Test Bank For Abrams Clinical Drug Therapy Rationales
for Nursing Practice 12th Edition By Geralyn Frandsen;
Sandra S. Pennington
Five Rights of Medication - ANSWER:Right drug, right dose, right patient, right route,
right time.
Nursing Process - ANSWER:The systemic way of gathering and using info to plan
individualized care.
Is necessary to provide optimal care.
A physician writes an order using the abbreviation MS. The order states "MS 10 mg
IV push every 6 hours as needed for pain." According to The Joint Commission's "Do
Not Use" list, what is the potential problem in this order? - ANSWER:The drug could
be magnesium sulfate, or morphine sulfate.
A prescriber has written an order for an oral medication to a patient following a
cerebrovascular accident (stroke). Prior to administering the medication, which of
the following nursing interventions is most important?
-Assessing the patient's blood pressure and pulse.
-Assessing the patient's ability to swallow. - ANSWER:"Assessing the patient's ability
to swallow."
A client who has had a cerebrovascular accident can suffer from dysphagia, the
inability to swallow. Te nurse must assess the client's ability to swallow prior to
administering an oral medication. If the client has dysphagia and the medication is
administered, the client is at risk for aspiration and pneumonia.
When Giving Medications, What Is The Nurse Legally Responsible For? -
ANSWER:Safe and accurate administration. The nurse may be held liable for not
giving a drug, for giving the wrong drug, or for giving the wrong dose.
What Should A Nurse Do If A Drug Seems Unsafe, But The Physician States That It Is?
- ANSWER:The nurse should refuse to give the drug -- even if the doctor wrote an
erroneous order for the medication, the nurse is not excused from legal liability for
giving the drug.
Specific Drugs Associated With ADE's - ANSWER:Insulin, heparin, and warfarin.
ADE's - ANSWER:Adverse drug events.
NCCMERP Index for Categorizing Medication Errors - ANSWER:Index that ranks from
A to I in the severity of a medication error.
, Rank A are circumstances that may cause errors, Rank I are errors that have caused
patient death.
A prescriber has written an order for levothyroxine sodium 50 mg per day by mouth.
The nurse knows that the standard dose is 50 mcg. What action should the nurse
take?
-Call the prescriber and question the order.
-Administer 50 mcg instead.
-Consult the pharmacist about the order.
-Ask the patient what he or she usually takes. - ANSWER:"Call the prescriber and
question the order."
In the event a medication is ordered with a potentially wrong abbreviation, the nurse
should call the prescriber and question the dosage.
Also, it is essential to write out micrograms or milligrams to prevent error.
The nurse is administering the first dose of an anti-infective agent.
Which of the following assessments should the nurse make prior to administering
the anti-infective agent?
-Assess the patient's temperature.
-Assess the patient's level of consciousness.
-Assess whether the patient is allergic to any anti-infective agent.
-Assess whether the patient has taken the medication previously. - ANSWER:"Assess
whether the patient is allergic to any anti-infective agent."
-Prior to administering any medication, the nurse assesses the client's allergies.
-Clients who are allergic to penicillins are also likely to be allergic to cephalosporins.
Which of the following nursing actions will prevent adverse drug events?
-Use only the trade name when documenting medications.
-Crush long-acting medications if the patient has dysphagia.
for Nursing Practice 12th Edition By Geralyn Frandsen;
Sandra S. Pennington
Five Rights of Medication - ANSWER:Right drug, right dose, right patient, right route,
right time.
Nursing Process - ANSWER:The systemic way of gathering and using info to plan
individualized care.
Is necessary to provide optimal care.
A physician writes an order using the abbreviation MS. The order states "MS 10 mg
IV push every 6 hours as needed for pain." According to The Joint Commission's "Do
Not Use" list, what is the potential problem in this order? - ANSWER:The drug could
be magnesium sulfate, or morphine sulfate.
A prescriber has written an order for an oral medication to a patient following a
cerebrovascular accident (stroke). Prior to administering the medication, which of
the following nursing interventions is most important?
-Assessing the patient's blood pressure and pulse.
-Assessing the patient's ability to swallow. - ANSWER:"Assessing the patient's ability
to swallow."
A client who has had a cerebrovascular accident can suffer from dysphagia, the
inability to swallow. Te nurse must assess the client's ability to swallow prior to
administering an oral medication. If the client has dysphagia and the medication is
administered, the client is at risk for aspiration and pneumonia.
When Giving Medications, What Is The Nurse Legally Responsible For? -
ANSWER:Safe and accurate administration. The nurse may be held liable for not
giving a drug, for giving the wrong drug, or for giving the wrong dose.
What Should A Nurse Do If A Drug Seems Unsafe, But The Physician States That It Is?
- ANSWER:The nurse should refuse to give the drug -- even if the doctor wrote an
erroneous order for the medication, the nurse is not excused from legal liability for
giving the drug.
Specific Drugs Associated With ADE's - ANSWER:Insulin, heparin, and warfarin.
ADE's - ANSWER:Adverse drug events.
NCCMERP Index for Categorizing Medication Errors - ANSWER:Index that ranks from
A to I in the severity of a medication error.
, Rank A are circumstances that may cause errors, Rank I are errors that have caused
patient death.
A prescriber has written an order for levothyroxine sodium 50 mg per day by mouth.
The nurse knows that the standard dose is 50 mcg. What action should the nurse
take?
-Call the prescriber and question the order.
-Administer 50 mcg instead.
-Consult the pharmacist about the order.
-Ask the patient what he or she usually takes. - ANSWER:"Call the prescriber and
question the order."
In the event a medication is ordered with a potentially wrong abbreviation, the nurse
should call the prescriber and question the dosage.
Also, it is essential to write out micrograms or milligrams to prevent error.
The nurse is administering the first dose of an anti-infective agent.
Which of the following assessments should the nurse make prior to administering
the anti-infective agent?
-Assess the patient's temperature.
-Assess the patient's level of consciousness.
-Assess whether the patient is allergic to any anti-infective agent.
-Assess whether the patient has taken the medication previously. - ANSWER:"Assess
whether the patient is allergic to any anti-infective agent."
-Prior to administering any medication, the nurse assesses the client's allergies.
-Clients who are allergic to penicillins are also likely to be allergic to cephalosporins.
Which of the following nursing actions will prevent adverse drug events?
-Use only the trade name when documenting medications.
-Crush long-acting medications if the patient has dysphagia.
