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Medication AdminFundamentals of Nursing

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Question Answer
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
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 medication administration, right to administer safely and identify problems, and right to stop, think, and be vigilant
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 side effects, to refuse, to get an assessment of medication history, to be advised of experimental uses and give written consent, to get meds safely and without discomfort, to get supportive therapy, to not get unnecessary medications, and to be informed if part of study
What factors should a nurse assess to ensure safe medication administration?
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History (medical), history of allergies, medication data, diet history, any perceptual/coordination problems, current condition, attitude about medication use, knowledge/understanding of medications, and learning needs
____ technique is required when giving medications.
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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, 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 take more meds than needed
Why are psychoactive drugs so potent in the elderly?
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The brain receptors become more sensitive
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?
Show Answer
Protect client from aspiration
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True or False: offering a client straws decreases the risk of aspirating oral meds because it gives greater control of liquid intake.
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False: it gives less control, increasing aspiration risk
Topical skin applications require a nurse wears ____.
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gloves
If a medication must be administered via NG, feeding, intestinal or G tubes, you should avoid meds or elixirs with pH less than ____.
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4
True or False: If a patient is being fed enterally, never add medications directly to the tube feeding.
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True. **stop 1-2 hours before and restart 1-2 hours after med**
Crushed tablets, gelatin capsules, and powders should be dissolved in ____ mL of warm water for a tube administration.
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15-30 mL
If a patient is receiving several medications via a tube you should ____ in between each.
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Flush tube with 15-30 mLs of water and when done, flush with 30-60 mL
Alterations in ____ function interfere with oral medication distribution, absorption, and excretion.
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GI
True or False: If a tablet comes prepackaged individually, you should remove packaging and place tablet in a medicine cup before entering client's room.
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False. The wrapper allows ID of med and dose.
True or False: All medications for one patient can be put together in one med cup.
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True. **unless it requires preadministration assessment.
When applying a transdermal patch that is difficult to see, a nurse should?
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Apply a noticeable label to patch
True or False: It is OK for a client to self-administer prescribed nasal sprays.
Show Answer
True.
  
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