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From Pharmacy Calculations book Chapter 12 Medication Administration Records and Drug Distribution Systems and Chapter 9 Additional Conversions Useful in the Health Care Setting page 100 regarding Military Time Terms in this set (15)Students also viewedOther sets by this creatorVerified questions
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computer science Verified answer
computer science The Beaufort Wind Scale is used to characterize the strength of winds. The scale uses integer values and goes from a force of 0, which is no wind, up to 12, which is a hurricane. The following script first generates a random force value. Then, it prints a message regarding what type of wind that force represents, using a switch statement. You are to rewrite this switch statement as one nested if-else statement that accomplishes exactly the same thing. You may use else and/or elseif clauses. ranforce = randi([0, 12]); switch ranforce case 0 disp('There is no wind') case {1,2,3,4,5,6} disp('There is a breeze') case {7,8,9} disp('This is a gale') case {10,11} disp('It is a storm') case 12 disp('Hello, Hurricane!') end Verified answer Recommended textbook solutions
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Terms in this set (35)1. A) Call a pharmacist to interpret the order B You must have the right documentation and clarify all orders with the prescriber before administering medications. 2. D 1 tablespoon = 15 mL; 2 tablespoons = 30 mL. 3. D Eardrops are administered with the ear positioned upward and outward for patients greater than 3 years of age. 4. D Using dimensional analysis: 5.
C Do not ignore patient or caregiver concerns; always verify orders whenever a medication is questioned before administering it. 6. C A nursing responsibility is to collaborate with community resources when patients have home care needs or difficulty understanding their medications. 7. B Patients need to know information about their medications so they can take them correctly and safely. 8. A Enteric-coated or sustained-release capsules should not be crushed; the nurse needs to contact the prescriber to change the medication to a form that is liquid or can be crushed. 9. A When patients refuse a medication, first ask why they are refusing it. 10. B The order from the prescriber needs to indicate the route of administration. 11. C When an IV medication infiltrates, stop giving the medication and follow agency policy. 12. B Redness, warmth, and tenderness at the IV site are signs of phlebitis. 13. B Nursing students cannot take orders. 14. D Patient safety and assessing the patient are priorities when a medication error occurs. 15. 16 Two puffs × 6 times a day = 12 puffs per day; 200 puffs/12 puffs per day = 16.67 days, or about 16 days. This cannot be rounded up since the inhaler will not last a total of 17 days. The nurse is having difficulty reading a physician's order for a medication. The nurse knows the physician is very busy and does not like to be called. The nurse should: A.Call a pharmacist to interpret the order. B.Call the physician to have the order clarified. It is the nurse's responsibility to ensure that the medication orders are correct. Asking a unit manager or pharmacist to help interpret an order is always helpful, but the nurse is still responsible. A unit secretary can help with reading handwriting, but the nurse is still responsible. The client has an order for 2 tablespoons of milk of magnesia. The nurse converts this dose to the metric system and gives the client: A.2 ml D.30 ml Each teaspoon is 5 ml and 2 tablespoons is 6 teaspoons, so 5 × 6 = 30 ml. Most medication errors occur when the nurse: A.Is caring for too many clients B.Fails to follow routine procedures Medication errors occur most often when the nurse fails to follow the routine procedures that are in place to ensure client safety. The other options are not correct if the nurse follows the protocols. A client is to receive cephalexin (Keflex) 500 mg by mouth. The pharmacy has sent 250-mg tablets. The nurse gives: D. 2 tablets Two 250-mg tablets = 500 mg. When
identifying a new client before administering medications, the nurse asks the client to state his name. The client does not give the correct name. The nurse asks again and the client states still another name. What is the nurse's next action? C. Investigate the client's mental status before administering any further medications. The ongoing physical and mental status of a client affects whether a medication is given or how it is administered. The client should be assessed carefully before administering any medication. The nurse should always check the client's arm band to ensure that this is the correct client for the given medication, even if the client responds with the correct name. The client should always be identified using at least two identifiers before administering medication, preferably by comparing the client identifiers on the MAR with the client's arm band at the bedside. A client is transitioning from the hospital to the home environment. A home health referral has been obtained. In terms of safe medication administration, what is a priority for the discharge nurse? D. Ensure that the home health care agency is aware of medication and health teaching needs. The home care agency should be aware of the medication and health teaching needs of all clients. The other options are issues that should be addressed, but the question is specifically asking regarding safe medication administration, so this answer is the only one that answers the question correctly. A nursing student takes a client's antibiotic to his room. The client asks the nursing student what it is and why he should take it. The nursing student should: B. Provide the name of the medication and a description of its desired effect. The nursing student should know the name, dose, and purpose of all medications that he or she is responsible for administering. Part of client teaching is sharing this information with the client, so the student should be able to verbalize this information to the client. This information is not confidential, and the student nurse should present this information without waiting for a physician or the client's assigned nurse. The nurse is administering a
sustained-release capsule to a new client. The client insists that he cannot swallow pills. The best course of action for the nurse is to: A. Ask the physician to change the order. Sustained-release medications should never be crushed or sprinkled on food. Hiding the capsule in a piece of solid food is not an appropriate nursing step. The nurse should contact the physician for an order change. The nurse selects the route for administering medication according to: B. The prescriber's orders Facilities have protocols for medication administration that the nurse must follow. If a physician's order contradicts the protocols, then the order must be clarified with the physician and the protocol explained. The protocol will include specifics for the type of medication ordered and the client's size and muscle mass. A client is receiving an intravenous (IV) push medication. If this type of drug infiltrates into the outer tissues the nurse will: C. Follow facility policy or the drug manufacturer's directions. The infusion of the medication should be halted and the facility policy or drug manufacturer's directions followed. Infiltration of some medications will create no harm. For others, harm can be averted by the application of warm compresses. Still others may require other treatments if infiltration occurs. If a client who is receiving intravenous (IV) fluids develops tenderness, warmth, erythema, and pain at the site, the nurse suspects B. Phlebitis. A nurse administering
medications has many responsibilities. Among these responsibilities is a knowledge of pharmacokinetics. Which statement is the best description of pharmacokinetics? C. The study of how medications enter the body, reach their site of action, metabolize, and exit the body Pharmacokinetics is the study of how medications enter the body, travel to the site of action, metabolize, and exit the body. Distribution refers to the method by which medication, after absorption, is moved within the body. Absorption is the passage of medication molecules into the blood from the site of administration. The degree to which medications bind to serum protein is protein binding. The following orders were written by a prescriber (physician, advanced practice nurse, physician's assistant). Which order is written correctly? C. Zolpidem (Ambien) 5 mg PO at bedtime prn The order for zolpidem is the only medication order that contains the essential components of a drug order—name of medication, dose, route of administration, and frequency. To better control the client's blood glucose level, the physician orders a high regular insulin dosage of 20 units of U-500 insulin. The nurse has only a U-100 syringe. How many units
will be given? A. 4 U-500 insulin is 5 times as strong as U-100 insulin. Therefore the amount of U-500 insulin should be divided by 5; 20 units ÷ 5 = 4 units. The nurse is administering an intramuscular (IM) injection. The Z-track method is recommended for IM injections because: D. It minimizes local skin irritation by sealing the medication in muscle tissue. The Z-track method minimizes local skin irritation, providing more comfort for the client. Repeated injections in the same muscle can cause severe discomfort and poor absorption. The Z-track method What is the best nursing practice for administrating a controlled substance if part of the medication must be discarded? The nurse signs both records and has a second nurse witness the discarding of the controlled substance and also sign the control inventory form. Agency policy dictates how the substance is discarded to avoid environmental concerns. When administering medications, it is essential for the nurse to have an understanding of basic
arithmetic to calculate doses. The physician has ordered 250 mg of a medication that is available in 1-g amount. The vial reads 2 ml = 1 g. What dose would be given by the nurse? B. 0.5 ml 0.5 ml = 250 mg of this medication.
While the nurse is administering medication, the client says, "This pill looks different from what I usually take." What is the nurse's best action? A. Go recheck the medication order, taking along the medication. This is a safety issue and should not be ignored. Leaving the medication at the bedside is an unsafe practice and does not demonstrate the nurse's responsibility. If checking the medication order does not clarify the situation, then the nurse should check with the pharmacist regarding pill shape, color, and so on. Different manufacturers will design their own brands to look different from their competitors' brands. Checking the client's statement can avoid a potential medication error, and the client appreciates the efforts of the nurse. The client is a 40-year-old man who weighs 160 lb and is 5 feet 9 inches tall. The order is for 5 ml of a medication to be given as a deep intramuscular (IM) injection. What size of syringe and gauge and length of needle should the nurse use for best practice? D. Two 3-ml syringes, 20- to 23-gauge, 1½-inch needle A medication dose of 5 ml administered IM is unlikely to be absorbed properly. Therefore, dividing the dose is correct. Dividing the doses equally allows 2.5 ml to be given in two different sites, so the nurse will need two 3-ml syringes. A deep IM injection must pass through subcutaneous tissue and penetrate deep muscle; therefore the needle must be long enough (1½ inch) and the gauge heavy enough (20 to 23 is the best choice). A site that was a traditional location for intramuscular (IM) injections in the past is no longer recommended because its use carries the risk of striking the underlying sciatic nerve or major blood vessel. What is the name of this site? B. Dorsogluteal The dorsogluteal is the not-so-safe traditional site. The ventrogluteal muscle is situated deep and away from major nerves and blood vessels. The vastus lateralis muscle is thick and well developed. The plexor is the middle finger of the dominant hand used during percussion or a percussion hammer used to strike the pleximeter and is not related to IM sites. Students also viewedCH 31- FOUNDATIONS-EVOLVE14 terms moriah_montano eaq ch32 medical adminstration55 terms ashleyandjackPLUS Ch31- EAQ76 terms erin_floyd_coley EAQ questions for Fundamentals exam #324 terms stephanieo12 Sets found in the same folderPotter & Perry Study Guide (8e): Ch 31 M…98 terms sushitor Chapter 31: Medication Administration62 terms alicia_n_paschall Chapter 27: Patient Safety23 terms S0nny1984 Nursing Fundamentals Ch. 3139 terms roy_zentz3 Other sets by this creatorTop Drawer LW180 terms ms_chic Anesthesia Drug Dosages57 terms ms_chic Top drawer Anesthesia Drugs26 terms ms_chic Receptors6 terms ms_chic Recommended textbook solutionsPharmacology and the Nursing Process7th EditionJulie S Snyder, Linda Lilley, Shelly Collins 388 solutions
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What information is required to be listed on medication that is to be administered?Medication Procedure
Be in its original container. Have a clear readable and original label. Have the child's name clearly on the label. Have any instructions attached.
Which information must be clearly documented in the medication administration record before administering a medication select all that apply?A complete medication order must include the client's full name, the date and the time of the order, the name of the medication, the ordered dosage, and the form of the medication, the route of administration, the time or frequency of administration, and the signature of the ordering physician or licensed independent ...
What data should be included when documenting medication administration?Medication administration record (mar) and/or infusion flowsheet documenting the quantity administered include a dose, route, and frequency given.
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Which information does the nurse enter on the medication administration record quizlet?
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