Unit 1 review Flashcards
all the components of a medication order
client name, date and time the order is written, drug name, dose and route, frequency and signature of person order drug
where should narcotics be stored
double locked drawer, a box, room in nursing unit or automated medication dispensing system
what position should the nurse place pt with swallowing difficulties when administering medications and to prevent gastric reflux
high fowlers position, sitting up position
What should a nurse do with medications he/she pulled from the medication room if they notice the patient is not in the unit?
If a client is not on the unit at the time of medication administration, the nurse returns the medications to the medication cart or room. Leaving medications unattended may result in their loss or accidental ingestion by someone
If a medication error occurs, what should the nurse do FIRST?
As soon as an error is recognized, the nurse checks the client’s condition and reports the mistake to the prescriber and the supervising nurse immediately.
When educating an older adult client about medications at discharge, if a nurse notices the patient is having difficulty understanding the instructions, what intervention should the nurse follow to ensure the patient’s safety?
If an older person has difficulty comprehending information about medication routines, include a responsible person in the discharge instructions to ensure client safety. A referral for skilled nursing visits is appropriate for homebound older adults who need additional instructions about medication routines after discharge.
Ask patient to repeat back instructions,reinforce verbal instructions with written ones at their intelligence level
Generic drug names refer to the
a chemical name not protected by a company’s trademark, which is written in lowercase letters
what is the primary purpose of the MAR
Written or computerized form used to document drug administration, to provide a space for documenting when a drug is given, along with a place for signature, title,& initials of each nurse who administers a medication
XR means
extended release tab/capsule
SR means
sustained release tab/capsule
CR means
continuous release, dissolve slowly and be released over time
SA means
sustained action tab/capsule
how should the nurse educated pt on how to take an enteric-coated medication
(a solid drug covered with a substance that dissolves beyond the stomach) are manufactured for drugs that cause irritation of the stomach. Enteric-coated tablets are never cut, crushed, or chewed because when the integrity of the coating is impaired, the drug dissolves prematurely in gastric secretions.
enteric-coated medications should not be
cut, crushed or chewed
If a patient is receiving scheduled pain medication, which important medication administration
“right” would the nurse check first before administering the medication? If all medication rights are listed, be able to choose the correct one needed for a scenario provided.
right drug, right dose, right route, right time and right patient
If you (the nurse) notice a medication order is not complete and the provider is no longer present on the floor you are working, what would be the appropriate nursing action?
Medication errors are serious. Nurses never implement a questionable medication order until after consulting with the person who has written the order.
Should nurses administer medications prepared by another nurse? Why or why not?
Because they don’t know if all the rights were confirmed while being prepared
Describe transdermal medication application
refers to drugs that are applied to and absorbed through the skin. Examples include skin patches and pastes.
Where should a transdermal patch be applied?
Transdermal patches are typically applied to the chest, buttocks, stomach, and upper arms.
To distribute eye medication over the surface of the eye, the nurse should ask the client to
When administering eye medications, it is important to ensure that the medication is distributed over the surface of the eye. The first instinct may be to rub the eye, but this would cause further trauma and irritation. Instead, have the client blink to distribute the eye medication.
When instilling ear drops a nurse should know that the manipulation of straightening the auditory canal varies with adult vs pediatric patients
Child is pulling the ear down and back vs adult is up and back
when would be ideal time to administer a vaginal medication for an elderly patient
after bladder have been emptied
A metered-dose inhaler has a canister that
delivers aerosolized medication, which is a liquid drug forced through a narrow channel via a chemical propellant.
A ______ would help maximize the absorption of the drug in a client who is having problems coordinating his breathing with the inhaler use
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