Psych Tech Exam 2
What are several ways that you can avoid medications errors? - Answer-Avoid distractions and follow
the same routine.
Administer only medications you prepare, and never leave prepared medications unattended.
Document medications immediately after administration.
Use clinical judgment in determining the best time to administer prn medications.
When preparing medications, check the medication container label against the medication
administration record (MAR) three times.
When preparing oral medications, describe the 3 safety checks and 8 rights. - Answer-3 checks: Pull it,
pop it, pass it. 1-When taking the med from the drawer
2-Before removing from the container
3.Before putting back in the drawer
Right patient: Check the name on the order and the patient.
Use 2 identifiers.
Ask patient to identify himself/herself.
When available, use technology (for example, bar-code system).
Right drug: Check the medication label.
Check the order.
Right route: Again, check the order and appropriateness of the route ordered.
,Confirm that the patient can take or receive the medication by the ordered route.
Right amount: Check the order.
Confirm appropriateness of the dose using a current drug reference.
If necessary, calculate the dose and have another nurse calculate the dose as well.
Right time: Check the frequency of the ordered medication.
Double-check that you are giving the ordered dose at the correct time.
Confirm when the last dose was given.
Right reason: Confirm the rationale for the ordered medication. What is the patient's history? Why is
he/she taking this medication?
Revisit the reasons for long-term medication use.
Right to refuse: Patient has the right to refuse medication, continue to educate patient about why the
medication was ordered and what could happen if the patient continues to refuse treatment. Make sure
you document the refusal.
Right documentation: Document administration AFTER giving the ordered medication.
Chart the time, route, and any other specific information as necessary. For example, the site of an
injection or any laboratory value or vital sign that needed to be checked before giving the drug.
Explain the safe use of sharps containers in the administration of injectables. - Answer-Don't touch the
sharps container, hover above the container and drop your sharp object into it.
,Consider problems with the prescribing doctor's order, the pharmacy role and the functions of the
nursing staff related to administration of medications. You will be expected to trouble shoot issue of
collaboration to the administration of meds. - Answer-...
Discuss the different types of injections and the angle of insertion for the needle for SC and IM
injections. - Answer-SC, IM, ID
SC-subcutaneous, first two layers of skin-45 or 90 degree angle
IM-all the way to the muscle-90 degree angle
ID-Under first layer of skin-15 degree angle
IV-directly into blood
Review the skills check off list for dressing changes. - Answer-Place red bag in convenient location away
from sterile field. Set up sterile field. Loosen tape appropriately. Don clean gloves. Remove dressing and
discard correctly. Assess status of wound and wound drainage/exudate correctly. Remove and discard
soiled gloves. Hand hygiene and don sterile gloves. Cleanse wound and surrounding area correctly. Stuff
wound. Apply 4x4 dressing and tape. Discard gloves/other materials.
Consider the needs for a client with a newly removed foley catheter. What would you watch for in the
hours after removal? - Answer-UTI
Discuss the differences between medical asepsis (clean) and surgical asepsis ( sterile) - Answer-Medical
asepsis inhibits the growth and spread of microorganisms and is used in many daily activities while
surgical asepsis destroys all microorganisms and their spores and is used in invasive procedures
Discuss the principles related to application of sterile gloves. - Answer-Perform thorough hand hygiene
Carefully peel apart outer packaging
Lay inside packaging containing gloves on flat, clean surface
Pull edges apart and smooth over surface
Pick up glove closest to you from inside of glove and put it on without touching the sterile part
, Using gloved hand, put fingers under cuff of other glove without breaking sterile field and out it on.
Review the steps of the nursing process and be prepared to problem solve using the nursing process -
Answer-ADPIE
Assess: Gather information about client's condition
Diagnose: Identify problem
Plan: Set goals of care and desired outcomes and identify appropriate nursing actions
Implement: Perform nursing actions identified in planning
Evaluate: Determine if the goals were met and outcomes achieved
What are the 2 drugs combined in the drug glucovance? - Answer-glyburide and metformin
What are the classifications of these 2 drugs? - Answer-Sulfonylurea and biguanide
Why might a doctor prescribe a combination drug like glucovance? - Answer-to improve glycemic
control in patients with type 2 diabetes
What is gluconeogenisis? - Answer-glucose production: the production of glucose, especially in the liver,
from amino acids, fats, and other substances that are not carbohydrates
The term "blocker" is another name for how a drug works. Blocker would be another name for ....
a. agonist
b. antagonist - Answer-B
What are several ways that you can avoid medications errors? - Answer-Avoid distractions and follow
the same routine.
Administer only medications you prepare, and never leave prepared medications unattended.
Document medications immediately after administration.
Use clinical judgment in determining the best time to administer prn medications.
When preparing medications, check the medication container label against the medication
administration record (MAR) three times.
When preparing oral medications, describe the 3 safety checks and 8 rights. - Answer-3 checks: Pull it,
pop it, pass it. 1-When taking the med from the drawer
2-Before removing from the container
3.Before putting back in the drawer
Right patient: Check the name on the order and the patient.
Use 2 identifiers.
Ask patient to identify himself/herself.
When available, use technology (for example, bar-code system).
Right drug: Check the medication label.
Check the order.
Right route: Again, check the order and appropriateness of the route ordered.
,Confirm that the patient can take or receive the medication by the ordered route.
Right amount: Check the order.
Confirm appropriateness of the dose using a current drug reference.
If necessary, calculate the dose and have another nurse calculate the dose as well.
Right time: Check the frequency of the ordered medication.
Double-check that you are giving the ordered dose at the correct time.
Confirm when the last dose was given.
Right reason: Confirm the rationale for the ordered medication. What is the patient's history? Why is
he/she taking this medication?
Revisit the reasons for long-term medication use.
Right to refuse: Patient has the right to refuse medication, continue to educate patient about why the
medication was ordered and what could happen if the patient continues to refuse treatment. Make sure
you document the refusal.
Right documentation: Document administration AFTER giving the ordered medication.
Chart the time, route, and any other specific information as necessary. For example, the site of an
injection or any laboratory value or vital sign that needed to be checked before giving the drug.
Explain the safe use of sharps containers in the administration of injectables. - Answer-Don't touch the
sharps container, hover above the container and drop your sharp object into it.
,Consider problems with the prescribing doctor's order, the pharmacy role and the functions of the
nursing staff related to administration of medications. You will be expected to trouble shoot issue of
collaboration to the administration of meds. - Answer-...
Discuss the different types of injections and the angle of insertion for the needle for SC and IM
injections. - Answer-SC, IM, ID
SC-subcutaneous, first two layers of skin-45 or 90 degree angle
IM-all the way to the muscle-90 degree angle
ID-Under first layer of skin-15 degree angle
IV-directly into blood
Review the skills check off list for dressing changes. - Answer-Place red bag in convenient location away
from sterile field. Set up sterile field. Loosen tape appropriately. Don clean gloves. Remove dressing and
discard correctly. Assess status of wound and wound drainage/exudate correctly. Remove and discard
soiled gloves. Hand hygiene and don sterile gloves. Cleanse wound and surrounding area correctly. Stuff
wound. Apply 4x4 dressing and tape. Discard gloves/other materials.
Consider the needs for a client with a newly removed foley catheter. What would you watch for in the
hours after removal? - Answer-UTI
Discuss the differences between medical asepsis (clean) and surgical asepsis ( sterile) - Answer-Medical
asepsis inhibits the growth and spread of microorganisms and is used in many daily activities while
surgical asepsis destroys all microorganisms and their spores and is used in invasive procedures
Discuss the principles related to application of sterile gloves. - Answer-Perform thorough hand hygiene
Carefully peel apart outer packaging
Lay inside packaging containing gloves on flat, clean surface
Pull edges apart and smooth over surface
Pick up glove closest to you from inside of glove and put it on without touching the sterile part
, Using gloved hand, put fingers under cuff of other glove without breaking sterile field and out it on.
Review the steps of the nursing process and be prepared to problem solve using the nursing process -
Answer-ADPIE
Assess: Gather information about client's condition
Diagnose: Identify problem
Plan: Set goals of care and desired outcomes and identify appropriate nursing actions
Implement: Perform nursing actions identified in planning
Evaluate: Determine if the goals were met and outcomes achieved
What are the 2 drugs combined in the drug glucovance? - Answer-glyburide and metformin
What are the classifications of these 2 drugs? - Answer-Sulfonylurea and biguanide
Why might a doctor prescribe a combination drug like glucovance? - Answer-to improve glycemic
control in patients with type 2 diabetes
What is gluconeogenisis? - Answer-glucose production: the production of glucose, especially in the liver,
from amino acids, fats, and other substances that are not carbohydrates
The term "blocker" is another name for how a drug works. Blocker would be another name for ....
a. agonist
b. antagonist - Answer-B
