Chapter 12: Safety and Quality in Pharmacotherapy

Chapter 12: Safety and Quality in Pharmacotherapy

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When the nurse practices the “5-plus-5” rights of medication administration, what does it ensure?

a.	Adequate information is given
b.	Cost-effective use of medications
c.	Informed consent for drug administration
d.	Safe administration of medications

 

 

ANS:  D

The “5-plus-5” rights ensure that the nurse has considered all of the details of safe medication administration. Giving information to patients and obtaining informed consent are part of the 5-plus-5 rights. Cost effectiveness is not part of the 5-plus-5 rights.

 

DIF:    COGNITIVE LEVEL: Understanding (Comprehension)    REF:   Page 121

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

2. In order to ensure that a medication is given to the right patient, the nurse must perform which action?

a.	Ask the patient to spell their last name.
b.	Match the patient with a photo ID.
c.	Swipe a bar code on the patient’s ID bracelet.
d.	Verify the patient using two identifiers.

 

 

ANS:  D

The Joint Commission requires two forms of identification before medication administration. Patients are asked to state their name and date of birth. Some, but not all institutions, use photos and bar codes to aid in identification.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 121

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

3. A health care provider calls a nursing unit to leave a telephone order for a PRN antipyretic medication for a child. The provider tells the nurse to “give PO acetaminophen for a fever greater than 101° F per protocol.” What will the nurse do next?

a.	Ask the provider to verify how many mg per kg per dose and how frequently to give the medication.
b.	Look up the protocol in the unit manual and write the drug order for the provider to sign.
c.	Provide the child’s weight to the hospital pharmacist to write the order based on the protocol.
d.	Transcribe the verbal order to the order sheet as “give PO acetaminophen for a fever greater than 101° F per protocol.”

 

 

ANS:  A

The components of a drug order include drug name, dose, route, frequency, and any instructions for dosing. A nurse receiving a telephone order should “read back” the order from the provider that includes this information. The provider, and not the nurse or the pharmacist, is responsible for writing the order with all components.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 121

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies

 

4. The pediatric nurse reviews a hand-written medication order which reads, “09/16/2013, acetaminophen 160 mg (5 mL) PO q4h for fever.” What will the nurse do next?

a.	Administer the drug when indicated.
b.	Ask the provider to confirm if dose is correct for the patient’s age.
c.	Clarify the nursing assessments necessary for giving a dose.
d.	Contact the provider to request patient allergy information.

 

 

ANS:  C

This order contains all components except the level of temperature necessary to justify a dose of an antipyretic. The patient’s age and allergy information are part of the medical record data base.

 

DIF:    COGNITIVE LEVEL: Applying (Application)                  REF:   Page 121

TOP:   NURSING PROCESS: Nursing Intervention

MSC:  NCLEX: Physiological Integrity: Pharmacological and Parenteral Therapies