Nursing Skill: Medication Administration (Subcutaneous and PO) Wk 7 Questions and Answers with Complete solutions

Nursing Skill: Medication Administration (Subcutaneous and PO) Wk 7 Questions and Answers with Complete solutions When performing the three checks for medication administration, the nurse compares the medication label to the medication administration record (MAR) and confirms which at each check? Select all that apply. - ANS- Right time Right dose Right patient Right drug Right route If more than one type of insulin is required for a client, it can be mixed in one syringe if they are ______. When mixing insulins, the clear ________ insulin should be withdrawn into the syringe first. - ANS- Compatible Regular Oral medication administration is contraindicated when a client is unable to ________ and/or when a client has _______ . - ANS- Swallow gastric suctioning Based on the client's history and physical blood sugar result, select the correct sliding scale insulin dose on the Medication Administration Record (MAR) tab in the EHR that should have been administered to the client. - ANS- Blood glucose 301 to 350 mg/dL: 8 units insulin lispro subcutaneous For each equipment/supply, specify whether the equipment/supply is indicated or not indicated for performing subcutaneous and oral medication administration. - ANS- Indicated: Medication administration record (MAR) Pill Splitter Alcohol prep pad/antiseptic pad or swab Medicine cup Appropriate syringe with appropriate needle size Not Indicated: Betadine Intravenous (IV) tubing The nurse is administering medications to a client. They have performed the three checks, prepared the medications properly, utilized the medication scanning system, and have handed the medicine cup to the client. The client states, "These don't look like my medications at home and there are too many pills. I do not want to take these." What is the most appropriate response by the nurse? - ANS- I understand your concern. Tell me more information and I will verify the orders." Reflect on the nurse in the skill video you just viewed. The nurse in the skill video documented the following after medication administration. Highlight the incorrect information they documented. 06/07/20YY 11:30: Client point of care blood glucose 286 mg/dL. 6 Units insulin lispro given intramuscularly per sliding scale insulin order. Blood pressure was 98/52 and client reported feeling "ok." Lisinopril given per order and provider notified of assessment. Gabapentin 600 mg and hydrochlorothiazide 12.5 mg by mouth given and client has no questions about this medication. Client verbalizes understanding of all instructions and reports they will not notify nurse and/or provider if they have any side effects discussed............C. Divine, RN - ANS- intramuscularly Given per order Not notify nurse and/or provider What information should be recorded in the Neurological portion of the Assessment section and the Request/Recommendation section of the I-SBAR? Select all that apply. - ANS- Neurological: Denies dizziness Request/Recommendation: Call Dr. Phillips to report vital signs Drag the assessment findings/cues that require follow-up prior to administering any medications to the client to the box on the right. - ANS- Allergy status Aspiration precautions Carvedilol order Which of the following actions should the nurse consider? Select all that apply. - ANS- Call the provider for order clarification for the Carvedilol order Ask the client their allergy status What is the priority nursing action? - ANS- Administer pain medication For each potential nursing intervention, specify whether the intervention when administering medications is indicated, nonessential, or contraindicated for a client on aspiration precautions. - ANS- Indicated: Elevate client's head of bed to 45 degrees Place medications in stronger side of mouth Have client hold and drink from a cup Nonessential: Crush all meds Contraindicated: Have client drink from a straw with medications A nurse is caring for a client who has been newly diagnosed with diabetes. The nurse is educating the client on subcutaneous injection site selection. For the sites indicated in the image, select if each is appropriate or not appropriate for client self-administration. - ANS- Specify which assessment findings are improved, no change, or declined. - ANS- Improved: RR 18 Pain 3/10