NUR 100 PHARMACOLOGY EXAM 1 FORTIS COLLEGE LATEST 2024/2025 EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ NUR 100 LATEST EXAM 1 (NEW!!)
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Course
NUR 100 PHARMACOLOGY EXM 1
Institution
NUR 100 PHARMACOLOGY EXM 1
NUR 100 PHARMACOLOGY EXAM 1 FORTIS COLLEGE LATEST 2024/2025 EXAM QUESTIONS AND CORRECT ANSWERS GRADED A+/ NUR 100 LATEST EXAM 1 (NEW!!)
Causes for errors
Failure to identify client and miscommunication
Lack of information about patient; allergies, meds
Lack of information about the drug
Commun...
NUR 100 PHARMACOLOGY EXAM 1 FORTIS
COLLEGE LATEST 2024/2025 EXAM
QUESTIONS AND CORRECT ANSWERS
GRADED A+/ NUR 100 LATEST EXAM 1
(NEW!!)
Causes for errors
Failure to identify client and miscommunication
Lack of information about patient; allergies, meds
Lack of information about the drug
Communication and teamwork failures
Unclear, absent, or look-alike and sound-alike meds
Unsafe standardization, storage, distribution, and devices
Calculation errors and failure to adhere to "rights"
check the medication 3 times
before pulling
during pulling
after you pull it at the patients bedside
Errors can occur during any step of medication process:
Procuring
Prescribing
Transcribing
Dispensing
Administering
Monitoring
QD or qd
every day, daily
Types of Medication Errors
No error, although circumstances or events occurred that could have
led to an error
Medication error that causes no harm
Medication error that causes harm
Medication error that results in death
BID
twice daily
Preventing Medication Errors
Multiple systems of checks and balances
Legible and correct orders
Appropriate consultation
,Check medication order three times
"Six Rights" of medication administration
Minimize verbal or telephone orders
Repeat order to prescriber
Spell drug name aloud
Speak slowly and clearly
List indication next to each order
Avoid medical shorthand, including abbreviations and acronyms
PRN, prn
as needed
NEVER use a "trailing zero" with medication orders
Do not use 1.0 mg; use 1 mg
1.0 mg could be misread as 10 mg, resulting in a tenfold dose
increase
PO
by mouth
ALWAYS use a "leading zero" for decimal dosages
Do not use .25 mg; use 0.25 mg
.25 mg may be misread as 25 mg
NPO
nothing by mouth
Take time to learn special administration techniques of certain
dosage forms
Always verify new medication administration records
Always listen to and honor any concerns expressed by patients
regarding medications
Check patient allergies and identification
Preventing Medication Errors
Pharmacokinetics
what the body does to the drug
Reporting Medication Errors
Report to prescriber and nursing management
Document error per policy and procedureFactual documentation only
Medication administered
Actual doseObserved changes in patient condition
Prescriber notified/follow-up orders
Pharmacodynamics
what the drug does to the body
Six "Rights" of Medication Administration
Right Medication
Right Dose
Right Client
Right Route
, Right Time
Right Documentation
Pharmacotherapeutics
the use of drugs in the treatment of disease
Right Medication
Compare medication administration record (MAR) with order
The Nursing Process
•Assess
•Diagnose
•Plan
•Implement
•Evaluate
Right Dose
Check calculations and labels
Generic name
not capitalized, same in all countries, drug given by manufacturer
Right Client
Two unique identifiers
NOT room number
Chemical name
names the chemicals that make up the drug-often the hardest to
remember
Right Route
Check orders and drug guides
Special considerations with feeding tubes
Official name
given by FDA, first letter is usually capitalized
Right Time
Time of day and frequency
Clinical Consideration
ALWAYS stay with the patient until they have taken their medication.
Right Documentation
Accuracy: lack of documentation leads to double-dosing
Avoid "Do Not Use" abbreviations
Outcomes of medications
Antagonist
Receptor attachment prevents chemical response...receptor site not
activated.
Other "Rights"
Right to Refuse
Kendra's Law
Emergency court orders
Partial Agonist-
Receptor attachment causes a partial reaction.
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