Basic Medication Administration
Knowledge Assessment Exam RN
For an enteral feeding tube what is the correct procedure and precautions associated -
ANSFlush after each medication
what angle of insertion do you perform for an intramuscular injection? - ANS90 degrees
what angle of insertion do you perform for a subcutaneous injection? - ANS45 degree or 90
degree angle
what angle of injection do you use for an intravenous insertion - ANS5-15 degree angle
what concerns do you have with long acting medications - ANSdo not crush these medications
what are some medications that could cause gastrointestinal irritation? - ANSprednisone
like every drug?
NSAIDs
abx
Nitrates.
Theophylline.
Calcium channel blockers
Birth control pills.
what is a PCA pump - ANSpatient controlled analgesia
goes into an IV
will have a cap so that the person can not go over the prescribed dose
distance of insertion for a rectal suppository - ANS1 inch
transdermal patch optimal sites - ANSupper arms including deltoids
apply to a clean, dry, hairless skin that is not irritated, scarred, burned, broken, or calloused
avoid elbows, below the knees, or any skin folds.
, folding them in half with the sticky sides together, and then flushing them down a toilet. They
should not be placed in the household trash where children or pets can find them.
symptoms of allergy - ANSrash, hives, itching, fever, shortness of breath, wheezing, runny nose
when a patient reports an allergy ask them to describe the symptoms experienced
COPD and benzodiazepine interactions - ANSpsychoactive medications are associated with
depressed respiratory function and decreased response to carbon dioxide. This is one insight
from new research on the connection between COPD exacerbations and benzodiazepine use.
diabetes and carbohydrates sources in fruits and breads - ANSincrease BG leading to
hyperglycemia
acetaminophen - ANSindications: pain relief and fever reducer
mechanism of action: inhibits prostaglandin production.
adverse affects: risk of liver damage with a daily dose greater than 3500 mg
monitoring: monitor liver function
precautions: don't take if pregnant keep away from kids
patient teaching implications: make sure they aren't using a different medication with
acetaminophen in it
morphine - ANSindications: treats severe pain
mechanism of action: opioid receptor agonist
adverse affects: constipation
monitoring: respiratory status- watch for respiratory depression. monitor for pain relief and notify
provider if additional or changed orders are necessary to manage pain.
precautions: highly addictive
patient teaching implications: need for a bowel program and laxatives with opioids
naloxone - ANSindications: reversal of opioid depression and respiratory depression
mechanism of action: opioid antagonist
Knowledge Assessment Exam RN
For an enteral feeding tube what is the correct procedure and precautions associated -
ANSFlush after each medication
what angle of insertion do you perform for an intramuscular injection? - ANS90 degrees
what angle of insertion do you perform for a subcutaneous injection? - ANS45 degree or 90
degree angle
what angle of injection do you use for an intravenous insertion - ANS5-15 degree angle
what concerns do you have with long acting medications - ANSdo not crush these medications
what are some medications that could cause gastrointestinal irritation? - ANSprednisone
like every drug?
NSAIDs
abx
Nitrates.
Theophylline.
Calcium channel blockers
Birth control pills.
what is a PCA pump - ANSpatient controlled analgesia
goes into an IV
will have a cap so that the person can not go over the prescribed dose
distance of insertion for a rectal suppository - ANS1 inch
transdermal patch optimal sites - ANSupper arms including deltoids
apply to a clean, dry, hairless skin that is not irritated, scarred, burned, broken, or calloused
avoid elbows, below the knees, or any skin folds.
, folding them in half with the sticky sides together, and then flushing them down a toilet. They
should not be placed in the household trash where children or pets can find them.
symptoms of allergy - ANSrash, hives, itching, fever, shortness of breath, wheezing, runny nose
when a patient reports an allergy ask them to describe the symptoms experienced
COPD and benzodiazepine interactions - ANSpsychoactive medications are associated with
depressed respiratory function and decreased response to carbon dioxide. This is one insight
from new research on the connection between COPD exacerbations and benzodiazepine use.
diabetes and carbohydrates sources in fruits and breads - ANSincrease BG leading to
hyperglycemia
acetaminophen - ANSindications: pain relief and fever reducer
mechanism of action: inhibits prostaglandin production.
adverse affects: risk of liver damage with a daily dose greater than 3500 mg
monitoring: monitor liver function
precautions: don't take if pregnant keep away from kids
patient teaching implications: make sure they aren't using a different medication with
acetaminophen in it
morphine - ANSindications: treats severe pain
mechanism of action: opioid receptor agonist
adverse affects: constipation
monitoring: respiratory status- watch for respiratory depression. monitor for pain relief and notify
provider if additional or changed orders are necessary to manage pain.
precautions: highly addictive
patient teaching implications: need for a bowel program and laxatives with opioids
naloxone - ANSindications: reversal of opioid depression and respiratory depression
mechanism of action: opioid antagonist
