Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Nursing Skills
Test3 - LP 9 & 11
| Question | Answer |
|---|---|
| When administering medication what five things do you want to have an awareness of regarding patient? | Allergies, cross sensitivities with prescriptions ordered, physical, developmental and emotional status |
| What five things should you know about the medication you are administering? | Drug name(s), actions & side effects, safe dose ranges, safe routes of administration |
| What are the parts of a drug order (7)? | Client, when order written (date/time), drug, dose, route, time and frequency, signature |
| What are the four time/frequencies that drugs are given? | Stat, single dose, standing/ongoing orders, PRN |
| What do you document regarding medication administration? | If the medication was given, held, refused or PRN |
| How are narcotics stored? | ???? |
| What are the five medication rights? | Patient, drug, dose, time, route |
| When do you complete your three checks? | Pulling from storage unit, preparing, after preparing prior to administering |
| What are the four steps of the nursing process? | Assess, Plan Implement, Evaluate response to drug |
| When we implement a nursing process related to medications, what four things are we do? | Inform, teach, give med and document |
| Is it okay to administer medications if you are unsure of what they are/how they are prepared? | No! |
| What is the purpose of enteric coated tablets? | Acid resistant coating to avoid stomach irritation, dissolves in small intestine |
| Medication in a gelatin sheath, dissolves in stomach | Capsules |
| Medication unit is treated with special coating so drug will be delivered at varying rates. | Controlled/Sustained release capsules |
| Medicine that dissolves in the mouth | Lozenge/Troches |
| Alcohol and water preparation | Elixir |
| Sugar and water preparation | Syrup |
| Contains undisolved particles of medication, must be shaken | Suspension |
| What route? Must be swallowed and absorbed in GI tract | Oral |
| What route? Placed against mucous membranes of check until dissolved, absorbed through tissue | Buccal |
| What route? Placed under tongue until dissolved, not swallowed! | Sublingual |
| Can enteric coated medicines be crushed? | No |
| Why is the presence of food a concern for absorption of a drug? | Food binds with certain medications or molecules within the drug thereby changing its structure inhibiting or preventing absorption |
| Are drugs absorbed more quickly on a full or empty stomach and why? | Most Rx will be absorbed more quickly if given on an empty stomach because the stomach acid will dissolve the medication |
| Why do circadian rhythms affect absorption? | Due to increased and decreased organ function throughout the day and night |
| What are the four advantages of the oral route? | Most common, less expensive, convenient, non-invasive |
| What are the seven disadvantages of the oral route? | Unpleasant taste, irritation of mucosa, irregular/unpredictable absorption, slow absorption, may discolor teeth, not feasible if swallowing or LOC is altered, nausea/vomiting/NG suctioning may limit use |
| When are oral meds contraindicated? (7) | NPO status, vomiting, gastric suctioning, unconscious, difficulty swallowing, poor gag reflex, risk for aspiration |
| What are two examples of when you could consider crushing meds? | For children or elderly who don’t like taste or can’t swallow pills |
| What four types of pills should not be crushed? | Enteric coated, SR, SL or buccal meds |
| What do I do if my patient is ordered to receive a medication & I am concerned about allergies / cross-sensitivities? | I would hold the med and call the ordering MD and pharmacist |
| What if the MAR says “NKDA” but the patient is wearing an allergy band? (2) | I would hold the med and call the ordering MD, I would follow procedure to update MAR |
| What if my patient questions the medication as dispensed (i.e., “I never take a blue pill”)? | I would recheck the MAR prior to administering the med, it is possible that the pill is had been given was a brand name and now has been switched to generic or vice versa |
| What if my patient spits out or vomits the Rx? | Access vomit looking for pills or fragments, Do not administer medication unless you have permission from MD. Usually MD will not authorize re-administering again unless WHOLE pill can be seen and identified. |
| What if my patient missed the scheduled dose of Rx? | ??? |
| What if I make a medication error? (4) | Observe patient asap for any adverse signs based on error, notify nurse manager and md, document in medical record what DID occur and any remediation taken, complete incident report ( which is not a part of patient’s medical record) |
| What two conditions inhalation medications used for? | Asthma, allergies |
| What two types of inhalation medications are used for asthma? | Bronchodilators, corticosteroids |
| What two types of inhalation medications are used for allergies? | Decongestants, mucolytics |
| What three delivery methods are there for inhalation medications? | MDI, hand atomizer, nebulizer |
| Inhalation medication that vaporizes or disperses a liquid into a fine spray. | Nebulizer |
| What are three advantages of using an MDI? | Quickly opens airway, easily absorbed, pt has control in stressful situation |
| What are five disadvantages of using an MDI? | Dexterity may make MDI use difficult, MDI often used incorrectly, Age of clients may necessitate use of spacer or face mask, MDI can be tiring, Medications can have systemic effect as well as local effect |
| If steroid meds are given, what should client to after and why? | Have client rinse mouth after to prevent yeast infection and sore tongue |
| Can an MDI be shared? | No |
| What is the purpose of using a spacer with MDI? | Allows particles of med to “ride” the breath into the airways rather than hit the back of the throat |
| What two populations of people is the spacer especially useful for and why? | Peds and elders who may not have manual dexterity to properly use MDI by itself |
| How do you know when an MDI is empty? | From looking at the counter or water marker |
| What two things should you consider when working with an elderly person who needs to use an MDI? | May be too frail to depress canister of MDI, coordination may necessitate use of spacer |
| What two things should you consider when working with a child who needs to use an MDI? | Coordination may promote use of a spacer device, Educate family r/t use of MDIs at school |
| Provides medication (or moisture) in an aerosolized form into tracheobronchial tree | Small volume nebulizer |
| What is an example of a condition for which a small volume nebulizer is used? | Chronic lung disease such as asthma |
| What is a side effect of small volume nebulizer? | Tachycardia |
| Home cleaning instructions for MDI mouthpiece, spacer or nebulizer parts | Once a week, soak parts in a vinegar/water solution (1 pint water & 2 oz. vinegar) x 20 min, rinse & air dry. |
| Why should wet equipment never be stored? | Encourages the growth of bacteria & mold |
| What three parameters should be assessed before and after inhalation meds are given? | All vital signs, lung sounds, pulse ox |
| When is the best time to teach a patient about the correct way to use an MDI or spacer? | After they have recovered while it is fresh in their mind, not during an attack! |
| What four undesirable side effects of inhalation medication should you watch out for? | Tachycardia, jittery ,(client will note a bad taste), if steroid medicine is given – the client should rinse mouth out after to prevent a yeast infection |
| What are three places where we administer a topical med? | Skin, mucous membrane, tissue membrane |
| What are the five forms that topicals come in? | Lotions, patches, pastes, ointments, drops |
| Do you apply lotion, ointment, or cream to open area? | You can but only if directed |
| When would you use a transdermal med? | When skin ABSORPTION is preferred method for administration |
| Do transdermal meds provide for rapid or gradual absorption? | Gradual |
| What are four reasons that ophthalmic meds are used? | To soothe, dilate, anti-infective, anesthetic |
| What are three reasons why otic meds are used? | Soften wax, pain relief, anti-infective |
| What are reasons why vaginal meds are used? (5) | Anti-infective, cleansing, altering pH, pain relief, hormones |
| How are suppositories stored? | Refrigerator |
| A drug that is effective against nausea and vomiting | Anti-emetic |
| A drug that will reduce a fever | Anti-pyretic |
| Are you likely to have systemic or GI disturbances with suppositories? | No |
| A patient is more likely to have even absorption of suppository with what two things? | GI malabsorption or emesis |
Created by:
anastasia158
Popular Nursing sets