Pharm Midterm Winter 2020 BlueprintMULTIPLE CHOICE1.NineRights of Medication Administration1 - Right patient2 - Right medication3 - Right dose4 - Right route5 - Right documentation6 - Right reason7 - Right response8 - Right time9 - Right to refuse1-The patient is to receive oral guaifenesin (Mucinex) twice a day. Today, the nurse was busy andgave the medication 2 hours after the scheduled dose was due. What type of problem does thisrepresent?a. “Right time”b. “Right dose”c. “Right route”d. “Right medication”ANS: A “Right time” is correct because the medication was given more than 30 minutes after thescheduled dose was due. “Dose” is incorrect because the dose is not related to the time the medi-cation administration is scheduled. “Route” is incorrect because the route is not affected. “Medica-tion” is incorrect because the medication ordered will not change.2.Specific and measurable outcome criteria.Planning phase of nursing process:Objective, realistic, measurable, and has a time frameIndividualized (depends on the patient)2-The nurse is assigned to a patient who is newly diagnosed with type 1 diabetes mellitus. Whichstatement best illustrates an outcome criterion for this patient?a. The patient will follow instructions.b. The patient will not experience complications.c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.ANS: D “Demonstrating correct blood glucose testing technique” is a specific and measurable out-come criterion. “Following instructions” and “not experiencing complications” are not specific crite-ria. “Adhering to new regimen” would be difficult to measure.3.Complete medication order.Medication, dose, time of the dose, route***If any of these are missing →call provider3-The medication order reads, “Give ondansetron (Zofran) 4 mg, 30 minutes before beginningchemotherapy to prevent nausea.” The nurse notes that the route is missing from the order. Whatis the nurse’s best action?a. Give the medication intravenously because the patient might vomit.b. Give the medication orally because the tablets are available in 4-mg doses.c. Contact the prescriber to clarify the route of the medication ordered.d. Hold the medication until the prescriber returns to make rounds.ANS: CA complete medication order includes the route of administration. If a medication order does notinclude the route, the nurse must ask the prescriber to clarify it. The intravenous and oral routesare not interchangeable. Holding the medication until the prescriber returns would mean that thepatient would not receive a needed medication.4.Routes ofDrugs administration.Oral, sublingual, buccal disintegrate, parental, IV, Intramuscular.PO– Give patient water to swallow medicationSublingual– under the tongueBuccal– between the cheek and teeth (gum)4-When given an intravenous medication, the patient says to the nurse, “I usually take pills. Whydoes this medication have to be given in the arm?” What is the nurse’s best answer?
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