Test Bank Workman / LaCharity / Kruchko: Understanding Pharmacology

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Chapter 02: Safely Preparing and Giving Drugs

Test Bank

MULTIPLE CHOICE

1. What is the best way for the nurse to make sure that the right patient is receiving a prescribed drug when the patient is alert and oriented?
a. Ask the patient to state his or her name.
b. Check the patient’s wrist band.
c. Look at the patient’s chart.
d. Have the patient state his or her name and birth date.

ANS: D
To make sure that the right patient receives any drug that has been prescribed, The Joint Commission (TJC) recommends checking two unique patient identifiers (name and birth date) before medication administration. An alert and oriented patient can be asked directly.

PTS: 1 DIF: Cognitive Level: Understanding (Comprehension)
REF: p. 29 TOP: Nursing Process Step: N/A
MSC: Client Needs Category: Safe and Effective Care Environment

2. When is it acceptable for the nurse to take a verbal order from the prescriber before giving a drug to a patient?
a. During the night shift when the prescriber is not at the hospital
b. In an emergency situation such as a cardiac arrest
c. When a patient is experiencing severe pain
d. At any time it is necessary

ANS: B
A prescriber’s drug order should be in written form and include all the minimal information required by the U.S. government. Verbal orders should only be accepted in emergency situations. As soon as the emergency is resolved, verbal orders must be written and signed. For safety, when a nurse contacts a prescriber or follows a verbal order, the nurse should be sure to write the order, read it back, and ask for confirmation that what was written is correct.

PTS: 1 DIF: Cognitive Level: Remembering (Knowledge)
REF: p. 30 TOP: Nursing Process Step: N/A
MSC: Client Needs Category: Safe and Effective Care Environment

3. The nurse is giving morning medications to a patient who refuses to take an oral dose of docusate (Colace). What is the nurse’s best response?
a. “Your prescriber ordered that you must take this drug twice a day.”
b. “Docusate will soften your bowel movements so that you do not strain.”
c. “This drug will help prevent constipation while you are on bed rest.”
d. “Can you tell me why you do not want to take the docusate?”

ANS: D
A patient has the right to refuse to take any drug. Although it is important that the patient understand why the drug has been prescribed and the consequences of refusing to take it, the nurse should investigate why the patient prefers not to take a drug. For example, if a patient is having diarrhea and understands the action of docusate, refusing the drug is not only the patient’s right, but is also the right action to take.

PTS: 1 DIF: Cognitive Level: Applying (Application) or higher
TOP: Nursing Process Step: Assessment
MSC: Client Needs Category: Safe and Effective Care Environment

4. What is the most important role of the nurse in preventing drug errors?
a. Always checking the patient’s diagnosis before giving a drug
b. Always following the “six rights” of drug administration
c. Being the one defense for detecting and preventing drug errors
d. Being most likely to detect a drug error that has occurred

ANS: B
Drug errors can occur any time while a drug is in the control of the health care professional or the patient. Because nurses give most drugs to patients, nurses are the final defense for detecting and preventing drug errors. To prevent drug errors, nurses should always follow the “six rights.”

PTS: 1 DIF: Cognitive Level: Understanding (Comprehension)
REF: p. 31 TOP: Nursing Process Step: N/A
MSC: Client Needs Category: Safe and Effective Care Environment

5. The prescriber orders atenolol (Tenormin) 25 mg to be given orally once a day to control a patient’s high blood pressure. The nurse takes the patient’s vital signs and finds that the blood pressure is 128/80 mm Hg and the heart rate is 60 beats per minute. What does the nurse do first before giving this drug?
a. Check the order for prescriber limitations on when the drug should be given.
b. Notify the prescriber and ask if the drug should be given.
c. Reassess the blood pressure and heart rate in 30 minutes.
d. Give the drug exactly as prescribed.

ANS: A
Prescribers often include limitations about when a drug should or should not be given. The nurse should first check the order for any limitations. Because a heart rate of 60 beats per minute is borderline low, and unless there are no limitations, the nurse may want to notify the prescriber and ask if the drug should be given to this patient.

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