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The nurse is on a committee to reduce medication errors in a large health care facility. What is a
recommendation the nurse proposes that will most likely help to reduce medication errors?
1. Train medication technicians to administer medications.
2. Use robots to prepare all medications for administration by the nurse.
3. Use automated, computerized cabinets on all nursing units.
4. Designate nurses whose only function is to administer medication.
Correct Answer: 3
To help reduce medication errors, many health care agencies are using automated,
computerized, locked cabinets for medication storage on patient-care units. Health care
agencies are not planning to designate nurses who just do medication administration. Health
care agencies are not planning to have medication technicians administer medications. Health
care agencies are not planning to have robots prepare all medications for administration by
the nurse.
Which of the following is an example of a medication error?
1. The wrong dose of a medication is drawn up, but is caught and corrected prior to
administration.
2. A medication is administered to a patient with no allergies, yet an anaphylactic response
occurs.
3. A medication is administered in liquid form instead of tablet form due to the patients
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,difficulty swallowing.
4. A patient experiences unexpected hypotension as a result of medication administration.
Correct Answer: 1
A medication error can occur even when it does not reach the patient. Unexpected reactions
to medications are not preventable, and would be considered adverse effects, not medication
errors. Altering the form from a tablet to a liquid does not constitute a medication error.
Which of the following statements correctly identifies factors that contribute to medication
errors?
1. A nurse who observes the five rights will prevent all medication errors from occurring.
2. Nurses are always liable when a medication error occurs.
3. Handwritten orders are more frequently associated with medication errors than are typed
orders.
4. An incorrect dose (based on weight) is ordered, dispensed, and administered to a patient.
The administering nurse and ordering clinician would be the only parties held accountable.
Correct Answer: 3
Handwritten orders can be illegible, leading to higher medication error rates. Although the
nurse is a major player in medication safety, there are instances when medication errors occur
that do not involve the nurse, such as when patients take medications at home. Observing the
five rights is essential to avoiding medication errors, but will not prevent all medication errors
from occurring. The clinician ordering the medication, the nurse administering the
medication, and the pharmacist dispensing the medication would be held accountable
Which of the following best represents adherence to a standard of care?
1. Administering a medication within the time frame specified by hospital policy
2. Administering a medication intramuscularly when a patient refuses to take it orally
3. Using abbreviations while charting to save time
4. Discontinuing a medication at the request of a patient
Correct Answer: 1
Administering medications as specified by agency policy is meeting the standard of care.
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,Discontinuing medications is outside the scope of nursing. Changing the route of medication
administration requires an order, and would not be appropriate, since the patient is refusing
it. Using abbreviations might save time, but is not generally considered meeting a standard of
care.
Which of the following demonstrates ethical reporting of a medication error?
1. The nurse does not report the error, because the error was caught and corrected prior to
drug administration.
2. The nurse does not report or document the error, since the error did not result in any harm to
the patient.
3. The nurse reports the error to the physician and the charge nurse but does not document the
error due to possible legal action.
4. The nurse informs the patient, documents the error as per hospital policy, and notifies the
physician.
Correct Answer: 4
Rationale 1: The nurse should report and document all medication errors whether the patient
was harmed or not. It is essential to report and document medication errors to identify
possible system failures, even when the error is caught prior to administration or has
potential for legal action.
Patients who are discharged from the hospital on new medications should
1. be advised that their local pharmacy will provide them with the drug information and
instructions they need.
2. be provided with oral and written drug information and instructions.
3. be provided oral drug information and instructions as opposed to written.
4. be provided with written drug information and instructions only.
Correct Answer: 2
Patients should be provided with oral and written drug information and instructions prior to
discharge. Patients may receive these oral and written materials from their pharmacy, but
should be supplied initially by the hospital.
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, The nurse makes a medication error, but the patient is not harmed. The patients family asks the
nurse manager what is considered a medication error. Which of the following are potential
responses by the nurse manager? Select all that apply.
1. Failure to follow health care providers orders
2. Failure to give the right medication
3. Failure to give a medication at the ordered time
4. Failure to call the pharmacy and report that the medication has been given
5. Failure to give the right dose of the medication
Correct Answer: 1,2,3,5
- In this medication error, the patient does not receive the drug as the health care provider
intended it to be given.
- In this medication error, the patient does not receive the drug the health care provider
intended to be given.
- In this medication error, the patient does not receive the drug at the time the health care
provider intended it to be given.
- The delivery of the medication is recorded on the medical administration record (MAR); the
nurse does not report to the pharmacy each time a medication has been given.
- In this medication error, the patient does not receive the dose of the drug the health care
provider intended to be given.
A nurse on the medical-surgical unit is caring for several very ill patients. One patient says, I was
supposed to get my medications an hour ago. The nurse recognizes that medication errors can
have what repercussions? Select all that apply.
1. Medication errors can potentially extend the patients length of hospital stay.
2. Medication errors can result in expensive legal costs to the facility.
3. Medication errors can damage the facilitys reputation.
4. Medication errors can be physically devastating to nurse and patient.
5. Medication errors cause preventable deaths during hospitalizations.
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