NURS 1027 Medication Administration Exam Study Set With
Complete Solutions!!
Standards - ANSWER>>In Canada, medication administration by RNs is governed by
the Canadian Nurses Association's Code of Ethics and professional practice standards
set by the provincial (RNAO) and territorial nursing associations
Where authority comes from - ANSWER>>Regulated health professions act, 1991
(RHPA, identifies controlled acts that can be performed by regulated professionals and
the guidelines)
Nursing act, 1991 (authorize nurses specifically to do controlled acts)
Other legislation (provincial areas, RNAO, specific guidelines on how to do it)
Other (individual practice settings, hospital policy)
How to get authority - ANSWER>>Three authorizing mechanisms
1. Orders (physician or nurse practitioner)
2. Delegation (someone who is authorized to perform the controlled act can pass on
their authority to you)
3. Initiation (if you are authorized to do the controlled act)
RHPA - ANSWER>>13 controlled acts
Nurses authorized to perform 3 controlled acts
Medication administration falls within and outside of these controlled acts
Controlled act:
Administering medication by - ANSWER>>Inhalation
Injection
, Vaginal insertion
Rectal insertion
Not a controlled act:
Administering medication by - ANSWER>>By mouth or skin
In ear, eye, nose
Via tube
Safe medication administration - ANSWER>>Nurse must adhere to CNO practice
standard: medication administration
Nurses must have an understanding of "consent"
Nurse must have an understanding of ethical issues related to medication
administration
What is considered consent - ANSWER>>After teaching patient side effects and why it
is needed
Nurse is responsible for being knowledgeable about drugs - ANSWER>>Indication and
therapeutic effect
Action (how they work physiologically in the body)
Appropriate dose (typical for infant and adult)
Side effects and how to manage
Adverse reaction and how to manage
Medication quick reference - ANSWER>>Name of drug ordered (generic)
Classification of drug
Indication (what's it used for)
Usual dose
3 most common side effects
Complete Solutions!!
Standards - ANSWER>>In Canada, medication administration by RNs is governed by
the Canadian Nurses Association's Code of Ethics and professional practice standards
set by the provincial (RNAO) and territorial nursing associations
Where authority comes from - ANSWER>>Regulated health professions act, 1991
(RHPA, identifies controlled acts that can be performed by regulated professionals and
the guidelines)
Nursing act, 1991 (authorize nurses specifically to do controlled acts)
Other legislation (provincial areas, RNAO, specific guidelines on how to do it)
Other (individual practice settings, hospital policy)
How to get authority - ANSWER>>Three authorizing mechanisms
1. Orders (physician or nurse practitioner)
2. Delegation (someone who is authorized to perform the controlled act can pass on
their authority to you)
3. Initiation (if you are authorized to do the controlled act)
RHPA - ANSWER>>13 controlled acts
Nurses authorized to perform 3 controlled acts
Medication administration falls within and outside of these controlled acts
Controlled act:
Administering medication by - ANSWER>>Inhalation
Injection
, Vaginal insertion
Rectal insertion
Not a controlled act:
Administering medication by - ANSWER>>By mouth or skin
In ear, eye, nose
Via tube
Safe medication administration - ANSWER>>Nurse must adhere to CNO practice
standard: medication administration
Nurses must have an understanding of "consent"
Nurse must have an understanding of ethical issues related to medication
administration
What is considered consent - ANSWER>>After teaching patient side effects and why it
is needed
Nurse is responsible for being knowledgeable about drugs - ANSWER>>Indication and
therapeutic effect
Action (how they work physiologically in the body)
Appropriate dose (typical for infant and adult)
Side effects and how to manage
Adverse reaction and how to manage
Medication quick reference - ANSWER>>Name of drug ordered (generic)
Classification of drug
Indication (what's it used for)
Usual dose
3 most common side effects
