QUESTIONS AND CORRECT ANSWERS
What are several ways that you can avoid medications errors? - CORRECT
ANSWERS✅✅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. - CORRECT
ANSWERS✅✅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. - CORRECT
ANSWERS✅✅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. - CORRECT ANSWERS✅✅...
Discuss the different types of injections and the angle of insertion for the needle for SC and
IM injections. - CORRECT ANSWERS✅✅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. - CORRECT ANSWERS✅✅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? - CORRECT ANSWERS✅✅UTI
Discuss the differences between medical asepsis (clean) and surgical asepsis ( sterile) -
CORRECT ANSWERS✅✅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. - CORRECT
ANSWERS✅✅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 - CORRECT ANSWERS✅✅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? - CORRECT
ANSWERS✅✅glyburide and metformin
, What are the classifications of these 2 drugs? - CORRECT ANSWERS✅✅Sulfonylurea and
biguanide
Why might a doctor prescribe a combination drug like glucovance? - CORRECT
ANSWERS✅✅to improve glycemic control in patients with type 2 diabetes
What is gluconeogenisis? - CORRECT ANSWERS✅✅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 - CORRECT ANSWERS✅✅B
Beta receptors are found in the sympathetic nervous system. Beta receptors, when stimulated
will cause a sympathetic nervous system response. So, for that reason, what do you think a
beta blocker blocks? - CORRECT ANSWERS✅✅Stress hormones/the effects of the
sympathetic nervous system
What are some of the side effects to watch for with beta blockers? - CORRECT
ANSWERS✅✅Hypotension
Bradycardia
Drowsiness
Depression
Signs of heart failure
What is orthostatic hypotension? - CORRECT ANSWERS✅✅a form of low blood pressure
that happens when you stand up from sitting or lying down