Nurses Must Aware Question & Answer Guide (With Explanation)

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Original Question

3.Nurses must be aware of legal, ethical and cultural implications involved in drug administration. A legal drug order contains the following, EXCEPT the name of the ______ (SELECT ALL THAT APPLY) (1 Point) drug prescribing doctor drug company patient nurse who carries out the order 4.In the doctor’s order: “Mefenamic acid 500 mg 1 capsule three times a day 30 minutes after meals”, the frequency of drug administration is correctly interpreted by the nurse as (1 Point) oral route one capsule every dose three times a day 30 minutes after meals 500 mg of the drug 5.A nurse practices the ethical principle of non-maleficence in drug administration when he/she (1 Point) gives medications on time respects the patient’s decision to take medications or not provides simple explanations to patients when giving medications questions the doctor’s order for an unusually high dose of drug 6.An adult patient refuses to take his oral medications. After providing health teachings and explanations, he still refuses to take them. The most appropriate action of the nurse is to (1 Point) inform the doctor immediately document the patient’s refusal insist that the patient takes the medication report the patient to the charge/head nurse 7.The doctor ordered a drug which was not written clearly and cannot be read properly. The nurse should (1 Point) ask the charge nurse to interpret for her bring the order to the pharmacist for interpretation clarify the order with the doctor concerned give the drug according to her own understanding 8.The nurse is at risk of committing a medication error when he/she (1 Point) reads the doctor’s order three times administers a medication prepared by another nurse asks another nurse to check his/her drug calculation assess injection sites before administering a parenteral drug 9.The DO NOT USE LIST of abbreviations was disseminated by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) as means to prevent medication error. Which of the following abbreviations ARE NOT ACCEPTABLE and considered prone to errors? (SELECT ALL THAT APPLY) (2 Points) STAT or stat PRN or prn OD or od MgSO4 ad lib 10.According to the JCAHO, when a doctor intends to order a medication to be taken every day, he must properly write (1 Point) 1x/day one in a day QD or qd daily or once a day X/day 11.A doctor orders “Insulin 15 units subcutaneous 30 minutes ac.” The nurse correctly interprets the drug order when she administers the medication (1 Point) before meals after meals at lunchtime anytime of the day as the patient desires 12.Which international legislation on drug use and manufacture legalized the term “narcotics”? (1 Point) The Shirley Amendment in 1912 The Harrison Act in1914 The Durham-Humphrey Amendment in 1951 The Orphan Drug act of 1983 13.In the Philippines, certain medications are considered “dangerous” because of their potential for abuse and misuse. However, when medically needed, such drugs can be given to patients and this is covered in Republic Act (RA) (1 Point) 3720 6675 8203 9165 14.The use of a drug’s generic name in legal and ethical prescribing as well as violations thereof, are stipulated in the provisions of Republic Act (RA) (1 Point) 3720 6675 8203 9165 15.In the Philippine Drug Schedule, opioid analgesics are classified under schedule (1 Point) I II III IV V 16.A nurse decreases his/her risk of committing a medication error when he/she (SELECT ALL THAT APPLY) (1 Point) checks the medication against the prescription deciphers the doctor’s handwriting on his/her own confirms the prescribed route by which a medication is given administers a medication prepared by someone else carefully reads the drug order 17.Before giving any medication to her patients, the nurse explains and informs about the drug actions, side-effects and possible adverse reactions. By doing this, the nurse is guided by the ethical principle of (1 Point) justice veracity confidentiality autonomy 18.After finishing with drug calculation, the nurse found out that the doctor’s order was too high for the patient. She tried to contact the doctor but to no avail. Her most appropriate action is to (1 Point) inform the charge nurse of the doctor’s error make an incident report of wrong drug order give the medication based on the known standard dose withhold (do not give) the medication 19.The nurse accidentally gave two (2) tablets of Paracetamol instead of one (1). The error was immediately reported to the doctor and the patient was observed for the entire shift. No untoward reactions were observed and the patient was stable. In this scenario, the nurse was (1 Point) liable for the error – she administered a wrong dose of medication not liable for the error – although an error occurred, it did not harm the patient not liable for the error – she immediately reported the incident to the doctor liable for the error – she reported the incident it so it was made known to others 20.The nurse is about to administer a medication. She is correct to properly identify the patient by asking: (1 Point) “Is your name Stella and do you confirm that you are having a headache?” “Can you please tell me your full name and that of your doctor’s too?” “May I have your full name and date of birth, please?” “What is your full name and have you taken this medicine before?” 21.One patient is scheduled to receive an oral medication by 10:00 AM. However, at that time the patient is taking a bath. The patient’s relative suggests to the nurse that she leave the medication at the bedside so the patient can take it later. The nurse should (1 Point) leave the medication at the bedside as suggested come back at a later time to administer the medication give the medication to the patient’s relative interrupt the patient’s bath to give the medication 22.A young patient, pregnant for the first time was seen in the clinic for her executive pre-natal check-up. She asks the nurse whether she can take her usual “headache pill” because she is beginning to feel a migraine coming. The nurse appropriately responds by saying (1 Point) “If you have been taking it before, why are you afraid to take it now?” “If it is Paracetamol – it should be safe for you and the baby.” “Headaches are common in pregnancy – get used to it without taking a pill.” “Let us ask the doctor about it – it is safer for you and the baby.” 23.Which of the following medications category can be safely administered to pregnant women without the need to weigh benefits versus risks for the fetus? (1 Point) A B C D X 24.Extreme caution is needed when giving medications to newborn and young children because of their immature system. Immaturity of the liver and the kidneys can greatly affect (1 Point) pharmacotherapeutics pharmacodynamics pharmacokinetics pharmacotoxicology 25.Elderlies and seniors are more prone to drug reactions and toxicities because they (1 Point) have immature and underdeveloped systems refuse to take their medications on time have reached the age where medicines no longer take effect on their systems may have multiple drugs to take because of chronic illnesses 26.The nurse is doing a medication reconciliation with a patient and his significant other. Which of the following is the correct way of doing the reconciliation process? (1 Point) The nurse asks the patient what medications he would like to continue at home. The nurse provides a list of all medications that the patient took from the time of admission to his discharge. The nurse asks the patient questions about his take-home medications. The nurse and the patient compares his home medication list against the doctor’s discharge orders.

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