Chamberlain NR 293 Exam 1 / Chamberlain NR293 Exam 1 (2019): Pharmacology for Nursing Practice (Already graded A)

NR 293 Pharmacology Exam 1/ NR 293 Pharm Exam 1/ NR293 Pharm Test 1(Latest): Chamberlian Chamberlian NR 293 Exam 1 / Chamberlian NR293 Exam 1: Pharmacology for Nursing Practice What are the essential components of a medication order? What are the types of medication orders? A ______________________ is continuous until discontinued or cancelled. Lasix 40 mcg po daily is an example of a _____________________ order. A _______________________ is an as needed medical order. Demerol 50 mg IM every 4 hours PRN for pain is an example of a ______________________ order. _____________________ orders are typically given prior to surgery. An example of a __________________________ is "give morphine sulfate 8 mg IM on call for surgery." _______________________ are immediately given. An example of a __________________ order is atropine 1 mg IVP stat. What is the nurse's role in administering medications? What should the nurse consider when giving a new medication to a patient? What can the nurse do to teach patients and family members about administering medications? Where should the nurse NOT leave a medication? What are the 3 checks that a nurse should follow prior to administering a medication? MAR List the six rights in regard to medication administration. What is a precaution for checking the right drug? How should a nurse check the right dosage amount? How should a nurse check that they have the right patient? What is the hedge factor allowed in checking the right time? What are the guidelines for administering medications? True or False: A nurse can administer medications prepared by another nurse. If you have narcotic waste, what should you do as a nurse? True or False: A nurse should consult with the patient about allergies prior to administering a drug. If cases of contraindication in medication administration, what should the nurse do? True or False: A nurse can leave a medication for the patient. True or False: If a patient vomits, a nurse should not readminister the medication. How can a nurse ensure appropriate dosages when measuring? Who is charged when there is medication waste? What is a medication error? ____ out of every ___________ doses has an error. Medication errors cause ______________ deaths/year and are the __________ cause for death in the US. Five common medication errors include: Administering to the wrong patient, providing the wrong dose, poor ________________________, wrong route, and ____________________________ errors. What should a nurse do in cases when medication errors occur? Being informed of the purpose, action and side effects of the drug is an example of a _________________________. What are the goals of client teaching? What do nurses need to teach clients? What is the purpose of teaching clients about medication action? When teaching about side effects, the nurse should include the most common, verbal and reading the effects, serious side effects, and ___________________________ warnings. Select all that apply. When teaching how to administer medications the nurse to the client, the nurse should include: a. when to take the medication b. whether to take with food or water c. when to use the bathroom d. explain with long and broad details e. have the client reclarify instructions What two OTC drugs are known to contraindicate with other medications? When teaching about medication administration to a client, a nurse should be aware of any ____________________ problems and should include family members. There are numerous factors that can affect client compliance with medication administration. These include: lack of knowledge, sensory-perceptual, ________________________, side-effects, poor organization, and __________________. Which route of medication is the safest? Oral medications are absorbed in the _____________________ or ______________________ intestine. True or False. Medications can be administered several ways including the oral route. The oral route has the fastest onset. If a patient is experiencing a great deal of pain, the nurse should administer a medication via _______________________. Which patients should not receive an oral medication? How does a nurse take aspiration precautions when administering oral medication? Which oral medication form can cause ulcers? Oral medications are available in the following forms: ____________, capsule, liquids __________________, and ______________________. Where are sublingual medications administered? Where are buccal medications administered? True or false. Sublingual medications are rapidly absorbed. What is an example of a rapidly absorbed sublingual medication? Which tubing is surgically inserted to administer medications as well as feeding? True or False. The NG tube is inserted in the stomach. Which tubing is placed for long term medication administration? Why do you place a patient in semi fowler position when administering NG or PEG medications? Why should the placement of tubing be checked and which tubing doesn't require checking? True or False. NG or PEG tubing provides the least accurate measurement intake. Select all that apply. A patient has a NG tube. How should the nurse proceed when administering medication? a. crush the medication well by absorbing in cold water b. place patient in Semi-Fowler position unless contraindicated c. check the placement of the tube as it can back up d. don't check the tube as it is surgically inserted How does a nurse check the NG tube? True or False. When delivering the medication via NG or PEG tube, a nurse should flush/irrigate the tubing with room temperature water. What is the fluid restriction for NG or PEG tubing? How long should a nurse wait to start the feeding in the NG or PEG tubing after administering medication that requires no food? Topical medications are _____________________. What are the forms available for topical medications? If an area is not cleaned prior to applying a patch, what could occur? When administering nasal installations, a patient should do which of the following? Select all that apply. a. blow nose before administering b. place 1/2 of an inch inside the nose c. avoid the nasal septum d. clean the applicator tip with cold water to remove bacteria Ophthalmic medications come in drop and ________________ form. How do you administer ophthalmic medications? What should a nurse teach the patient about self-administering ophthalmic medications? Are ophthalmic medications systemic or local? How do you administer otic medication for a patient under 3 years of age? How do you administer otic medications for a patient over 3 years of age? What is the patient's position when administering vaginal medication? How long should a patient remain in position after administering a vaginal medication? How should a patient be positioned for a rectal medication? True or False. A suppository should be inserted 3" to 4" into a child. Inhalers are held ________________ from the mouth. Inhalers are to be depressed after the patient takes their __________________ inhalation. How long does a patient wait between inhalation administration? Parenteral administration includes ______________, _______________________, ________________________, and ____________________. True or False. Paternal administration is a rapid treatment with rapid absorption. What are 3 disadvantages to paternal medications? What are the lengths of needles? What is the average needle size for an adult? What is the size and shape of the gauge/bevel? What is the hub? What is the measurement for insulin syringes? What is a low dosage insulin syringe? What is the total mL in a tuberculin syringe? Can a tuberculin syringe be used for insulin? What is a Luer-Lok syringe? What is the criteria for selecting a syringe/needle? What gauge size do you use for thick medications? What is the size of IM injection gauges? What is the size of a syringe used for 2 mL of medication? What size needle do you use on a smaller person? How many sharp injuries are there per year in hospitals? What are the advantages of an IM injection? What are three considerations in selecting an IM site? What muscle does a nurse NOT inject? Ventrogluteal muscle Deltoid muscle What angle do you use for IM, subcutaneous, and intradermal injections? Rule of thumb for gauges What medications are administered via subcutaneous injections? What syringe is used for subcutaneous injections? What syringe is used for intradermal injections? How do you give an intradermal injection? How do you mix insulin? What syringe do you use with insulin? What do you document when administering medications? What should be documented with regard to pain medications? Select all that apply. A student nurse is charting her administration of medication. What indicates that the student nurse needs reteaching? a. used acceptable abbreviations b. used military time c. legible signature in pencil d. corrected errors by completely covering error e. writes legibly f. indicates injection sites are rotated What should the nurse include in charting patient teaching? True or False. A nurse should never document a medication that was administered until it was administered. A nurse should always include ________________________ assessments. What should the nurse include in a chart when omitting a medication? Does a nurse need to chart medication that is administered by the patient? Drug side effect Adverse event Serious adverse event Adverse effect Allergic reaction Anaphylaxis Toxic shock