NURS 1140 EXAM 2 STUDY GUIDE QUESTIONS WITH
COMPLETE SOLUTIONS
1) Drug Distribution Systems -- Answer ✔✔ Floor or ward stock system- used
primarily in small hospitals Individual prescription order system Unit-dose drug
distribution systems
Computer-controlled dispensing system- safest and most economical method of
drug distribution used today Long-term care unit-dose system
2) Unit-Dose Distribution System -- Answer ✔✔ Single-unit package of drugs
dispensed into labeled drawers assigned to patients
Advantages
- Less prep time by nurses
- Pharmacy review
- Less wastage
Disadvantage: Pharmacy, not nurse, prepares some medications
3) Computer-Controlled Dispensing System -- Answer ✔✔ Stocked by pharmacy
with single-unit packages of medications
Nurse uses security code and password or fingerprint to access system. Selects
patient's name, profile, and drugs due for administration, cart opens with
medications
, Scanner used on nurse's ID, patient's ID, and bar code on individual medications,
with automatic documentation Safe and economical
4) Long-Term Care Unit-Dose System -- Answer ✔✔ Each resident's medication
container is filled for 1 week
Medication aides or nurses administer the medications, after checking all aspects
of the medication order (medication aides work under specific limitations, under
the nurse's supervision)
Residents may not wear an ID band, but an updated picture is used
5) Narcotic Control Systems -- Answer ✔✔ Controlled substances must be kept in
a locked cabinet
Records are kept to document the dispensing of each type of medication issued
Two nurses are needed when accounting for any discarded narcotics
Discrepancies are carefully checked; if the inaccuracy is not resolved by checking
the patient's chart, the pharmacy and nursing service are notified
6) Medication orders -- Answer ✔✔ Stat order: Emergency use
- Single order: One-time use
- Standing order: Given for specific number of doses
- PRN order: Administer as needed
- Verbal orders: Avoid whenever possible
- Physician must cosign and date the order within 24 hours
- Electronic transmission of patient orders
7) Medication Errors -- Answer ✔✔ - Prescribing errors
- Transcription errors
- Dispensing errors
- Administration errors
- Monitoring errors
- Adverse drug events (ADEs): Costly errors
Using CPOE, bar coding, smart pumps, and other technologies helps to prevent
errors
Medication reconciliation: Five-step process
COMPLETE SOLUTIONS
1) Drug Distribution Systems -- Answer ✔✔ Floor or ward stock system- used
primarily in small hospitals Individual prescription order system Unit-dose drug
distribution systems
Computer-controlled dispensing system- safest and most economical method of
drug distribution used today Long-term care unit-dose system
2) Unit-Dose Distribution System -- Answer ✔✔ Single-unit package of drugs
dispensed into labeled drawers assigned to patients
Advantages
- Less prep time by nurses
- Pharmacy review
- Less wastage
Disadvantage: Pharmacy, not nurse, prepares some medications
3) Computer-Controlled Dispensing System -- Answer ✔✔ Stocked by pharmacy
with single-unit packages of medications
Nurse uses security code and password or fingerprint to access system. Selects
patient's name, profile, and drugs due for administration, cart opens with
medications
, Scanner used on nurse's ID, patient's ID, and bar code on individual medications,
with automatic documentation Safe and economical
4) Long-Term Care Unit-Dose System -- Answer ✔✔ Each resident's medication
container is filled for 1 week
Medication aides or nurses administer the medications, after checking all aspects
of the medication order (medication aides work under specific limitations, under
the nurse's supervision)
Residents may not wear an ID band, but an updated picture is used
5) Narcotic Control Systems -- Answer ✔✔ Controlled substances must be kept in
a locked cabinet
Records are kept to document the dispensing of each type of medication issued
Two nurses are needed when accounting for any discarded narcotics
Discrepancies are carefully checked; if the inaccuracy is not resolved by checking
the patient's chart, the pharmacy and nursing service are notified
6) Medication orders -- Answer ✔✔ Stat order: Emergency use
- Single order: One-time use
- Standing order: Given for specific number of doses
- PRN order: Administer as needed
- Verbal orders: Avoid whenever possible
- Physician must cosign and date the order within 24 hours
- Electronic transmission of patient orders
7) Medication Errors -- Answer ✔✔ - Prescribing errors
- Transcription errors
- Dispensing errors
- Administration errors
- Monitoring errors
- Adverse drug events (ADEs): Costly errors
Using CPOE, bar coding, smart pumps, and other technologies helps to prevent
errors
Medication reconciliation: Five-step process
