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Understanding Pharmacology: Essentials for Medication Safety

M. Linda Workman; Linda A. LaCharity

Chapter 2

Safely Preparing and Giving Drugs - all with Video Answers

Educators

Chapter Questions

Problem 1

Which of the eight rights should you apply immediately after you give a drug?
A. Right drug
B. Right patient
C. Right documentation
D. Right dosage

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Problem 2

For which order do you administer a drug as the patient needs it?
A. Routine order
B. STAT order
C. One-time order
D. PRN order

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Problem 3

Which process was developed to ensure that a patient receives the correct medications when transferred from the ICU to a medical patient care unit?
A. Medication reconciliation
B. Bar-code scanners
C. Online charting
D. Error reporting protocol

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01:07

Problem 4

Which are parenteral routes? (Select all that apply.)
A. Sublingual
B. Intradermal
C. Buccal
D. Rectal
E. Subcutaneous
F. Intravenous

Dennis Howard
Dennis Howard
Numerade Educator
03:14

Problem 5

What must you do to protect yourself when giving a topical drug like nitroglycerin ointment?
A. Check the patient's blood pressure.
B. Put on clean gloves.
C. Spread the drug in a smooth layer.
D. Wear a disposable gown.
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Asma Venkitta
Asma Venkitta
Numerade Educator
01:04

Problem 6

What is the best way to check that you are giving the drug to the right patient?
A. Ask the patient's name.
B. Look at the patient's bedside chart.
C. Check the patient's wristband.
D. Check two unique patient identifiers.

Jennifer Stoner
Jennifer Stoner
Numerade Educator

Problem 7

A patient receiving a daily dose of furosemide needs a daily dose of oral potassium. Which type of order does the prescriber use?
A. Standing/routine order
B. One-time order
C. PRN order
D. STAT order

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01:04

Problem 8

Which intervention is the best way to prevent drug errors such as omissions, duplications, dosing errors, and drug interactions?
A. Double check the written drug order.
B. Follow the procedure of the eight "rights."
C. Use the process of medication reconciliation.
D. Check the patient's wristband for identification.

Jennifer Stoner
Jennifer Stoner
Numerade Educator

Problem 9

Before giving any drug that you are not familiar with to a patient, what do you need to know about the patient? (Select all that apply.)
A. The patient's allergies
B. Previous adverse reactions to drugs
C. Pertinent laboratory values
D. The patient's family history of illnesses
E. Important changes in the patient's condition
F. Any over-the-counter drugs that the patient is taking

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Problem 10

Which priority assessment must you make before giving any patient an oral drug?
A. Quiz the patient about the action of each drug.
B. Make sure that the patient can swallow.
C. Find out if the patient prefers cold or room temperature liquids.
D. Ask the patient to repeat his or her name and birthdate.

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Problem 11

Which actions are essential for safety when administering a parenteral drug to a patient? (Select all that apply.)
A. Never recap needles.
B. Clean the injection site in a circular motion from the outside to the inside.
C. Use a 1-inch, 22-gauge needle and a 90-degree angle for injection.
D. Place all used needles and syringes in a "Sharps" container.
E. Wear gloves to avoid exposure to blood or body fluids.
F. Always inject the drug in the same site.

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Problem 12

You are teaching a patient about a prescribed transdermal drug. What will you be sure to tell the patient? (Select all that apply.)
A. "This route will allow you to keep a steady blood level of the drug."
B. "Be sure to apply the drug patch to your upper thigh."
C. "Shave the hair from your skin before applying your transdermal patch."
D. "Remove the old patch when you apply a new one."
E. "Rotate the sites where you place the patch to avoid skin irritation or breakdown."
F. "Remove any drug left on the old site."

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Problem 13

You are to give ear drops to a 10-year-old child. Which technique will you use?
A. Pull the ear lobe up and out.
B. Pull the ear lobe down and back.
C. Pull the ear lobe out and back.
D. Pull the ear lobe up and back.

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Problem 14

Your patient it to receive medications through an NG tube. What should you do when testing a patient's $\mathrm{NG}$ tube with an end-tidal $\mathrm{CO}_2$ detector if $\mathrm{CO}_2$ is present?
A. Inject an air bolus to see if the tube is positioned in the stomach.
B. Flush the tube with $20 \mathrm{~mL}$ of water.
C. Hold the medication because the tube is in the trachea.
D. Crush the pills and dilute them in water.

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