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Showing 15 questions, Sign in for moreA nurse is preparing a client’s medications. Which of the following are legal responsibilities of the nurse? Select all that apply.
A nurse is reviewing a client’s health record and notes a new prescription by the provider for lisinopril (Zestril) 10 mg PO every day. The nurse should recognize this as which of the following types of prescription?
A nurse is reviewing a new prescription for ondansetron (Zofran) 4 mg PO PRN for nausea and vomiting to a client who has hyperemesis gravidarum. The nurse should clarify which of the following parts of the prescription with the provider?
A nurse is orienting a newly hired nurse and discussing how to take a telephone prescription. Which of the following statements by the newly hired nurse indicates understanding of the discussion?
A nurse on a medical unit is admitting a client and completing a preassessment before administration of medications. Which of the following data should the nurse include in the preassessment? Select all that apply.
What are the legal responsibilities of the nurse for correctly preparing and administering medications to clients? Select all that apply.
The nurse preparing the narcotic hydromorphone (Dilaudid) injection needs to get assistance from another licensed healthcare provider when what occurs?
List in order what steps the nurse takes when preparing and administering a client’s morning medications.
Explanation
2. Check the order to verify the medication is correct.
3. Obtain the medications for administration from the medication room.
5. Triple-check that the correct medication was prepared.
4. Identify the client using two client identifiers before administration.
1. Document the administration of the medications.
Administering medications safely requires the nurse to follow a systematic process to prevent errors and ensure client safety. The nurse begins by checking the medication order, then obtains the medications from the medication room. Before giving the medication, the nurse triple-checks that the correct medication was prepared and identifies the client using two identifiers to confirm the right person receives the medication. Finally, the nurse documents the administration of the medications, completing the process with accurate record-keeping for legal and clinical purposes.
Rationale for correct answer:
2. Check the order to verify the medication is correct: The nurse first reviews the medication order for accuracy, ensuring the correct medication, dose, route, and time are prescribed. This step is essential to prevent medication errors from an incorrect or outdated order.
3. Obtain the medications for administration from the medication room: After confirming the order, the nurse gathers the prescribed medications. This step involves retrieving the correct medication supply from the secure storage area, checking for expiration dates and integrity.
5. Triple-check that the correct medication was prepared: Before administration, the nurse verifies the medication label against the order at three critical points: when selecting the medication, when preparing it, and immediately before administration. This safety check ensures the right drug, dose, and route.
4. Identify the client using two client identifiers before administration: To ensure the medication is given to the correct individual, the nurse confirms the client’s identity using two identifiers, such as name and date of birth, following institutional policies and safety protocols.
1. Document the administration of the medications: After giving the medication, the nurse promptly documents the medication name, dose, route, and time of administration in the medical record. Documentation also includes any observations or client responses as required for continuity of care and legal accountability.
Take-home points:
- Verify the medication order first to confirm correctness before proceeding.
- Triple-check the medication preparation and identify the client with two identifiers before administration.
- Document medication administration immediately after giving the medication to maintain accurate records.
What process is used to eliminate medication errors in the healthcare environment as clients transition from one clinical setting to another?
The client is taking dutasteride (Avodart). Which client statement indicates the need for more education about the drug?
The nurse educator on the unit receives a list of high-alert drugs. Which strategy is recommended to decrease the risk of errors with these medications? Select all that apply.
A client refuses to take his prescribed medications. Which is the nurse’s best response to this client?
What information is essential for the nurse to know related to right documentation? Select all that apply.
The nurse prepares to administer medications. Which are complete drug orders? Select all that apply.
The nurse had just finished filling out the form that is used to report a medication error, and was recalling the ways to prevent errors. Match the type of medication error with the action used to prevent it.
Explanation
Medication errors can occur at various points in the medication use process, including prescribing, dispensing, administration, and monitoring. To reduce these errors, nurses must apply specific prevention strategies. Monitoring these errors are reduced by assessing the client thoroughly before and after medication administration to detect adverse effects or therapeutic responses. The following are some of the ways to prevent the errors:
Rationale for correct answers:
Prescribing errors: Taking the time to carefully review drug name and dose helps prevent errors such as selecting the wrong medication due to look-alike or sound-alike drug names. This step ensures that the provider's order is clear and appropriate for the client's condition and therapeutic needs.
Administration errors: Following routine procedures, such as the "rights" of medication administration (right client, drug, dose, route, and time), helps nurses prevent errors during medication delivery. These safety checks ensure that the correct medication reaches the intended client in the correct manner.
Dispensing errors: Being familiar with medications before administration allows nurses and pharmacists to recognize potential discrepancies in drug selection, dosage form, or packaging. This knowledge helps identify if a medication does not match the client’s prescription or clinical condition.
Monitoring errors: Assessing the client before giving medications ensures that the drug is appropriate based on the client’s current health status, allergies, and laboratory results. This step helps detect potential contraindications or the need for dosage adjustments prior to administration.
Take-home points:
- Careful review of drug names and doses prevents prescribing errors caused by look-alike or sound-alike medications.
- Following routine medication administration procedures reduces administration errors and promotes safe practice.
- Assessing the client before giving medications helps prevent monitoring errors by identifying contraindications or risks.
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