EXAM TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Chemical name - ANSWER: - name of medication that reflects its chemical
composition and molecular structure
- EX: (isobutylphenylpropanoic acid)
Generic name - ANSWER: -The official or nonproprietary name the US Adopted
Names Council gives a medication.
- Each medication has only 1 generic name
- lowercase always
- Ex: (ibuprofen)
Trade/brand name - ANSWER: - the brand or proprietary name the company that
manufactures the medication gives it
- one medication can have multiple trade names
- EX: (Advil, Motrin)
Uncontrolled Substances - ANSWER: - require monitoring by a provider, but don't
generally pose risks of misuse and addiction.
- antibiotics are an example of uncontrolled prescription meds
Controlled Substances - ANSWER: - have potential for misuse and have a "schedule"
classification
- heroin is a schedule 1 & has no medical use in the US.
- Medications in schedules II through V have legitimate applications
- Each subsequent level has a decreasing risk of misuse and dependence
Types of medication Prescriptions - ANSWER: - routine or standing
- single or one-time
- stat
- PRN
- components of a medication prescription - ANSWER: -The client's full name
-The date and time of the prescription
-The name of the medication (generic or brand)
-The dosage of the medication
-The route of administration
-The time & frequency of medication administration
-exact times or # of times per day (dictated by facility policy or the specific qualities
of the medication)
-The signature of the prescribing provider
, medication reconciliation - ANSWER: -Joint Commission requires policies &
procedures for medication reconciliation.
- Nurse should compile a list of current medication ensuring that all medications are
included, with correct dosages & frequency.
- This list should be compared with new medication prescripts & reconciled to
resolve any discrepancies.
- This list becomes current list form which medications should be administered.
- This process should take place on admission*, when transferring between units or
facilities & at discharge
Rights of safe medication administration - ANSWER: - Right client/patient
- Right medication/drug
- Right dose
- Right time
- Right route
- Right documentation
- Right client education
- Right to refuse
- Right assessment
- Right evaluation
Common medication errors - ANSWER: - Wrong medication or IV fluid
- Incorrect dose or IV rate
- Wrong client, route or time
- Administration of known allergic medication
- Omission of dose
- Incorrect discontinuation of medication
- inaccurate prescribing
- inadvertently giving a medication that has a similar name
Using the Nursing process to prevent med errors: Assessment - ANSWER: - use
appropriate resources and be knowledgable about med
- obtain info about medical diagnosis and conditions that affect med admin
- obtain necessary preadmin data (HR, BP, blood levels)
- omit or delay as necessary for client's status
- determine if prescription is complete
- interpret the prescription accurately (abbreviations?)
- question HCP if prescription is unclear or contraindicated
- question HCP about abrupt or excessive med changes
Using the Nursing process to prevent med errors: Planning - ANSWER: - ID client
outcomes for med admin
- set priorities (which med first?)
Using the Nursing process to prevent med errors: Implementation - ANSWER: - avoid
distraction during med prep
- prepare meds for 1 client @ a time