Medication Administration 1216 Exam Questions With Correct Answers

Patients Six Rights - Answer 1. Right dose 2. Right patient 3. Right time 4. Documentation 5. Right route 6. Right drug Tall MAn words - Answer ISMP recommends mixed or tall man case letter words when possible. EX. aMILoride vs. amLoDIPine Classification of medication - Answer indicates the different effects on the body system. Pharmacokineticss - Answer study of medication on how it enters the body(route), reach their site of action(onset), metabolizes(duration), and ow it exits the body. Absorption - Answer Medication molecules pass through the blood fro the injection site. Influences absorption - Answer routes, ability for medication to dissolve, blood flow, body surface area, and lipid solubility Route of administration - Answer has different absorption 1. skin is slow, skin makeup 2. orally is slow, GI Tract 3. Mucous Membrane is quickly due to multiple blood vessels in the area 4. Intravenous- IV- most rapid but also irreversible Guidelines for Opiods administration & control - Answer 1. Must be keep in locked, secure cabinet or container 2. keep a running count, any discrepancies correct and report immediately. 3. use a narcotic special inventory- electronic best! 4. record Pt. name, date, time of med, what route when administering, name of med, and the dose. Guidelines for Opiods administration & control continued - Answer 5. If paper, nurse will initial or sign, if computerized then it will record the nurse's name. 6. A 2nd nurse has to witness the disposal, computerized will record both names if paper both nurses will sign. 3. Guidelines for Opiods administration & control - Answer 7. No Medication will go into the sharp's container!! 8. Follow your agency policy says when disposing medication. Therapeutic effect - Answer the expected/predicted response by the medication. Adverse effect - Answer 1. Undesired/unpredictable response to the medication 2. can develop over time or immediately 3. be alert and assess the PT. Adverse effect continued - Answer 4. at risk pt. are very young and older, women, pt. taking multiple meds, under/over weight, or have a kidney or renal failure 5. if moderate, & tolerable, continue giving, if Not Discontinue Immediately!! 6. Provider notifies the FDA of adverse effects Side Effects - Answer 1. predictable & often unavoidable adverse effects produced at a usual therapeutic dose 2. common side effects- nausea, anorexia, vomiting, diarrhea, constipating, and drowsiness 3. if side effects overpower the therapeutic effect, dicontinue Toxic Effect - Answer 1. developed after prolonged intake pf medication or medication accumulates in the blood due to impaired metabolism/ excretion. 2. This can be lethal causing respiratory depression and death. 3. there are antidotes for different toxicities. Allergic Reaction - Answer 1. Pt. develops an allergic response to the chemical preservatives/ metabolite which triggers the release of antibodies in the body. Medication allergy - Answer 1. urticaria- hives 2. Rash 3. Pruitus- itching 4. Rhinitis- runny nose Anaphylatic reaction - Answer 1. Life threatening 2. airway constriction, edema of the pharynx and larynx 3. severe wheezing and shortness of breath Mediation Interactions - Answer 1. when one med modifies another med. Are common when individual are taking several med. They can alter the way the med is absorbed. Synergistic effect - Answer med working together to work more effectively on a particular body part, or system timing of medication responses - Answer 1. peak-highest point of concentration 2. trough-lowest point of concentration 3. IV infusions- occurs quickly but also diminish faster dosage abbreviations - Answer 1. before meal- AC, ac 2. As desired- ad lib 3. twice a day- BID, bid-bi-daily 4. After meal- PC, pc 5. whenever needed- PRN dosage abbreviations continued - Answer 6. gam- good morning 7. every hour- qh 8. everyday- daily 9. every 4 hours- q4h 10. 4x a day- QID, qid- quarterly 11. give immediately- STAT, stat 12. 3x a day- TID, tid- triple