing therapeutic and non-therapeutic effects
- Medications' associated nursing implications
Medication Diversion - Answer - Where a medication prescribed for a person ends up in
the hands of another
- People may sell or give drugs prescribed to them, to others
- HCPs may steal prescription medicines or controlled substances, such as opioids for
their own use, thus putting patients at risk, this can result in several types of patient
harm, including: substandard care delivered by an impaired healthcare provider
Medication diversion poses a high risk of harm for several reasons - Answer - Patients
who do not receive their prescribed medications can experience unnecessary pain and
anxiety
- Patients who receive tampered substances or other drugs instead of their prescribed
medications are at increased risk of an adverse reaction
- It can also make it difficult for the healthcare team to determine the cause of these
unusual response and safely manage the patient's condition
- Patients being cared for by a nurse who is imaried are at risk foreceving substandard
care. An impaired nurse may be distracted and focused on their own needs, rather than
the needs of the patient
Oral, Buccal and Sublingual Routes - Answer Advantages
- Convenient and comfortable for patient
- Economical
- Easy to administer
- Medications may produce local or systemic effects
- Rarely cause anxiety for patient
- Works fast
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