NUR 101 Exam 4
- 6 rights of medication administration
- Right patient
Answer
- Right medication
- Right dose
- Right route
- Right time
- Right documentation
- Measures to prevent medication errors
- Prepare medications for one patient at a time, and one medication at a time.
Answer
- Follow the 6 rights for all medications
- Read labels at least 3 times before administration
- Review all allergies
- Do not allow interruptions
- Double check calculations and administration process
- High alert - two RN verification
- Readback
- Tallman letters
- Label - if not in original container
- Pre administration assessment
- Question too high/low doses
- medication errors
Answer Report all medication errors. Patient safety is top priority when an error occurs. Documentation is required.
The nurse is responsible for preparing a written occurrence or incident report 1 / 3
an accurate, factual description of what occurred and what was done.Nurses play an essential role in medication reconciliation.
- factors to consider when choosing routes of medication
- Physical and chemical properties of the drug.
Answer
- Site of desired action
- Rate of extent of absorption of the drug from different routes.
- Effect of digestive juices and the first-pass metabolism of drugs.
- Condition of the patient.
- medication routes
Answer Enteral o Tablets/capsules
Parenteral
- IV/IM, subcutaneous, IVP, IVPB
Topical
- Sublingual, inhalers, buccal, creams, eye/ear drops
- pain
Answer an unpleasant sensory and emotional experience associated with actual or potential tissue damage
- Physician role in medication administration
Answer order med, check current and past medical history, check allergies, choose correct dose and route 2 / 3
- pharmacist role in medication administration
Answer receive order, prepare some med, verify dose and route, distribute
- Nurse role in medication administration
Answer assess pt, assess med, verify dose and route, assess ability to self-administer, assess access to insurance, administer med, check for allergies, pt education, adverse effects, therapeutic effects
- pain
Answer whatever the experiencing person says it is, existing whenever he says it is
- acute pain
- chronic pain
Answer acts as warning sign, activates the sympathetic nervous system signs increased HR, BP, RR, dilated pupils, sweating
Answer persists or recurs for indefinite period (more than 3 months) onset is gradual and poorly localized (hard to pinpoint) often accompanied by depression
- nociceptive pain
Answer "normal" pain caused by tissue damage
- neuropathic pain
- / 3
Answer pain from damage to neurons of either the peripheral or central nervous system