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Exam (elaborations)

qma Indiana Exam 2024 (100% CORRECT!!)

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6 rights of medication administration - ANSWER RIGHT MEDICATION RIGHT DOSE RIGHT PATIENT RIGHT ROUTE RIGHT TIME RIGHT DOCUMENTATION Antacids - ANSWER Tums Amphojel, Rolaids Milk of Magnesia, Alternagel Maalox, Mylanta, Gelusil, Riopan Mylicon Antacids Action - ANSWER Neutralizes stomach acid. decreases the rate of gastric emptying, treats hyperacidity Antacids Use - ANSWER Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis, hiatal hernia. Anti-Ulcer Action - ANSWER prevents the release of gastric acid to treat or prevent stomach and duodenal ulcers. Anti-Ulcer side effects - ANSWER Side effects are minor. High doses can cause confusion

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Uploaded on
September 29, 2024
Number of pages
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Written in
2024/2025
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qma Indiana Exam 2024 (100%
CORRECT!!)

6 rights of medication administration - ANSWER RIGHT MEDICATION

RIGHT DOSE

RIGHT PATIENT

RIGHT ROUTE

RIGHT TIME

RIGHT DOCUMENTATION



Antacids - ANSWER Tums

Amphojel, Rolaids

Milk of Magnesia, Alternagel

Maalox, Mylanta, Gelusil, Riopan

Mylicon



Antacids Action - ANSWER Neutralizes stomach acid. decreases the rate of gastric emptying, treats
hyperacidity



Antacids Use - ANSWER Peptic ulcer, used to treat heartburn; reflux esophagitis, gastritis, hiatal
hernia.



Anti-Ulcer Action - ANSWER prevents the release of gastric acid to treat or prevent stomach and
duodenal ulcers.



Anti-Ulcer side effects - ANSWER Side effects are minor.

High doses can cause confusion



Anti-Ulcer Nursing Considerations - ANSWER Dissolve Carafate tablet in water.

Encourage resident not to smoke, which increases gastric secretion.

encourage resident to avoid: spicy food, caffeine, nicotine, alcohol, and carbonated beverages.

,Antiemetics - ANSWER dimenhydrinate (Dramamine)

trimethobenzamide (Tigan)

meclizine (Antivert)

prochlorperazine (Compazine)

promethazine hydrochloride (Phenergan)



Antiemetics Action - ANSWER supress N/V by acting on the brain control center



Antiemetics Use - ANSWER to treat nausea and prevent vomiting



Antiemetics Side effects - ANSWER drowsiness



Antiemetics Nursing Considerations - ANSWER monitor B/P for hypotension



Emetics - ANSWER Syrup of Ipecac

Antacids Nursing Considerations - ANSWER antacids may interfere with medication absorption thus
should not be given with other meds- wait 1-2 hours.

antacid effect is prolonged when medication is taken with food.

chart amount and consistency of stools.



Anti- Ulcer - ANSWER Pepcid

Axid

Zantac

Tagamet

Cytotec

Protonix



Other meds given before meals:



Prilosec

,Carafate

Prevacid

Nexium




Emetics Action - ANSWER induce vomiting




Absorbents Action - ANSWER absorb (soak up) excess fluids and bacteria



Absorbents Use - ANSWER to treat diarrhea



Absorbents Side Effects - ANSWER minimal constipation

nausea

dry mouth

abdominal pain



Absorbents N.C. - ANSWER monitor patient for constipation



Antidiarrheals (OPIATES- meds that slow down intestinal motility) - ANSWER opiates (Paregoric)



Opiates Action - ANSWER reduces peristalsis by action on CNS and diminishes secretions



Opiates Use - ANSWER to treat diarrhea



Opiates Side effects - ANSWER drowsiness

may be ADDICTING

Emetics Use - ANSWER used when poison has been ingested

, Emetics Side effects - ANSWER do not use when corrosive product ingested; such as, acids or
alkalies, or if resident is drowsy or unconscious. The licensed nurse should contact the physician
and/or poison control center before administering.



Emetics Nursing considerations - ANSWER usually induces vomiting 20-30 minutes after
adminstered.



Antidiarrheals (absorbents) - ANSWER kaolin

bismuth (Pepto-Bismol)

pectin(from apples)

Kaopectate




Gastrointestinal meds that alter motility - ANSWER Decrease motility:

atropine sulfate

diphenoxylate/atropine (Lomotil)

Atropine

scopolamine

phenobarbital (Donnatal)

kaolin

pectin

loperamide (Imodium)

dicyclomine (Bentyl)



Enhance motility:

metoclopramide (Reglan)=(give before meals rather than with food)



Gastrointestinal meds that alter motility Action - ANSWER acts on autonomic nervous system to
alter peristalsis



Gastrointestinal meds that alter motility Use - ANSWER spastic colon: diarrhea: GERD

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