Medication Administration Verbal Test Out

Front 1

What are the 6 Rights to administering medication

Back 1

1. Right Medication
2. Right Dose
3. Right Client
4. Right Route
5. Right TIme
6. Right Documentation

Front 2

This is required for every medication you administer

Back 2

A Medication Order

Front 3

Regardless of how you recieve the order always

Back 3

Compare the written orders with the Medication Administration Record (MAR)

Front 4

If patient is moved from one unit to another always

Back 4

verify medication infomation and whenever there are nre MARs written

Front 5

Once knowing everything is accurate what is the first thing you do ?

Back 5

Use the MAR to prepare and administer the medication

Front 6

When preparing medications from bottles or containers

Back 6

Compare the label with with MAR 3x
1. Before removing the container from the drawer or shelf.
2.As your removing the amount from the container
3.Before returning the container back to its storage.

Front 7

Never prepare medication from

Back 7

unmarked containers with illegible labels

Front 8

With unit-dose prepackaged medication

Back 8

Check the label with the MAR when taking medication out of the medication dispensing system.

Front 9

before administering the medication what do you want to do at the bedside

Back 9

Do a final check and verify all medications at the clients bedside with the clients MAR and use 2 identifiers before giving the client the medications

Front 10

if a client refuses a medication

Back 10

discard it, do not return it back to its container

Front 11

Unit-dose medications can be saved if

Back 11

they have not been opened

Front 12

If a client refuses narcotics

Back 12

Follow proper hospital procedure by having someone else witness the "wasted" medication

Front 13

Only Break tablets that are

Back 13

Scored by the manufacturer

Front 14

Cut a scored tablet by using a

Back 14

Knife edge
cutting device

Front 15

When adding medication to small portions of food or liquid why shouldnt we add them to their favorite foods?

Back 15

Because it alters there tastes and decreases the clients desire for them.

ESP *Pediatrics

Front 16

Before administering medications to clients make sure its the correct patient by

Back 16

using 2 identifiers
1.Clients name
2. Clients Identification number
with the MAR at the bedside.
3. asking the client to state their name and information

Front 17

If an order does not designate a route of administration what would you do?

Back 17

Contact the prescriber

Also applies to when the route is not the recommended route

Front 18

GIve a medication ordered pc (After Meals)

Back 18

With in a half hour after meals when a client has a full stomach

Front 19

Give a Stat medication

Back 19

immediately

Front 20

Give antibiotics

Back 20

on time around the clock to maintain therapeutic blood levels

Front 21

Give insulin

Back 21

at precise intervals before a meal

Front 22

Give all routely ordered medications

Back 22

With in 60 minutes of the time ordered

* 30 mins before / 30 mins after

Front 23

For clients that have difficulty remembering when to medications what intervention can you as the nurse perform

Back 23

make a chart the lists the times when the client will take each medication, special container to hold each timed dose

Front 24

After administering a medication to a patient what are you going to document?

Back 24

-Name of Medication
-the Dose
-time administered
-Route
IF injection document which site and clients response.

Front 25

If you administer a the patient an injection what will you document

Back 25

The injection site and the clients response either positive or negitive

Front 26

If you give an injection to patient and the patient response negitively to it what would your next action be

Back 26

-Contact the physician
-Document the time
-date and name of HCP that was notified

Front 27

Before even attempting to administer any medications what should you do first

Back 27

Review the clients medical history to check for
-illness or diease
-adverse reactions
-indications or conindications

Front 28

What is an important to ask the patient before administering medications ?

Back 28

Do you have any allergies?
to ensure the the medication you are about to give will not reactive negitive towards the patient

Front 29

What would say when educating client about medication administration at home?

Back 29

Explain the purpose of the medication and their action and effects that the client can understand.

Front 30

What are the Components of Medication Orders

Back 30

-Clients Full Name
-Date & Time Order was written
-Medication Name
-Dose
-Route of Administration
-Time & Frequency of Administration
-Signature of Physician

Front 31

This type of order is given to the nurse by the MD over the phone. Requires a read-back

Back 31

Telephone orders
Must be signed in 24 hours

Front 32

This type of order is given to the nurse in the presence of the MD. Requires a read back

Back 32

Verbal orderMust be signed in 24 hours

Front 33

What is the easiest most desirable way to administer medication?

Back 33

Orally by mouth

Front 34

Tablets & capsules need to be administered with how many ml's of fluid?

Back 34

60 to 100 ml of fluid as allowed

Front 35

The primary contraindication for giving med's by mouth would be

Back 35

A patient with GI alterations that is unable to swallow foods or fluids

Front 36

If there is a risk for aspiration what should the nurse do when administering med's

Back 36

Seat the patient up at a 90 degree angle

Front 37

What type of medications can not be crushed

Back 37

-Buccal
-Sublingual
-Enteric coated
-Sustained released

Front 38

If medications are being crushed make sure you

Back 38

dissolve each medication seperately and its done in 15 to 30 ml of warm water

Front 39

What do you do if client refuses medication?

Back 39

-Explore reasons why ?
-Educate if misunderstandings of medication
-If still refuse, record why in chart and notify MD

Front 40

If the patient exhibits an adverse reaction to a medication what do you do?

Back 40

-Notify the MD and Pharmacy
-Withhold further drugs
-Add allergy to the chart

Front 41

Types of Nasal Installation

Back 41

-Sprays
-Drops
-Tampons

Front 42

Over use of nasal inhallation result in ?

Back 42

Rebound effect which the nasal congestion worsens

Front 43

When nasal inhallation is swallowed

Back 43

a system effect develops
*esp in child

Front 44

What type of nasal inhallation is best for a child

Back 44

Saline drops for decongestant

Front 45

What is the best nasal inhallation for a sinus infection

Back 45

Sprays bc drops are ineffective

Front 46

What is the best nasal inhallation for a sinus infection

Back 46

Sprays bc drops are ineffective

Front 47

What is the best nasal inhallation for a sinus infection

Back 47

Sprays bc drops are ineffective

Front 48

What is the best nasal inhallation for a sinus infection

Back 48

Sprays bc drops are ineffective

Front 49

What is the best nasal inhallation for a sinus infection

Back 49

Sprays bc drops are ineffective

Front 50

If a patient is experiencing a severe nose bleed what type of treatment is given

Back 50

nose bleed is treated with packing or nasal tampons with epinephrine to reduce blood flow

Front 51

If a patient is experiencing a severe nose bleed what type of treatment is given

Back 51

nose bleed is treated with packing or nasal tampons with epinephrine to reduce blood flow

Front 52

If a patient is experiencing a severe nose bleed what type of treatment is given

Back 52

nose bleed is treated with packing or nasal tampons with epinephrine to reduce blood flow

Front 53

Types of Eye installation used are?

Back 53

-eye drops
-ointment
-OTC : Artifical tears & Vasoconstrictors
"Visine & Murine"

Front 54

This type of medication is delievered in a way that resembles a contact lens

Back 54

Intraocular administration

Front 55

How would you administer an inocular medication?

Back 55

by placing the medication into the conjunctival sac where it remains in place for up to 1 week.
ex pilocarpine

Front 56

Why is it important to instill ear drops at room temperature?

Back 56

because it can cause vertigo,dizziness or nausea

Front 57

Procedure when adding nasal inhallation

Back 57

-Hand hygiene
-inspect nose with penlight
-palpate sinuses for tenderness
-prepare medication
-check 3times
-Take medication to client at correct time and perform hand hygiene
-identify client with 2 idenifiers
(Name and hospital ID number)
-ask client to state name for 3rd identifier
-compare medication with labels at clients bedside
-Explain procedure
***postioning, sensation
-arrange supplies and medication at bedside
-Gloves
-Have pt clear nose (blowing nose) unless contraindicated-nose bleeds and intracranial pressure
-Administer nasal drops
-support head with nondominant hand
-instruct patient to breathe through mouth
-hold dropper 1cm away from nares
-instill prescribed # of drops
-have client remain in supine position for 5 mins after admin.
-give tissues to blot drainage
-hand hygiene
-document

Front 58

how far from the nares do you administer nasal inhallation

Back 58

1 cm 1/2 inch

Front 59

to administer drops into the posterior pharynx position the patients head

Back 59

in a backwards position

Front 60

to administer nasal drops to the ethmoid or sphenoid sinus position the patients head

Back 60

tilt head backover edge of the bed or place small pillow under clients shoulder and tilt head back

Front 61

to administer drops to the frontal and maxillary sinuses position the patients head

Back 61

tilt head back over edge of the bed or pillow wih head turned to the side to be treated

Front 62

After administering clients drops how long should the patient remain in a supine position

Back 62

for 5 minutes

Front 63

after administering drops .. observe patient for how long after

Back 63

15 to 30 minutes for onset of side effects