Medication Administration Test Study Guide (Rnl/Pn)2024 Questions With Verified Solutions

List the five rights of medication administration. Right patient, medication, dose, route, time Before you enter the patient's room to administer medications, what are 3 items you should check to help ensure safe medication administration to your patient? Physician order, patient allergies, contraindications. Brainpower Read More If you have an order to give medication via intramuscular route, what is your maximum volume to be administered per injection? 4mL When your patient has an IV infusing, how often should you assess the site, and what should you be assessing? Assess site at least every 2 hours; looking for swelling, blanching, pain, redness. If your patient has orders for eye medications (drops or ointment), how should you properly administer these medications? Pull down on the lower lid. Instill drops into the center of the lower conjunctival sac. Apply ointment to lower conjunctival sac moving from the inner canthus to the outer canthus. If medication may be absorbed systemically, press on inner cants for 1-2 minutes after instilling drops. The physician has written an order that you cannot read. You also think the dosage might be unsafe for the patient. What should you do? Call the physician for clarification. For how many patients should you carry medications at one time? Is it appropriate to leave the medications on the bedside table for the patient to take later? Carry medications for 1 patient at a time. Medications must always be secured, so do not leave medications unattended. If you have an order to administer Phenergan IV, what is the maximum dose in mg that you may administer? Due to the caustic nature of Phenergan, 12.5 mg is the maximum dose that may be given in any one administration. No follow up dosing may be given until the next dosing time. Discuss patient education items that you should review with the patient who is being discharged with Coumadin as a home medication? Take the Coumadin exactly as ordered; do not stop taking it without discussing with physician. Vitamin K consumption should be about the same every day because Vitamin K affects Coumadin action. Avoid cranberry juice. Notify physician immediately of suspected blood in urine, unusual bleeding, black/bloody stool. What is the proper administration procedure and documentation that should be used when giving Lovenox? Administer at "love-handle" area of stomach at least 2 inches from the belly button and rotate sites. Document sites on MAR. What safety measures should be employed and documented when you are administering enteral tube feeding to your patient? HOB up at least 30 degrees unless medically contraindicated, X-ray confirmation after NGT/OGT placed to verify placement, stop feeding immediately if patient shows signs of distress (coughing, gasping, cyanosis, etc.) What is the onset and peak time of regular insulin when it is administer by subcutaneous route? What tissue is injected when the subcutaneous route is used? Onset - About 30 minutes; peak about 2.5-5 hrs. Subcutaneous injections go into the adipose tissue. What patient education should you review with your patient who is being discharged home with a Novolog insulin pen? Never share the pen with someone else; rotate injection sites; administer med within 15 minutes of meal if insulin is ordered as a mealtime dose. Your patient is scheduled to receive a medication that may slow her heart rate. You palpate her pulse at a rate of 55 beats per minute. What should you do? Do not give the medicine. Document the palpated pulse and other vital signs. Notify the physician immediately. Name two commonly prescribed diuretics. Lasix, Bumex, Hydrochlorothiazide What is a potential side effect of narcotic administration? Depressed respiratory effort. What should you do if your patient does not want to take his medicine, or if he says that his medicine at home doesn't look like what you have? Talk to your patient and try to find out why he does not want to take his medicine. Recheck the medication before you give it. What is a purpose of enteric coated medications? Delayed absorption - Occurs in the bowel instead of the stomach. Your patient has an order to receive two units of packed red blood cells. What should you do if you suspect the patient is reacting to the packed cells? What are common signs and symptoms of a blood product reaction? Immediately: Stop the infusion, keep the IV line open with normal saline, and notify the physician and blood bank. Acute hemolytic reaction symptoms: Chills, fever, nausea/vomiting, headache, chest tightness, flank pain, pain at IV insertion site. Transfusion-related acute lung injury reaction symptoms: Dyspnea, pulmonary edema. Allergic reaction symptoms: Urticaria, flushing, wheezing, laryngeal edema. Transfusion associated circulatory overload: Dyspnea, crackles, cyanosis, dry cough, and jugular vein distention. Your patient is receiving Total Parenteral Nutrition (TPN). What lab value may be increased as a result of TPN administration? What is a potential adverse side effect of TPN administration? Glucose levels can increase when TPN in administered. Infection and sepsis can result from the use of TPN/central lines/glucose content of formula.