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Medication AdminFundamentals of Nursing

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What does the signature on a prescription contain?
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Information to be written on the drug label (such as 3 times a day for 10 days
What does the inscription of a prescription contain?
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The drug name, strength, and dose
What is included in the superscription of a prescription?
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Client's name, address, age, and today's date
What is the nurse's top priority when a medication error occurs?
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The client's well being and safety. **notify the physician immediately**
What is medication reconciliation?
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Whenever a client is admitted to a new health setting, the nurse compares the meds the client took with the current meds ordered
When is a medical error most likely to happen?
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When a client is transferred to another health care agency or unit, or discharged
What is the process for medication reconciliation?
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Verify by obtaining list of current meds, clarify (make sure dose and frequency is accurate), reconcile (compare current with new), transmit (communicate verified list)
When administering meds, be sure to read the label ____ times and compare it through the MAR before giving it.
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3
The six rights of medication administration are:
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Right med, right dose, right patient, right route, right time, 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're removing amount ordered from bottle, check again when returning container, check again against MAR when bedside
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True or False: You can delegate the preparation of a medication as long as you verify it and administer it.
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False. Nurses administer only medications they prepare
What should you do if a client refuses a medication?
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Discard it. If the med is 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 medication in a client's favorite food or drink to ensure the 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 medication is administered?
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When the OR staff notify the nurse that they are coming to get the client for surgery
Medications ordered PC should be given within?
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1/2 hour after a meal
Which medications should be given priority?
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Those that must act at certain times like insulin and antibiotics
Routinely ordered medications 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 to ensure right time for a client has been discharged?
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Help plan schedules, make a chart with times, prepare a container to hold timed doses
  
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