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Medication Administration BasicsMedical-Surgical Nursing-7th edition

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The six rights of med admin are:
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Right med, Right dose, Right client, Right route, Right time, and Right documentation.
What steps are involved in ensuring the right med is being administered?
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Verify written against MAR. Compare label against MAR before removing container. Check again as you are removing amount ordered from bottle. Check again when returning container. Check again against MAR when bedside.
True or False? You can delegate the preparation of a med as long as you verify it and administer it.
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False; Nurses administrate only meds they prepare.
What should you do if a client refuses a med?
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Discard it. If a narcotic, a witness must watch.
How does a nurse ensure the right dose is being administered?
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After performing calculations have another nurse confirm them.
True or False? You should mix crushed meds in a client's favorite food or drink to ensure they can easily consume it.
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False; It alters their taste and decreases desire.
How is the client verified in an acute care setting?
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Compare identifiers on MAR with client's bracelet bedside.
True or False? A nurse can alter recommended dosing times if necessary or appropriate.
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TRUE
An on-call med is administered...
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when the OR staff notify the nurse that they are coming to get the client for surgery.
Meds ordered PC should be given within...
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1/2 hour after a meal
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Which medications should be given priority?
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Those that must act at certain times like insulin, antibiotics, etc.
Routinely ordered meds should be given...
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Within 60 minutes of time ordered; 30 minutes before or after prescribed time.
How can a nurse help ensure right time for a client that has been discharged?
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Help plan schedules. Make a chart with times. Prepare a container to hold timed doses.
What are the nurse's six rights for safe medication administration?
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Right to a complete and clearly written order. Right to get correct drug route and dose. Right to access info. Right to have policies on med administration. Right to admin safely and identify problems. Right to stop, think and be vigilant.
What are the nurse's responsibilities regarding medications?
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Evaluating the effects on health status. Teaching about the meds and their side effects. Ensuring adherence to the regimen. Evaluating ability to self-administer. Teach and evaluate family members when needed.
What 3 types of medical errors accounted for 60% of safety incidents?
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Infection after surgery, Bed sores, and Failure to diagnose and treat in time.
The majority of med errors occur during the _______ and _______ stages.
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ordering and administering
Drugs can accumulate in what areas of the body?
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Fat (i.e. estrogen), bone, liver, and muscle.
Prodrugs don't work until...
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they are metabolized by the liver
What are the benefits of oral medications?
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Inexpensive, easy to take, no professional needed and convenient.
Protein-binding drugs need to be monitored in people with low _______.
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proteins (albumin)
  
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