5 Written questions
5 Matching questions
- nursing care plan
- The right drug
- Guidelines for entries made on nurse's notes
- Medication errors
- a check the drug name; similar names; check expiration date; know the drug action, read label 3 times (before removing the drug from the shelf, before preparing or measuring the actual prescribed dose before replacing drug on shelf or before administration)
- b 1. completing records, including vital signs, immediately ater making contact with and assessing of the patient, that is when first admitted or returning from a diagnostic procedure or therapy. 2. recording all PRN medications immediately after administration and the effectiveness of the med. 3. Changes in a client's status and who was notified. 4. Treatment for a sudden chang in a client's status. 5. Transfer, discharge or death of a client.
- c after initial data collection, this is done and this incorporates nursing diagnoses, critical pathway info, and physician-ordered and nursing-ordered care.
- d if a portion of med must be discarded due to smaller prescribed dose, two nurses must check the dose, preparation, and portion; both must cosign the inventory control record to verify transaction
- e a drug is given to wrong pt; wrong drug is given; wrong route; wrong dose; wrong time; wrong rate of administration; drug that is contraindicated given; drug given to pt that has known allergy; unordered or unsage med is given; given with an incompatible substance; protocals for reporting errors differ between institutions
5 Multiple choice questions
- depends on severity of effects on the pt; if due to carelessness or negligence of the nurse, the nurse may be held legally liable; repeated errors cannot be ignored
- after verification of an order, a nurse or another designated person does this to the order from the physician's order sheet onto the Kardex or onto a MAR.
- institutions have policy regarding who can take these orders and transcribe to the order form; must be signed by the MD within 24 hours; v/o or t/o Dr. Smith/A. Sondreal RN time and date
- nurse makes a professional judgment on its acceptability and safety of drug order, including type of drug dose and dose preparation, therapeutic intent, route potential allergic reactions or contraindications
- administration at a certain time but only one time.
5 True/False questions
other diagnostice reports → Reports of surgery, EEG, ECG, pulmonary function tests, radioactive scans and radiograph reports are usually recorded in this section of the patient's chart
PRN order → administer if needed
clinical decision-making support systems (CDSS) → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
Drug administration resources → floor or ward stock system, ind presc. order system, unit dose system, automated dispensing system
progress notes → administer if needed