Medication Errors
Nursing Process
Pharmacology
Legal & ethical considerations
Random
100
How can a nurse prevent a medication error when taking a prescription order over the phone?
What is Repeating the order verbally
100
Prior to administering a medication, what is the most important initial step when obtaining a pharmacological history from a patient?
What is Allergies
100
This term describes the delivery of a drug from the bloodstream to the cellular fluids and tissues?
What is Distribution
100
What government act protects health care consumers from fraudulent drug preparations?
What is Food and Drug Act
100
A physician has written an order for a steroid cream to be applied to a pediatric patient. The most significant nursing implication in the administration of topical agents for pediatric patients is that: a. topical agents are contraindicated for pediatric patients. b. topical agents are absorbed slowly and erratically. c. there is an increased risk of toxicity with the use of topical agents. d. there is a decreased risk of toxicity, because topical agents are among the safest medications for children.
What is c. there is an increased risk of toxicity with the use of topical agents.
200
A 6 month old baby has been prescribed Gas-X 35mg chew-tabs for frequent belching. What type of problem does this present? A. Right dose B. Right medication C. Right route D. Right reason
What is C right route
200
What step of the nursing process is necessary prior to medication administration?
What is Assessment
200
What is the definition of drug half-life.
What is The amount of time for 50% of the drug to be eliminated by the body
200
During clinical trials a pharmaceutical company will aim to minimize investigator bias by using a technique known as what?
What is Blinding
200
To prevent osteoporosis, menopausal women are encouraged to take which mineral supplements?
What is Calcium and/or Vitamin D
300
You administer a sleep aid to your patient but instead the patient remains awake all night. This response to a medication is known as?
What is Idiosyncratic response
300
The nurse has been monitoring a patient’s progress on an experimental new drug and documenting signs of possible adverse effects. This is an example of which phase of the nursing process?
What is Evaluation
300
If rapid onset of action is critical, which route will the nurse choose?
What is Intravenous
300
Which phase of clinical investigational drug studies involves a large sample of diseased volunteers helps to identify rare/infrequent adverse reactions?
What is Phase 3
300
Which substance is useful in the treatment of hyperlipidemia? A) Vitamin K B) Magnesium C) Vitamin B3 D) Phosphorus
What is C) Vitamin B3
400
Which of the following is a true statement regarding medication errors in the Canadian health care system? A. Nurses have limited ability in the prevention of medication errors B. Disciplinary action is necessary to prevent medication errors C. Medication errors result from system flaws rather than individual shortcomings D. The majority of medication errors are committed by incompetent health professionals
What is C. Medication errors result from system flaws rather than individual shortcomings
400
Which of the following observations indicates a subjective assessment by the nurse? A. Review of diagnostic test results B. patient report of nausea C. Blood pressure reading D. Foul-smelling urine
What is B. patient report of nausea
400
The term that provides the physiologic explanation as to why you must give 6 mg of nitroglycerin orally to achieve the same effect as 0.1 mg sublingually?
What is First pass effect
400
Prompt initiation of drug x is vital for preventing serious medical sequelae. Patient Y has a past history of anxiety and asks you if the medication has any side-effects. You response id ‘no’. Which ethical principle is being violated? A. beneficence B. autonomy C. veracity D. justice
What is C. veracity
400
Which of the following statements is true of highly protein-bound drugs? A. They increase the risk of drug-drug interactions B. They provide a short duration of action C. They are more likely to produce an allergic reaction D. They should not be given to patients receiving blood transfusions
What is A. They increase the risk of drug-drug interactions
500
A medication order reads “give pantoprazole 40 mg, 30 minutes prior to endoscopy to prevent acid reflux.” The nurse notes that the route is missing from the order. What is the most appropriate action? a. Giving the medication IV because the patient will be sedated prior to their procedure b. Giving the medication orally because the tablets are available in 40 mg doses c. Contacting the prescriber to clarify the route of the medication ordered d. Holding the medication until the prescriber returns to clarify the order
What is c. Contacting the prescriber to clarify the route of the medication ordered
500
Which is the best discharge teaching method for an older adult patient with short-term memory problems? A. ask that a friend or family member be present for the teaching session B. Provide written instructions for home use C. Instruct the patient to pay attention D. Encourage the patient to seek assisted living arrangements
What is B. Provide written instructions for home use
500
When a disease process triggers the increased metabolism of a drug, the disease is said to have altered the drugs ______________.
What is pharmacokinetics
500
Which of the following roles is the nurse responsible for in the development of new and investigational drugs? A. Selecting patients to participate in Phase I studies B. Identifying patients who are receiving placebo drugs during Phase III studies C. Monitoring for and reporting any adverse effects noted during Phase IV studies D. Informing patients of the specific drug they are receiving during the double-blind, placebo-controlled phase of the study
What is C. Monitoring for and reporting any adverse effects noted during Phase IV studies
500
What is the term that explains the ratio between a drug’s therapeutic effect and toxic effect?
What is Therapeutic ratio
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