Question

16. Which of the statements made by the trained medication assistant reveals the need
for further teaching? (Select all that apply.)

a.		Suspensions should never be shaken before they are measured."
	b.	"When a patient has difficulty swallowing, even long-acting medications should be crushed."
	c.	"It is OK to crush medications in advance when batch prepping them at the station."
	d.	"Disgarded medications should go into the sharps container."

17. Which of these statements regarding controlled substances made by the nurse
intern indicates the need for further teaching? (Select all that apply.)

a.		"Controlled substances should be counted by the oncoming and offgoing nurse each shift."
b.		"The cart keys should be hidden in the MAR when the nurse goes to lunch."
c.		"Controlled substances of deceased people should be flushed in the presence of a witness."
d.		"Patients should be asked to rate their pain on a scale of 1-10 prior to and after giving analgesics."

18. Which of these statements made by the student nurse indicates the need for
further teaching? (Select all that apply.)

	a.	"Two patient identifiers should be used in both acute and long-term care settings."
	b.	"Reasons for refusal do not need to be documented on the MAR. Refusal is a basic right."
	c.	"Medications may be documented before giving them because they can be circled if they are refused."
	d.	Pills can be hidden in food without physician and guardian consent whenever necessary."

19.Which statements made by the nurse indicate the need for further
teaching? (Select all that apply.)

a.		"Herbal remedies do not need to go through FDA efficacy trials before being marketed."
	b.	"Class D medications can be safely taken when pregnant."
	c.	"Class X medications refer to illicit medications like cocaine."
	d.	"Class C medications are controlled substance medications."

20. The nurse is preparing to administer an oral medication and wants to ensure a rapid drug action. Which form of the medication will the nurse administer?

		a. Enteric Coated pill
b.		Tablet
c.		Liquid Suspension
	d.	Capsule

Answer 1

16. Answer is option A, B, D

• Option A: The statement needs further teaching because suspensions are a kind of liquid medication given to patients to keep a check that the correct dosage reaches them. Suspensions are made of thick medications, if not shaken the thin layer will get dispensed and when the thick layer is dispensed it causes toxic effect. This suspension should be shaken before measuring and administration.
• Option B: This statement is also wrong. Medications can be crushed if the patient is having difficulty in swallowing. This doesn't include all medications. Some medications like long acting medications and enteric coated medications should not be crushed because it will disturb it's action.
• Option C: This statement is correct. The medications can be crushed before hand.
• Option D: This statement is wrong. The discarded medications should be discarded in yellow container and not with the sharp items.

17. Answer is option B

• Option A: This statement is correct. The controlled substances should be checked at the start and end of every shift.
• Option B: This statement is wrong. A single nurse is responsible for the count and safety of the controlled substances. She should not keep the keys anywhere. It should be always with the incharge nurse.
• Option C: This statement is correct. It should be discarded in the presence of a witness.
• Option D: This statement is correct. The pain level should be checked before and after administration of the drug so that the physician can either increase or decrease the dosage of the medication.

18. Answer is option B, D

• Option A: This statement is correct. Two patient identifications should be used in all health care settings. The common identifiers are name and date of birth.
• Option B: This statement is wrong. The reason for refusal along with time and whether the patient was explained regarding the medication benefits and ill effects of not taking the medications.
• Option C: This statement is correct. The medications are documented according to the physician's order. If the patient refuses, it should be circled and initialled and the reason for refusal should be mentioned.
• Option D: This statement is wrong. Pills should not be hidden in the food without the knowledge of the physician and guardian. In case of psychiatric patients, prior permission can be obtained and then it can be hidden in food and administered.

19. Answer is option B

• Option A: This statement is correct. It is not a necessity of the herbal products to go for trials with FDA before marketing. But after it reaches the market place the FDA checks for its quality and if there is any adverse effects complained by the consumers.
• Option B: This statement is wrong. Class D medications cause adverse effects on fetus but also beneficial. The benefits overweighs the adverse effects. It can be given during pregnancy under guidance.
• Option C: This statement is correct. Class X drugs should be avoided cause it causes adverse effects on fetus.
• Option D: This statement is correct. Class C includes controlled substances like narcotics.

20. Answer is option C

Option C: Liquid suspension are rapid action drug because the drug gets absorbed immediately and action takes place. All other options are not rapid action drugs.