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Chapter 3. Patient Safety in Medication Administration

Pharmacology Clear And Simple A Guide to Drug 2nd Edition By Watkins

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Chapter 3. Patient Safety in Medication Administration

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

 

____     1.   The student nurse is preparing to provide medications to a client scheduled to receive lisinopril (Zestril) 10 mg PO daily and ofloxacin (Floxin) 2 drops o.s. three times daily. Which of the following actions by the student is best?

A. Provide the lisinopril by mouth and the ofloxacin into the right ear.
B. Provide the lisinopril into the right ear and the ofloxacin into the right eye.
C. Provide the lisinopril into the left ear and the ofloxacin orally.
D. Provide the lisinopril orally and the ofloxacin into the left eye.

 

 

____     2.   When providing medications from floor stock to a client on the Alzheimer’s unit of a long-term-care facility, the nurse demonstrates the principle of right drug by which of the following?

A. Checks the label before taking the medication out of the cabinet, checks the label before pouring the medication, checks the label before placing the bottle back in the cabinet
B. Checks the label before taking the medication out of the cabinet, checks the label before  pouring the medication, checks the label before leaving the medication room
C. Checks the label after removing the bottle from the cabinet, checks the label after pouring the dose of medication, checks the label before closing the cabinet door
D. Checks the label while removing the bottle from the cabinet, checks the label after pouring the dose of medication, checks the label while replacing the bottle in the cabinet

 

 

____     3.   The nurse is preparing to discharge a client originally admitted for community-acquired pneumonia who has a discharge prescription for cefditoren (Spectracef). Which of the following instructions would the nurse include in the discharge teaching?

A. “Be sure to take the medication until your cough is gone.”
B. “It is important that you take the medication with meals.”
C. “Taking the medication at set time intervals will help blood levels stay constant.”
D. “Keeping the medication on the counter top will help you remember to take it.”

 

 

____     4.   While working in an urgent care center, the nurse assists in the care of a client with allergic rhinitis who has been given a prescription for beclomethasone nasal spray (Beconase), 2 sprays in each nostril 2 to 4 times daily. The nurse would provide further instruction to which of the following client statements?

A. “This will help my nose to not run so constantly.”
B. “I should spray this in each nostril whenever my nose starts to drip.”
C. “I can use this before I go to work, midday, and again at bedtime.”
D. “This medication is a mild steroid and will reduce swelling and irritation of my nasal    passages.”

 

Answer Section

 

MULTIPLE CHOICE

 

  1. ANS:  D                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Medication Administration      KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Table 3.2 (p. 29): PO is by mouth (orally) and o.s. is left eye.

 

  1. ANS:  A                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Medication Administration      KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Patient Rights for Safety (p. 26): Check the label before you take the bottle from the shelf, check the label before you pour the drug out, check the label before you put the bottle back on the shelf.

 

  1. ANS:  C                    PTS:   1                    DIF:    Moderate

TOP:   Therapeutic Classification: Antibiotics                              KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Patient Rights for Safety (p. 26): Some medications, such as antibiotics need to be given a standard number of hours apart around the clock to maintain a consistent blood level. Most antibiotics work best when taken on an empty stomach (p. 31). Store medications safely locked away.

 

  1. ANS:  B                    PTS:   1                    DIF:    Easy

TOP:   Therapeutic Classification: Inhaled Steroids                      KEY:  Analysis

MSC:  NCLEX Category: Pharmacological Therapies

NOT:  See Patient Rights for Safety (p. 26): Emphasize that patients need to adhere to the exact prescription and avoid self-medication.

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