Medications Chapter And Lab

Front 1

In medication, what are the 3 checks?

Back 1

Label should be checked 3 times in preparing and administering.
1. when reaching for package
2. compare with MAR after retrieval
3. when replacing back in drawer
(Lynn pg. 153)

Front 2

What are the 5 rights?

Back 2

1. Right medication given to
2. Right patient in the
3. Right dosage through the
4. Right Route at the
5. Right time
(6. right reason, 7. right documentation)
(Lynn pg. 153)

Front 3

What should you know before giving medications to a patient?

Back 3

1. Mode of action and purpose
2. Side effects and contraindications
3. Antagonist of medication
4. Safe dosage range
5. interactions with other meds
6. precautions to take before giving
7. proper administration technique
(Lynn pg. 153)

Front 4

needle gauge

Back 4

measurement of the diameter of a needle
(Lynn pg. 152)

Front 5

subcutaneous injection

Back 5

injection placed between the epidermis and muscle, into the subcutaneous tissue; sites commonly used are the outer aspect of the upper arm, the abdomen, the anterior aspects of the thigh, the upper back, and the upper ventral or dorsogluteal area. (Lynn pg. 152)

Front 6

vial

Back 6

a glass bottle with a self-sealing stopper through which medication is removed. (Lynn pg. 152)

Front 7

suppository

Back 7

oval or cone-shaped substance that is inserted into a body cavity and melts at body temperature. (Lynn pg. 152)

Front 8

sublingually

Back 8

under the tongue (Lynn pg. 152)

Front 9

nebulizer

Back 9

instrument that produces a fine spray or mist; in this case, passing air through a liquid medication to produce fine particles for inhalation. (Lynn pg. 152)

Front 10

metered-dose inhaler (MDI)

Back 10

device to deliver a controlled dose of medication for inhalation. (Lynn pg. 152)

Front 11

inhalation

Back 11

route to administer medications directly into the lungs or airway passages. (Lynn pg. 152)

Front 12

intravenous (IV) route

Back 12

route to administer medications directly into the vein or venous system; the most dangerous route of medication administration. (Lynn pg. 152)

Front 13

intramuscular injection

Back 13

injection placed into muscular tissue; sites commonly used are the ventrogluteal, vastus lateralis, deltoid, and dorsogluteal muscles. (Lynn pg. 152)

Front 14

intradermal injection

Back 14

injection placed just below the epidermis; sites commonly used are the inner surface of the forearm, the dorsal aspect of the upper arm, and the upper back (Lynn pg. 152)

Front 15

ampule

Back 15

a glass flask that contains a single dose of medication for parenteral administration (Lynn pg. 152)

Front 16

What are some ways to prevent medication errors?

Back 16

1. Observe 3 checks
2. Use the 5 rights
3. clarify any illegible, incomplete, incorrect route or dosage orders,
4. Clarify meds not expected for patients current diagnosis
(Lynn pg. 153)

Front 17

What are the nurses responsibilities when administering drugs?

Back 17

1. Patient knows why taking drug.
2. 5 rights
3. 3 checks
4. accurate dosage calculations
5. given in the proper way
6. documentation done
7. monitoring for reaction and response.
8. education
(Lynn pg 154)

Front 18

when looking at a needle package, what does the first number indicate?

Back 18

the gauge of the needle. As gauge gets larger, the needle gets smaller. Ex. 24-gauge is smaller than an 18-gauge (Lynn pg. 154)

Front 19

When looking at the needle package, what does the second number indicate?

Back 19

the length of the needle in inches. (Lynn pg 154)

Front 20

For ease of time, what is maximum number of patients you should prepare medication at one time?

Back 20

one patient at a time. This prevents errors in medication administration (Lynn pg. 158)

Front 21

Why would a nurse put the entire the unit dose package in the cup rather than just the pill?

Back 21

This is an additional safety check. assessment may be required before giving. Also, prevents confusion as to what the pill as it is still in the wrapper.
(Lynn pg. 158)

Front 22

When pouring out a multi-dose medication, why would the nurse pour them into the cap first?

Back 22

This allows for easy return to the bottle. Pouring into hand is unsanitary. (Lynn pg. 158)

Front 23

When pouring out liquid multi-dose medication, why would a nurse place the label towards the palm of their hand?

Back 23

This prevents liquid from dripping on to the label making it hard to read. (Lynn pg. 159)

Front 24

When giving medications, is it okay for the nurse to leave the medication on the bedside?

Back 24

No. If the nurse does not see the patient swallow the medication, it can not be recorded as administered. chart is legal record only with doc orders can meds be left on the bedside. (Lynn pg. 160)

Front 25

What should a nurse do if a patient feels like medication is lodged in throat?

Back 25

offer water or fluids to drink. If allowed, offer crackers or bread to help move into stomach. (Lynn pg. 161)

Front 26

What would nurse do if patient refuses medication?

Back 26

Explore the reason for the patient's refusal. Review the rationale for using the drug and any other information that may be appropriate. If you are unable to administer the medication despite education and discussion, document the omission according to facility policy and notify the physician.

Front 27

What should a nurse do if a pill falls to the ground?

Back 27

Discard and obtain a new dose for administration. This prevents contamination and transmission of microorganisms.

Front 28

In which direction should you break an ampule?

Back 28

Always AWAY from your body. This protects the nurse's face and fingers from any shattered glass fragments(Lynn pg. 165)

Front 29

When obtaining medication from an ampule, why would a nurse use a filter needle?

Back 29

To prevent pulling out any glass into needle. (Lynn pg. 166)

Front 30

why is it important to not inject air into an ampule?

Back 30

The solution is held in place by surface tension. Air increases the pressure and can cause it to spill out of the ampule. (Lynn pg. 166)

Front 31

What should nurse do if they are cut by the ampule?

Back 31

Discard ampule in case of contamination. Bandage wound and use a new ampule. (Lynn pg 167)

Front 32

What would nurse do if all medication was not removed from the stem and there is not enough medication left in the body of ampule for dose?

Back 32

discard ampule and draw medication. Obtain a new ampule and start over. Medication in original ampule stem is considered contaminated once neck of ampule has been placed on a nonsterile surface. (Lynn pg. 167)

Front 33

What does the nurse do if they inject air into an inverted ampule, spraying medication?

Back 33

1. wash hands to remove med
2. if in eyes, do eye irrigation
3. Get new ampule for dose
4. report injury if necessary.
(Lynn pg. 167)

Front 34

What should the nurse do if they do not use a filter needle?

Back 34

Replace needle with filter needle. Inject the medication through the filter needle into a new syringe and then administer to patient. (Lynn pg. 167)

Front 35

What should a nurse do if the plunger becomes contaminated before inserted into ampule?

Back 35

Discard needle and syringe and start over. If plunger is contaminated after meds drawn into syringe dont need to start over. (Lynn pg. 167)