ATI RN Pharmacology 2023 CMS Study
Worksheet
Pharmacology II (Arizona College of Nursing)
Management of Care
Client Rights
1. What are the legal responsibilities of the nurse when a client refuses a vaccine?
a. Documentation of conversation and education provided to. Client or parents if client is
a minor. Some institutions have declination forms that the nurse will present to the
client to sign.
2. What is alternative therapy for BPH besides prescription medication?
a. Saw palmetto, can decrease prostate manifestations of hyperplasia.
Information Technology
1. What are actions to take when receiving and transcribing a verbal prescription?
a. Repeat back
Safety and Infection Control
Reporting of Incident/Event/Irregular Occurrence/Variance
1. List situations requiring incident reports regarding medication errors.
a. Wrong medication or IV fluid, incorrect dose or IV rate, wrong client, route, or time,
Administration of an allergy-inducing medication, omission of a dose or administration
of extra doses, incorrect discontinuation of a medication or IV fluid, inaccurate
prescribing, inadvertently giving a medication that has a similar name, medication
errors relate to systems, procedures, product design, or practice patterns. Report all
error to help the facility’s risk manager determine how errors occur and what changes
to make to avoid similar errors in the future.
2. How would you clarify a prescription for statins?
a. They should be administered via oral route, given in the evening with the evening
meal, and baseline labs should: cholesterol, HDL, LDL, triglycerides, liver, kidney. These
should be monitored periodically during treatment. If liver or kidney labs are elevated
it would be important to clarify this with the provider if statin is prescribed. Also, if the
client had liver or kidney conditions/disease.
3. What are your priorities for a missed medication administration?
a. Evaluate client response to the medication, document, and report appropriately.
Recognize side effects or adverse effects, document, and report appropriately notify
the provider of an error. Complete an incident report within the facility’s time framem
usually within 24hours of the incidents.
4. What are nursing actions after a medication error?
a. Assess the patient. Notify the provider and implement corrective/therapeutic
, measures to counteract adverse effects immediately.
5. What labs would you review regularly for a client receiving heparin?
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