T2-Administering Medications (based off PPT)

Question 1

U.S Drug Legislation or Nurse Practice Acts?: Sets official drug standards

Answer 1

U.S Drug Legislation

Question 2

U.S Drug Legislation or Nurse Practice Acts?: Defines prescription drugs

Answer 2

U.S Drug Legislation

Question 3

U.S Drug Legislation or Nurse Practice Acts?: Regulates controlled substances

Answer 3

U.S Drug Legislation

Question 4

U.S Drug Legislation or Nurse Practice Acts?: Improves safety

Answer 4

U.S Drug Legislation

Question 5

U.S Drug Legislation or Nurse Practice Acts?: Requires proof of efficacy

Answer 5

U.S Drug Legislation

Question 6

U.S Drug Legislation or Nurse Practice Acts?: Identifies nursing responsibilities for administration and client monitoring

Answer 6

Nurse Practice Acts

Question 7

What are the 4 medication systems?

Answer 7

Stock supply
Unit dose
Automated dispenser
Self-administration

Question 8

Which medication system is this: Password accessible locked cart

Answer 8

Automated dispenser

Question 9

Which medication system is this: bulk quantity

Answer 9

Stock supply

Question 10

Which medication system is this: Individually packaged

Answer 10

Unit dose

Question 11

Which medication system is this: Individual containers

Answer 11

Self-administration

Question 12

Which medication system is this: central location

Answer 12

Stock supply

Question 13

Which medication system is this: Client-specific drawers

Answer 13

Unit dose

Question 14

Which medication system is this: Not client-specific

Answer 14

Stock

Question 15

Which medication system is this: Kept at client’s bedside

Answer 15

Self-administration

Question 16

Which medication system is this: Computerized tracking

Answer 16

Automated dispenser

Question 17

Which medication system is this: 24 hour supply

Answer 17

Unit dose

Question 18

Can automated dispensers combine stock and unit doses?

Answer 18

Yes

Question 19

What is pharmacokinetics?

Answer 19

What happens to the drug in the body

Question 20

What is pharmacodynamics?

Answer 20

How the drug affects the body

Question 21

What are the 4 processes of pharmacokinetics?

Answer 21

Absorption
Distribution
Metabolism
Excretion

Question 22

What is movement of the drug into the bloodstream?

Answer 22

Absorption

Question 23

What are 4 factors that affect absorption?

Answer 23

Route of administration
Drug solubility
pH/ionization
Blood flow

Question 24

What is distribution?

Answer 24

Drug transport to tissues and organs

Question 25

What 3 factors affect distribution?

Answer 25

Local blood flow Membrane permeability Protein-binding capacity

Question 26

Biotransformation is apart of which pharmacokinetic process?

Answer 26

Metabolism

Question 27

What is biotransformation?

Answer 27

Chemical conversion of drug

Question 28

What are 3 factors affecting metabolism?

Answer 28

Liver function Health/disease status First-pass effect

Question 29

What is elimination of the drug?

Answer 29

Excretion

Question 30

What are 2 factors affecting excretion?

Answer 30

``` Organ function (especially the kidneys, liver and lungs) Exocrine glands ```

Question 31

What are 4 concepts related to pharmacokinetics?

Answer 31

Time until onset and peak Therapeutic range Half-life Concentration of active drug

Question 32

What are primary effects of drug? (5)

Answer 32

1. therapeutic effects 2. predicted 3. intended 4. desired 5. why the drug was prescribed

Question 33

What are secondary effects of drugs? (3)

Answer 33

1. Unintended 2. nontherapeutic 3. can be predictable, harmless, or harmful

Question 34

What are types of secondary effects?

Answer 34

``` Side-effects Adverse reactions Toxic reactions Allergic reactions Idiosyncratic reactions Cumulative effect ```

Question 35

What are the three drug interactions?

Answer 35

Antagonistic Synergistic Incompatibilities

Question 36

Types of med orders? (5)

Answer 36

``` Written Automatic "stop" date STAT Standing PRN ```

Question 37

How can communication of orders happen?

Answer 37

Handwritten Preprinted Orally Telephone

Question 38

What are the 6 components of the med order/prescription?

Answer 38

1. Clients full name 2. Date and time 3. Name of med 4. Dosage size, frequency, and number of doses 5. Route of administration 6. Printed name and signature or prescriber, including relevant credentials and legal registration number

Question 39

What are your three checks? (example of pouring liquid)

Answer 39

one: before you pour (check medication label against the MAR) two: after you pour (verify label against the MAR) three: At the bedside (check med again)

Question 40

What are the 6 rights?

Answer 40

``` Right drug Right client Right dose Right time Right route Right documentation ```

Question 41

What are the 3 other rights (I know there are 4 others but she only listed 3 in ppt)

Answer 41

Right reason Right to know Right to refuse

Question 42

What is the most common used route of med administration?

Answer 42

Oral

Question 43

What all is included for oral route?

Answer 43

Tabs, pills, caps, liquids, buccal, sublingual, enteral meds

Question 44

Where are topical meds applied?

Answer 44

Directly to body surface/body cavities

Question 45

What kind of effects can topical meds have (local, systemic, or both)?

Answer 45

Local (and sometimes systemic)

Question 46

What are examples of topical meds?

Answer 46

``` Lotions, creams, ointments Transdermal patches Eye and ear Nasal Vaginal Rectal ```

Question 47

What are ways to avoid med errors?

Answer 47

1. Arrive to work well rested and undistracted 2. Use 6 rights 3. Calculate doses carefully; double check with second RN 4. Watch for drugs with similar names 5. Watch for clients with the same last name 6. Clarify unfmailar drug names and dosages or illegible orders 7. Avoid abbreviations 8. Know and use your resources 9. Keep up with changes in med orders

Question 48

What is the first thing you do if you have committed a medication error?

Answer 48

Immediately assess the patents VS and physical status

Question 49

What is the second thing you do if you committed a med error?

Answer 49

Report findings to primary care provider

Question 50

What is the third thing you do if you committed a med error?

Answer 50

Notify nurse manager of your unit and report the event surround the error. *Check with your institution for agency-specific policy regarding incident reporting

Question 51

How are meds ordered?

Answer 51

``` Standing Schedule PRN Now STAT On call One time dose ```

Question 52

How are med orders given?

Answer 52

Written Verbal Telephone

Question 53

Verbal and telephone orders must be ______

Answer 53

Repeated back for clarification

Question 54

Can nursing students take med orders?

Answer 54

No

Question 55

When teaching about meds we should teach the client, family, and/or the significant others. We should use aids appropriate to our patients level of education. What do we need to teach them about?

Answer 55

``` Drug Purpose Dose Route Schedule Side effects When to notify prescriber ```