Deck 3: Safe Medication Administration

Question 1

Write the approved metric abbreviation in the space provided
kilogram

Answer 1

kg

Question 2

Write the approved metric abbreviation in the space provided
milliliter

Answer 2

ml

Question 3

Spell out the listed abbreviation in the space provided
IM

Answer 3

intramuscular route

Question 4

Write the approved metric abbreviation in the space provided
microgram

Question 5

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Amoxicillin 125 mg.
Label: Amoxicillin 125 mg per 5 mL, 100 mL vial.
Given: Amoxicillin 100 mL.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 6

Write the approved metric abbreviation in the space provided
liter

Question 7

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Percocet 1 tablet q4h prn pain for a patient allergic to aspirin.
Given: Percodan 1 tablet.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 8

Spell out the listed abbreviation in the space provided
NPO

Question 9

Spell out the listed abbreviation in the space provided
ad lib

Question 10

Write the approved metric abbreviation in the space provided
milligram

Question 11

Spell out the listed abbreviation in the space provided
pc

Question 12

Spell out the listed abbreviation in the space provided
prn

Question 13

Spell out the listed abbreviation in the space provided
bid

Question 14

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Hydralazine 50 mg po 4 times daily.
Label: Hydroxyzine 50 mg.
Given: Hydroxyzine 50 mg.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 15

Spell out the listed abbreviation in the space provided
stat

Question 16

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Insulin subcutaneous injection daily for an older patient who is newly diagnosed with diabetes. Under supervision, the patient practiced injecting an orange for a few days, followed by self-injections under supervision until discharge shortly thereafter.
Given: At home, the patient injected an orange with insulin and ate the orange each day. The patient complained of the taste to the home-care nurse during the first post-hospital visit.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 17

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Fast-acting regular insulin 10 units for a patient with high blood glucose level.
Given: Intermediate-acting insulin 10 units.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 18

Spell out the listed abbreviation in the space provided
q4h

Question 19

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Large amount of narcotic prescribed for Mr. Smith, room 403, bed A, who is a patient of Dr. Davis, whose name was noted on the chart and in the narcotic record. Mr. Smith is a patient with a terminal illness and has been receiving increasingly large amounts of pain medication for the past 2 months.
Given: Large amount of narcotics to Mr. Davis, an underweight patient of another physician, room 403, bed B. Mr. Davis had never received a narcotic medication before.

Question 20

Write the approved metric abbreviation in the space provided
gram

Question 21

Cytotec tab 100 mcg qid po pc and HS

Question 22

State the appropriate safeguard to take for transfer and postoperative patients before giving a medication.

Question 23

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: 5 mL, 1 tsp Benadryl syrup q8h to be administered by a caregiver at home after discharge for patient allergies. Benadryl, an antihistamine, has a side effect of drowsiness.
Given: 1 soup spoonful Benadryl, 1 household tsp Benadryl 8 hr later, household Tbsp Benadryl 8 hr later, and so forth until the physician was notified about a change in the patient's condition (extreme drowsiness).

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 24

Codeine tab 5 mg po for pain

Question 25

Tylenol 500 mg tab 1 q6h po prn for fever over 100° F headache

Question 26

State the reason why delays in documenting medications promptly after administration may cause a medication error.

Question 27

Digoxin 10 mg daily in AM

Question 28

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Propranolol LA (long-acting tablet) po for a patient with a nasogastric (NG) tube (through nose to stomach).
Given: Crushed propranolol LA via the NG tube.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 29

Aspirin 2 tablets po for headache q4h prn

Question 30

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: Potassium chloride (KCl) 20 mEq verbal order during a bedside emergency to be added to intravenous (IV) infusion solution, and atropine 0.5 mg to be given by direct IV (directly into the vein). Both medications were prepared by Nurse A.
Given: (KCl) 20 mEq in syringe directly into the vein by nurse B, who was handed two unmarked syringes by nurse A, who verbally identified them.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 31

State two safety requirements for identifying patients.

Question 32

Maalox 30 mL q4h prn upset stomach or heartburn

Question 33

Ampicillin oral susp 125 mg po tid

Question 34

Potassium chloride sol 10 mEq daily in morning

Question 35

For each of the following medication-related errors, select the patient "right" that was violated (select a, b, c, d, or e for each). Use pharmacology text references if needed. After your selection, discuss the clinical implications and preventive measures you will take in your practice to avoid such errors.

Ordered: By phone: Ceftizoxime 1 g.
Given: Cefotaxime 1 g.

A) Right patient
B) Right drug
C) Right time
D) Right dose
E) Right route

Question 36

State the appropriate action to take for incomplete labels on medicines.

Question 37

Benadryl 1 tsp po every 12 hr for allergies

Question 38

Potassium chloride sol. 10 mEq po daily AM juice

Question 39

State the appropriate action to take for unclear orders.

Question 40

Penicillin G 500,000 units IM daily