Question

Lidination! Key Points . You are legally required to exercise judgment and You have discovered that you made a Do responsibility in carrying out drug administration on errorWhat is the first step you Know the scope of your practice for drug tako? administration as defined by your state's Nurse 1. Fout an incident report Practice Act. 2. Call the healthcare provider med . Always verity orders for all drugs to be given 3. Check your patient and assess vital signs 4 DISCUSS your conces with the nurse manager . Always account for all controlled substances prescribed 4. Which drug is classified as a schedule and given to patients. • Be aware of using unapproved abbreviations in substance? controlled 1. Mescaline transcribing drug orders for administration 2 Morphine • Document all drugs given to a patient according to 3. Pentazocine agency policy. 4. Tylenol #3 Assess for and document the patient's response(s) to 5. Which action is most key to ensure you are giving the drugs you have given right drug to the right patient? Use extreme caution in preparing and giving high-alert 1. Checking the patient's bed number drugs. 2. Asking the patient if he is Mr. Jones • Follow all clinical guidelines and agency policies to 3. Asking the patient the has taken this drug before reduce drug errors and prevent injury to healthcare 4. Checking the name on the patient's wristband personnel 6. Which information is required for a prescription to be Do not dispose of unused drugs by flushing them down legal. (Select all that apply) the toilet. 1. Patient's name 2. The instruction "take with meals 3. Prescriber's signature Review Questions for the NCLEX® Examination 4. How often the drug is to be taken 5. When to notify the prescriber 6. Drug dose 7. Name of the pharmacist 1. According to the patient's record, a controlled substance has been ordered for pain relief. A review of the narcotics log and the patient's drug record indicates the drug has been given as ordered. However, the patient reports not receiving relief of pain. What may be a likely reason for the lack of pain relief? 1. The patient may not be telling the truth. 2. The drug is likely being diverted for illegal purposes. 3. The patient has an allergy to opioids, and so they are not effective 4. The patient was offered the drug, but then refused the dose and it was discarded. 2. Which paint is most likely to receive an incorrect dose of an over-the-counter (OTC) drug? 1. A 2-year-old child given a liquid drug by his parents 2. A 20-year old woman who experiences frequent migraine headaches 3. A 50-year-old man who is taking an anti-inflammatory drug for occasional arthritis pain 4. A 13-year-old female student who was given acetaminophen for a headache by the school nurse 8. Route of administration 9. How long to take the drug 7. What is the most important action to perform after giving a patient a drug that has a black box designation? 1. Report the event as a drug error. 2. Observe the patient closely for an adverse reaction 3. Be sure to sign out the drug according to agency policy. 4. Remind the patient to stay in bed for 2 hours aft receiving the drug

Answer 1

Review Questions for the NCLEX Examination 1. According to the patient's record, a controlled substance has been ordered for pain relief. A review of the narcotics log and the patient's drug record indicates the drug has been given as ordered. However, the patient reports not receiving relief of pain. What may be a likely reason for the lack of pain relief? 1. The patient may not be telling the truth. The drug is likely being diverted for illegal purposes. 3. The patisnt has an allergy to opioids, and so they Opioid allergy is accompanied by the allergic symptoms such as flushing, itching low blood pressure, and sweating. It does not simply cause lack of therapeutic response. The drugs refused by the patient are not discarded as per the regulations. are not effective. 4. The patiant was offered the drug, but then refused the dose, aod it was discarded. 2. Which pat nt is most likely to receive an incorrect dose of an over-the-counter (OTC) drug? A 2-year-old child given a liquid drug by his parents 2. A 20-year-old woman who experiences frequent migraine headaches 3. A 50-year-old man who is taking an anti-inflammatory drug for occasional arthritis pain 4. A 13-year-old female student who was given acetaminophen for a headache by the school nurse children need to be given the medication based on the body weight. So, it is more likely that they recieve either the low dose or high dose OTC drugs if given by non- professionals