CMT FINAL STUDY GUIDE QUESTIONS AND
ANSWERS
How and where are medications stored? - ANSWER In a locked medication
cart or room
Procedure for administering rectal medications - ANSWER Remove and check
medication at least 3 times
Squeeze a small amount of lubricant onto a paper towel
Wash hands and put on gloves
Position resident of left side exposing buttocks, make sure area is clean of PU,
feces, and urine
If necessary, provide peri care
Lubricate suppository or applicator
Let them know that they will feel some pressure, but should not try to push
Spread buttocks and insert suppository beyond the sphincter against the rectal
wall(up to middle joint of finger)
Wipe excess lube from anus
Monitor resident every 5 to 10 minutes for effects
Procedure for administering nose drops - ANSWER Wash hands and put on
gloves
Check for nasal secretions, blow gently and wipe clean if necessary
Position the resident:
Lying down for NOSE DROPS
Sitting up for NASAL SPRAY (Tilt head back slightly)
A. Administer the dose (drop # of drops toward the septum without touching the
nasal membrane)
B. Insert spray nozzle into the nose gently and spray
Wipe nozzle with alcohol wipe
, Who destroys unwanted medications? - ANSWER Pharmacist and licensed
nurse within 30 days
What would you do if you have a question? - ANSWER Ask licensed nurse or
physician BEFORE administering the medication
How frequently do controlled substances need to be counted? - ANSWER
every shift
Anaphylactic effect - ANSWER extreme, life threatening sensitivity to a drug
Cumulative effect - ANSWER accumulation a drug in the body that can happen
quickly or gradually over a period of time
Hypersensitivity - ANSWER abnormal physical sensitivity to certain
substances or conditions
Psychological Effect (dependence) - ANSWER a compulsion to use a drug,
typically for its mood altering effects, preoccupation with obtaining and using a
drug
Controlled Substance - ANSWER drugs controlled by the Federal and State
Substance Acts (e.g. codeine)
Antagonism - ANSWER situation where two drugs interact against one another,
lowering the effectiveness of one or both (e.g. tetracycline and antacid)
Contraindication - ANSWER underlying conditions that the resident has which
are incompatible with the drug (e.g. Inderal to an asthmatic resident)
Drug Side Effects (Adverse Drug Effect) - ANSWER unwanted harmful effect
of a drug taken in normal therapeutic dosage
ANSWERS
How and where are medications stored? - ANSWER In a locked medication
cart or room
Procedure for administering rectal medications - ANSWER Remove and check
medication at least 3 times
Squeeze a small amount of lubricant onto a paper towel
Wash hands and put on gloves
Position resident of left side exposing buttocks, make sure area is clean of PU,
feces, and urine
If necessary, provide peri care
Lubricate suppository or applicator
Let them know that they will feel some pressure, but should not try to push
Spread buttocks and insert suppository beyond the sphincter against the rectal
wall(up to middle joint of finger)
Wipe excess lube from anus
Monitor resident every 5 to 10 minutes for effects
Procedure for administering nose drops - ANSWER Wash hands and put on
gloves
Check for nasal secretions, blow gently and wipe clean if necessary
Position the resident:
Lying down for NOSE DROPS
Sitting up for NASAL SPRAY (Tilt head back slightly)
A. Administer the dose (drop # of drops toward the septum without touching the
nasal membrane)
B. Insert spray nozzle into the nose gently and spray
Wipe nozzle with alcohol wipe
, Who destroys unwanted medications? - ANSWER Pharmacist and licensed
nurse within 30 days
What would you do if you have a question? - ANSWER Ask licensed nurse or
physician BEFORE administering the medication
How frequently do controlled substances need to be counted? - ANSWER
every shift
Anaphylactic effect - ANSWER extreme, life threatening sensitivity to a drug
Cumulative effect - ANSWER accumulation a drug in the body that can happen
quickly or gradually over a period of time
Hypersensitivity - ANSWER abnormal physical sensitivity to certain
substances or conditions
Psychological Effect (dependence) - ANSWER a compulsion to use a drug,
typically for its mood altering effects, preoccupation with obtaining and using a
drug
Controlled Substance - ANSWER drugs controlled by the Federal and State
Substance Acts (e.g. codeine)
Antagonism - ANSWER situation where two drugs interact against one another,
lowering the effectiveness of one or both (e.g. tetracycline and antacid)
Contraindication - ANSWER underlying conditions that the resident has which
are incompatible with the drug (e.g. Inderal to an asthmatic resident)
Drug Side Effects (Adverse Drug Effect) - ANSWER unwanted harmful effect
of a drug taken in normal therapeutic dosage
