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Med Rationale Oral
Medication Rationale
Question | Answer |
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Check the MAR for the expiration date before administering medication because: | Certain medications (e.g. narcotics, antibiotics) have a specified time frame to which they expire and need to be reordered by the primary care provider. |
Asemble the MAR for each client together so that medications can be prepared for one client at at a time because: | Organization of supplies saves time and reduces the chance of errors. |
Compare the label of the medication container or unit-dose package against the order on the MAR or computer printout because: | it is a safety check to ensure that the right medication is given. If these are not identical, check the physicians order, if there is still discrepancy check with nurse in charge. |
Check the expiration date of the medication. return expired medication to the pharmacy becasue: | Outdated medications are not safe to administer. |
Prepare the correct amount of medication for the required dose, without contaminating the medicationby using ____________ which ___________________________. | Aspetic technique, maintains the drug cleanliness. |
While preparing the medication, recheck each prepared drug and container with the MAR again because: | the second safety check reduces the chance of error. |
Place the packaged unit dose capsules or tablets directly into the medicine cup. Do not remove the medication from the package until at the bedside because: | the wrapper keeps the med clean. Not removing the wrapper facilitates identification of the med in the event the client refuses the drug or assesment data indicate to hold the med. Unwrapped meds can usually be returned to the med cart. |
Keep meds that require specific assesments, such as pulse resp rate, or BP, seperate from the others because; | it reminds the nurse to complete the needed assesment in order to decide whether to give the meds or to withhold the meds if indicated. |
When pouring liquid medications;hold the bottle so the label is next to your palmand pour the medication_____________. Why? | this prevents the label from becoaming soiled and illegible as a result of spilled liquids. |
When pouring medications; Place the medication cup on a _____ ________ at ___ ______ and fill it to the desired level, using the _______ of the ________ to align with the container scale. Why? | Flat Suface, bottom of the meniscus. This method ensures accuracy of measurements. |
Before capping the bottle of a liquid medication you should ______ ____ ___ __. Why? | Wipe off the lid. Because it keeps the cap from sticking. |
When giving small amounts of liquids (eg. <5mL) prepare the med in a sterile syringe witout a needle or ina specifically designed oral syringe. Label the syringe with _______________ and ________________. Why? | Any oral solution removed from the original container and placed in a syringe should be labeled to avoid givien the wrong route (eg IV. This practice facilitates client safety and avoids tragic errors. |
recheck the label on all medications before returning the bottle, box, or envelope to it's storage container. Why? | This third check further reduces the risk of errors. |
Avoid leaving prepared medications unattended. Why? | This precaution prevents potential mishandling errors. |
Lock the medications cart before entering the clients room. Why? | This is a safety measure because medication carts are not to be left open when unatended. |
Check the room number against the MAR if agency police does not allow MAR to be removed from the medication cart. Why? | This is another safety measure to ensure that the nurse is entering the correct patients room. |
Why do we check the patients ID band? | this ensures that the right client receives the medication. |
Why do we assist the client to a sitting position or, if not possible, to a side lying position with all oral medications? | These positions facilitate swollowing and prevent aspiration. |
Why do we take the ____________ rate prior to giving narcotics? | Respiratory rate. Narcotics depress the repiratory center. |
Why do we explain the medication and how it will help, which relevant information about the effects of medications prior to given it to the patient? | Information can facilitate acceptance of and compliance with the therapy. |
Why do give the client fluids to help swollow their medication? | Fluids ease swollowing and facilitate absorption from the GI tract. |
If the patient is unable to hold the pill cup, use the pill cup to introduce the medication into their mouth, and give only one tablet or capsule at a time. Why? | Putting the cup to the clients mouth maintains the cleanliness of the nurses hands. Giving one pill at a time eases swallowing. |
If an older adult or a child has difficulty swollowing, ask the paitient to place the medication ______ ______ ___________ ___ _____ before taking the water. Why? | Stimulation of the back of the tongue produces the swollowing reflex. |
If the medication taste bad ask the patient to suck on a few ice chips first, or give the medication with applejuice, or bread if there are no contraindications. Why? | The cold of the ice chips will desensitize the taste buds, and the juices or bread can mask the taste of the medication. |
If the client says the medication you are about to give is different from what the client has been receiving, you should _____________________________. Why? | Not give the medication without checking it against the original order. Most clients are familiar with the appearance of their medications taken previously. unfamiliar medications may signal a possible error. |
Stay with the client untill all medicaitons have been swollowed. Why? | The nurse must see the client swollow the medication before the drug administration can be recorded. |