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Medication Administration BasicsMedical-Surgical Nursing-7th edition

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Question Answer
Angle of sub Q injections in normal sized client... In an obese client...
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Normal - 45-90 degrees; Obese - pinch skin and inject at 90 degree angle below tissue fold
If a client is too thin for a sub Q injection, where should the injection be done?
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Abdomen
A child receiving an antihistamine becomes energized and can't sleep. This is an example of a _______ reaction.
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idiosyncratic reaction
What are the Patient Care Partnership's rights afforded to clients regarding medication administration?
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To be informed of name, purpose, action and SE. To refuse. To get an assessment of medical history. To be advised of experimental uses and give written consent. To get medication safely and without discomfort. To get supportive therapy. To not get u
What factors should a nurse assess to ensure safe med administration?
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History (medical), history of allergies, medication data, diet history, any perceptual/coordination problems, current condition, attitude about med use, knowledge/understanding of meds, and learning needs.
_______ technique is required when giving meds.
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Aseptic
What are the 7 components of a complete medication order?
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Client's full name, date and time of order, medication name, dose, route of administration, time and frequency of administration and signature.
What is the difference between rational and irrational polypharmacy?
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Rational: Happens when clients need to take several medications to treat their illnesses. Irrational: Happens when client takes more medications than needed.
What happens to renally excreted drugs in the elderly?
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The 1/2 life is lengthened due to decreased rate of removal.
What is the primary precaution to take when administering drugs orally?
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Protect client from aspiration.
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True or False? Offering a client straws decreases the risk of aspirating oral medications because it gives greater control of liquid intake.
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False; It gives less control and increases aspiration risk.
Why are psychoactive drugs so potent in the elderly?
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The brain receptors become more sensitive.
Topical skin applications require a nurse wears _______.
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gloves
The _______ program is a voluntary program encouraging HCP to report when a medication, product or event causes harm.
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Med Watch
What is the primary intent of Nurse Practice Acts?
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Protect the public from unskilled, under educated and unlicensed personnel.
What factors effect the absorption of medication?
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Route of administration; Ability of med to dissolve; Blood flow to site of administration; Body surface area; and Lipid solubility of the med.
Which route of administration delivers medications the slowest?
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Skin
Which route of administration delivers medications the quickest?
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Intravenous injection
Which is absorbed more quickly and why? Acidic meds or Basic meds?
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Acidic; They are absorbed in the stomach and basic ones get absorbed in the small intestine.
What factors impact medication distribution?
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Circulation, membrane permeability, and protein binding.
Why is the efficacy of medications in patients with CHF delayed or altered?
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They have impaired circulation which impairs medication delivery to the site of action.
  
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