NSG 2050 Exam 2 Questions with Correct
Solutions
Nursing responsibility for medication administration
federal, state, organization's policies laws, preparing and administering med and
evaluating, patient and skill competency, accuracy of order, report medication errors,
safeguarding and storing medications
Knowledge base for each medication
a. The usual dose of the ordered med
b. The appropriate route of admin
c. The approved indications for the use of medication
d. The mechanism of action
e. Side effects, toxic and adverse reactions
f. Drug to drug and drug to food interactions
g. The proper technique and precautions of administration
Types of med orders
a. In the EMR, the CPOE (computerized physician orders)
b. Written orders
c. Verbal in person or on the telephone
What to do if you receive a verbal order
a. Always write down and read back ALL orders to the provider to ensure nothing was
missed or transposed
b. Some organizations require that two nurses listen to the order
c. Typically, the provider has 24 hours to sign Telephone or Verbal orders - again, check
the policy
,Types of medication orders
standing/routine, PRN, singe/one time, stat, now
PRN med orders
a. Only give when a patient requests or requires it
b. Most have time limits between doses
c. Always document assessment findings that indicated a need for the medication and
then document your reassessment to show effectiveness of medication
d. Range orders need to be specific
e. If more than one PRN medication is ordered that have the same action, it needs to be
specified when to use each one
Components of a medication order
need pt's name and DOB, date and time the order was written, medication name,
dosage, route of administration, time/frequency of administration, signature of ordering
prescriber
Medication reconciliation
This needs to occur upon admission, when transferring a patient between units or
facilities, and at discharge
What to do during medication administration
a. Create a best possible medication history: review medication information
b. Reconcile: compare and resolve discrepancies
c. Document and communicate
True/false: most drugs are packaged in single dose packages(pills and liquids)
True
, Tablets have to be scored to give a half dose
TRUE
How to make sure you have the right patient
a. have 2 pt identifiers
b. use the barcode (reduces errors up to 87%)
c. patient says their full name (compare to MAR)
d. check the pt's armband (compare to MAR)
e. patient states their DOB(compare to MAR)
f. never override the barcode
Timing of medication
give in a timely way: time critical - can cause harm or have substandard effect if given
greater than 30 mins before or after the ordered time
Routes of administration
a. PO - orally
b. Buccal - mucosa of inner cheek
c. Sublingual - under the tongue
d. Nasal/ophthalmic/ear
e. Inhalants (by mouth)
f. NG/G-tube
g. IV (central or peripheral)
h. Injection
i. Body cavities - rectal/vaginal
j. Topical - ointments, lotions
Additional recommended rights of admin
Solutions
Nursing responsibility for medication administration
federal, state, organization's policies laws, preparing and administering med and
evaluating, patient and skill competency, accuracy of order, report medication errors,
safeguarding and storing medications
Knowledge base for each medication
a. The usual dose of the ordered med
b. The appropriate route of admin
c. The approved indications for the use of medication
d. The mechanism of action
e. Side effects, toxic and adverse reactions
f. Drug to drug and drug to food interactions
g. The proper technique and precautions of administration
Types of med orders
a. In the EMR, the CPOE (computerized physician orders)
b. Written orders
c. Verbal in person or on the telephone
What to do if you receive a verbal order
a. Always write down and read back ALL orders to the provider to ensure nothing was
missed or transposed
b. Some organizations require that two nurses listen to the order
c. Typically, the provider has 24 hours to sign Telephone or Verbal orders - again, check
the policy
,Types of medication orders
standing/routine, PRN, singe/one time, stat, now
PRN med orders
a. Only give when a patient requests or requires it
b. Most have time limits between doses
c. Always document assessment findings that indicated a need for the medication and
then document your reassessment to show effectiveness of medication
d. Range orders need to be specific
e. If more than one PRN medication is ordered that have the same action, it needs to be
specified when to use each one
Components of a medication order
need pt's name and DOB, date and time the order was written, medication name,
dosage, route of administration, time/frequency of administration, signature of ordering
prescriber
Medication reconciliation
This needs to occur upon admission, when transferring a patient between units or
facilities, and at discharge
What to do during medication administration
a. Create a best possible medication history: review medication information
b. Reconcile: compare and resolve discrepancies
c. Document and communicate
True/false: most drugs are packaged in single dose packages(pills and liquids)
True
, Tablets have to be scored to give a half dose
TRUE
How to make sure you have the right patient
a. have 2 pt identifiers
b. use the barcode (reduces errors up to 87%)
c. patient says their full name (compare to MAR)
d. check the pt's armband (compare to MAR)
e. patient states their DOB(compare to MAR)
f. never override the barcode
Timing of medication
give in a timely way: time critical - can cause harm or have substandard effect if given
greater than 30 mins before or after the ordered time
Routes of administration
a. PO - orally
b. Buccal - mucosa of inner cheek
c. Sublingual - under the tongue
d. Nasal/ophthalmic/ear
e. Inhalants (by mouth)
f. NG/G-tube
g. IV (central or peripheral)
h. Injection
i. Body cavities - rectal/vaginal
j. Topical - ointments, lotions
Additional recommended rights of admin
