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5 Written questions

5 Matching questions

  1. case management
  2. clinical decision-making support systems (CDSS)
  3. transcription
  4. What is included in the safe preparation and administration of the drug
  5. nurse's notes and nurse history
  1. a nurses record ongoing assessments of the patient's condition; responses to nursing interventions ordered by the physician or those initiated by the nurse; evaluations of the effectiveness of nursing interventions; procedures completed by other health professionals and other pertinent info such as physician or family visits and the patient's responses after these visits.
  2. b Durg Distribution System, interpreting dr's orders, documentation, three checks, six rights, handling controlled substances, helpful resources
  3. c CPOE is supported by this
  4. d 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.
  5. e coordinate patient care provided to individuals, their families, and significant others on a continuum, providing efficient transitions to services that may be needed after discharge at home, in clinics or in other health care facilities such as rehabs or nursing homes.

5 Multiple choice questions

  1. althought the physician may order the correct dosage of the med, changes in the pt's status may require that the dosage be altered; the nurse must use the proper equipment, the proper drug form and the proper concentration; calculations must be right; check usual drug dosage
  2. Paper system; narcotic/controlled substances is delivered to the unit and signed for by RN and she verifies that meds are all there and in good condition before signing; kept locked in specified cabinet; narcotic keys are carried by nurses and turned over to the next shift when narcotics are counted; at end of each shift, narcotics are counted, inventoried by 2 nurses one from oncoming shift and one from ending shift; narcotics are signed out as they are used.
  3. notation on chart should be made ASAP after administering; parenteral; MAR; progress notes. CAUTION: Never record meds that you did not give or record meds before they are given; never give med prepared by another nurse; you cannot assume that all of the rights were followed unless you do it yourself
  4. the order will specify time; hospitals have policies that determine which hours meds will be given when they are ordered; such as daily (be familiar with the policy), to be effective many meds be given on a rigid schedule; often has to be planned around pt's schedule; meals; drug interactions; one time only for emergency meds (check to see if med has already been given, document immediately, prn meds should be charted immediately)
  5. guidelines developed for the practice of nursing. These guidelines are defined by the nurse practice act of each state, by state and federal laws regulating health care facilities by JCAHO and by professional organizations such as the ANA and other agencies.

5 True/False questions

  1. Kardexa large index-type card usually kept in a flip-file or separate holder that contains pertinent info such as the patients name, diagnosis, allegies, schedules of current medications with stop dates, treatments and the nursing care plan.


  2. nurse consequence for med errorgrants permission to the health care facility and physician to provide treatment.


  3. patient education recordprovides a means of documenting the health teaching provided to the patient, family, or significant others and includes statements regarding the learner's mastery of the content presented


  4. summary sheetgenerally used for emergency basis


  5. medication administration record (MAR) medication profilethis is printed from the computerized patient database to ensure that the pharmacist and the nurse have identical medication profiles for the patient. This lists all meds to be administered