Summary NURS 325 Exam 2 Study Guide with Key points

325 Key Points Exam 2
While preparing your outline, expand thoroughly on each point using your resources (eBook,
ATI, additional resources in Modules). You should have at least 1-2 pages or more of notes on
each of the following points. Go into detail.

Test taking practice:
 Test taking tips/skills : ATI > My ATI tab > Learn tab > Nurse Logic 2.0 > Testing and
Remediation
 Practice Questions: ATI > My ATI tab > Test tab > <Learning System RN 3.0 > Standard
Quizzes > Fundamentals OR Dynamic quizzes (will adjust to the topics you missed)

Modules 5-8 50 questions
Module 5: Safe Medication Administration and Error Reduction
Chapter 29 in Taylor, C., Lynn, P., & Bartlett, J. L. (2019). Fundamentals of nursing: The art and
science of person-centered nursing care (9th ed.). Wolters Kluwer

1. Describe principles of safe administration of medications including safety issues:
1.1. contraindications, side effects, drug to drug interactions and allergies
 contraindications: reasons/conditions a drug should not be given
 side effects: some unintended, secondary effects that are mild,
predictable, and may be tolerated as part of the therapy.
 Drug-Drug Interactions: occur when one drug is affected in some
way by another drug that is taken at the same time. Some are
beneficial, some are not.
 Allergies: occurs when the body interprets the administered drug
as a foreign substance and forms antibodies against the drug
1.2. Proper healthcare provider order for medication
 Patient’s name and a secondary identifier (date of birth, medical
record number)
 Date and time the order is written
 Name of drug to be administered
 Dosage of the drug
 Route by which the drug is to be administered
 Frequency of administration of the drug
 Signature of the prescribing provider
1.3. Safe handling of medications, sharps
 Do not leave medication unattended
 Controlled substances kept in double locked system, record of each
narcotic administered, count performed at each shift, 2 nurses
required when discarding narcotic
 Do not recap needles, dispose in sharps container
1.4. Rights of medication administration (all)

,  Right medication
 Right patient
 Right dose
 Right route
 Right time
 Right reason
 Right assessment
 Right documentation
 Right response
 Right education
 Right to refuse
1.5. Medication errors, nursing interventions and actions
 Medication errors: mistakes in prescribing, dispensing, administering
meds
 Nursing interventions/actions: 3 checks, adhering to the rights of
medication administration, maintaining safe environment, handling
controlled substances safely, identifying patient and scanning
1.6. Client teaching about medications, methods
 Explain techniques of medication administration to patient and family.
Before being discharged, patient should practice necessary techniques
under supervision of a nurse to acquire sufficient skill for safe
administration.
 Emphasize importance of taking medications as prescribed and for as
long as prescribed
 Instruct patient not to alter dosage without consulting HCP.
2. Demonstrate safe medication administration through calculation of dosages
2.1. tablets,
2.2. oral/liquid
 dose on hand/quantity on hand = dose desired/ x (quantity desires)
2.3. IV drip: ml/hr and gtt/min
 Volume (ml)/ minutes x drop factor (gtt/mL) = dip rate (gtt/min)
 Volume (ml)/time(hrs) = mL per hr
2.4. Insulin administration
 Dial the dose selector to 2 units to prime the pen (perform an air
shot) to get rid of air and make certain the pen is working properly.
 Hold the pen upright and tap to force any air bubbles to the top.
 Hold the pen upright and press the injection button or plunger firmly.
Watch for a drop of insulin at the needle tip.
 Check the drug reservoir to make sure enough insulin is available for
the dose.
 Check that the dose selector is at 0 (zero), then dial the units of
insulin for the dose.
 Put on gloves.