MCCN SDAP X - Foundations II New Exam 2 With Accurate
Solutions 100% Verified
Nurses are ___ responsible for medications they administer - ANSWER 100%
Who dictates law regarding medication administration? - ANSWER DEA
Medication orders - ANSWER Written orders - preferred
Verbal orders - in emergency situations, in person, need to be signed within 24 hours
Telephone orders - read back for accuracy, need to be signed within 24 hours
Stat orders - to be given immediately, within 15 minutes
Standing orders - Normally unit wide orders that are always available in certain
situations such as low potassium)
P.R.N. orders - As needed for individual patient such as meds. for pain q4h
six rights - ANSWER Client
Medication
Route
Dose
Time
Documentation (sign with legal signature)
Check the medication ___ times. When? - ANSWER Three;
When getting it out of the drawer, when comparing it to the MAR, when giving it to the
patient
How many client identifiers should you use? ANSWER Two: name and date of birth
,(DOB)
When would you document medication? ANSWER After it is given. If patient refuses
medication you need to document the refusal.
Controlled substances and scheduled drugs - ANSWER Always locked up, may require
counting every shift change, require co-signing for waste of unused narcotics, may
require double check to give narcotic (e.g. setting up a PCA pump).
What to do in case of medication administration error (incorrectly prepared, improper
technique, giving expired meds, plus anything that goes against the five rights) -
ANSWER #1 priority - Check client for effects
Notify MD
Charting and Error-documentation error and steps taken
Incident report (not in chart do not chart about it)
Incident report
RN role for administration-ANSWER only use clearly labeled meds
no liquid meds that are colored (discolored)
use ONLY meds YOU prepared and YOU have checked
Always witness pt receiving meds
Never leave medication unattended
Document AFTER administration
Medication Routes - ANSWER Enteral - oral, sublingual (do not eat or drink while med in
mouth), buccal, NG tube, anything in the GI
Topical - Intranasal, patches, rectal and vaginal, ointments
Inhaled - getting the med into lungs
Parenteral - Injections: IV, IM, subcutaneous, intradermal
, Contraindications for PO meds - ANSWER vomiting, active gag reflex, difficulty
swallowing (crush med if possible), decreased LOC
Give PO meds in what position? - ANSWER Fowler's or Semi-Fowler's position
Do not crush meds if they are. - ANSWER enteric coated or time-released
Elixirs - ANSWER Shake or mix suspensions prior to giving
Give into cheek with a syringe because some meds discolor the teeth
Bad tasting medication - ANSWER Add to food, warn patient first, suck on ice to numb
taste buds, chill the med first, place in a syringe, provide/offer oral hygiene, give with
lots of water
Considerations when giving med to older adult - ANSWER Allow for extra time, give
massage, reevaluate drug dose in kidney or liver failure patients with increased risk of
toxicity, patient-teaching with names of med (not shapes or colors, those can change)
Administration with feeding tube - ANSWER Elevate HOB
Check placement of tube by air bolus, tube measurement, pH test
Use liquid or crushed medication
Flush with 15-30 mL water before and after med admin
Allow meds to flow by gravity
If tube is gravity-driven, clamp for 30 min after administration and flush
Topical meds - ANSWER Inunction, transdermal, ophthalmis, otic, rectal, vaginal,
inhalation
Inunction meds - ANSWER Creams, ointments, powders and lotions (always wear
gloves, avoid inhaling powders, warm them first and massage into the skin)
Solutions 100% Verified
Nurses are ___ responsible for medications they administer - ANSWER 100%
Who dictates law regarding medication administration? - ANSWER DEA
Medication orders - ANSWER Written orders - preferred
Verbal orders - in emergency situations, in person, need to be signed within 24 hours
Telephone orders - read back for accuracy, need to be signed within 24 hours
Stat orders - to be given immediately, within 15 minutes
Standing orders - Normally unit wide orders that are always available in certain
situations such as low potassium)
P.R.N. orders - As needed for individual patient such as meds. for pain q4h
six rights - ANSWER Client
Medication
Route
Dose
Time
Documentation (sign with legal signature)
Check the medication ___ times. When? - ANSWER Three;
When getting it out of the drawer, when comparing it to the MAR, when giving it to the
patient
How many client identifiers should you use? ANSWER Two: name and date of birth
,(DOB)
When would you document medication? ANSWER After it is given. If patient refuses
medication you need to document the refusal.
Controlled substances and scheduled drugs - ANSWER Always locked up, may require
counting every shift change, require co-signing for waste of unused narcotics, may
require double check to give narcotic (e.g. setting up a PCA pump).
What to do in case of medication administration error (incorrectly prepared, improper
technique, giving expired meds, plus anything that goes against the five rights) -
ANSWER #1 priority - Check client for effects
Notify MD
Charting and Error-documentation error and steps taken
Incident report (not in chart do not chart about it)
Incident report
RN role for administration-ANSWER only use clearly labeled meds
no liquid meds that are colored (discolored)
use ONLY meds YOU prepared and YOU have checked
Always witness pt receiving meds
Never leave medication unattended
Document AFTER administration
Medication Routes - ANSWER Enteral - oral, sublingual (do not eat or drink while med in
mouth), buccal, NG tube, anything in the GI
Topical - Intranasal, patches, rectal and vaginal, ointments
Inhaled - getting the med into lungs
Parenteral - Injections: IV, IM, subcutaneous, intradermal
, Contraindications for PO meds - ANSWER vomiting, active gag reflex, difficulty
swallowing (crush med if possible), decreased LOC
Give PO meds in what position? - ANSWER Fowler's or Semi-Fowler's position
Do not crush meds if they are. - ANSWER enteric coated or time-released
Elixirs - ANSWER Shake or mix suspensions prior to giving
Give into cheek with a syringe because some meds discolor the teeth
Bad tasting medication - ANSWER Add to food, warn patient first, suck on ice to numb
taste buds, chill the med first, place in a syringe, provide/offer oral hygiene, give with
lots of water
Considerations when giving med to older adult - ANSWER Allow for extra time, give
massage, reevaluate drug dose in kidney or liver failure patients with increased risk of
toxicity, patient-teaching with names of med (not shapes or colors, those can change)
Administration with feeding tube - ANSWER Elevate HOB
Check placement of tube by air bolus, tube measurement, pH test
Use liquid or crushed medication
Flush with 15-30 mL water before and after med admin
Allow meds to flow by gravity
If tube is gravity-driven, clamp for 30 min after administration and flush
Topical meds - ANSWER Inunction, transdermal, ophthalmis, otic, rectal, vaginal,
inhalation
Inunction meds - ANSWER Creams, ointments, powders and lotions (always wear
gloves, avoid inhaling powders, warm them first and massage into the skin)
