ATI med Admin Module

Question 1

What is Pharmacokinetics?

Answer 1

is the study of the absorption, distribution, metabolism, and excretion (ADME) of medications in the human body. The nurse needs a solid foundation of knowledge of how medications work in the body,

Question 2

What is Absorption?

Answer 2

defined as the movement of a medication from where it was administered (enters the body) to the circulatory system.

Question 3

medications are administered by the oral or enteral route have what rate of absorption?

Answer 3

which provides for a much slower rate of absorption.

Medications administered via the mouth, stomach or intestines.

Question 4

The nurse recently administered oral medications to a client who notified the assistive personnel (AP) that they just vomited. Which of the following actions should the nurse take first?

Answer 4

It is most important for the nurse to inspect the vomitus for any evidence of the medication.

Question 5

What is toxicity in meds?

Answer 5

An adverse effect in which the body is unable to metabolize or excrete a medication; it can cause irreversible damage to organs.

Question 6

What is therapeutic effects of medication?

Answer 6

The desired effects of a medication.

Question 7

What is first pass effect?

Answer 7

The passage of oral medications from the small intestine to the hepatic circulation via the mesenteric and portal veins flowing into the liver, before reaching systemic circulation.

Question 8

What is Pharmacodynamics?

Answer 8

The study of how a drug works, its relationship to drug concentrations, and how the body responds.

Question 9

What is therapeutic range?

Answer 9

A method used by health care providers to monitor drug concentrations to determine therapeutic dose and avoid toxicity.

Question 10

What is peak and trough?

Answer 10

Peak- Highest level of a drug in the bloodstream without being at a toxic level.

Trough- Lowest concentration of a medication in the systemic circulation.

Question 11

What is half-life?

Answer 11

Time it takes for the drug to fall to half its strength through excretion.

Question 12

What is adverse drug reactions?

Answer 12

Unwanted and non-therapeutic effects of the medication. They can range from mild to severe.

Question 13

What does iatrogenic mean?

Answer 13

An unforeseeable or unintended physical condition, injury, or disorder caused by a treatment or procedure.

Question 14

A nurse is educating a client about potential medication reactions and interactions. Match the types of medication-related issues in the left column with the appropriate descriptions in the right column.

Answer 14

ADRs: These are unintended effects of medications that can range from mild to severe, including irreversible damage or death. Nurses must be aware of the potential for ADRs and monitor clients for any manifestations of nontherapeutic effects.

Allergic reaction: These occur when the body perceives a medication as a foreign substance, potentially leading to manifestations like rash, hives, or circulatory collapse. Immediate discontinuation of the medication is the first step in treating an allergic reaction.

Drug-drug interaction: Occurs when a client takes multiple medications, which may intensify or decrease the effects, either therapeutic or adverse, of one of the medications. Nurses should use medication reference resources to check for potential interactions among prescribed medications.

Drug-food interaction: This happens when medications are taken with substances that affect their absorption, metabolism, or excretion, such as taking iron with orange juice to enhance absorption. Nurses should provide clients with instructions on how to take medications concerning food.

Question 15

What is teratogenic?

Answer 15

Medications that can cause fetal defects, pregnancy loss, prematurity or developmental disabilities.

Question 16

What is polypharmarcy?

Answer 16

defined as the use of five or more medications by a nonhospitalized client, is of greater threat in this age group because physiological changes in the older client affect both pharmacokinetics and pharmacodynamics of the medications.

Question 17

A nurse is caring for an older adult client who is taking multiple medications. Which of the following nursing actions support safe medication administration considering age-related physiological changes? SATA

Answer 17

photo on phone

Question 18

What are the rights of med admin?

Answer 18

Right client: Verify the client’s identity using two client identifiers.

Right medication: Confirm the name and form of the medication is correct.

Right dose: Check medication and dosage against the order in the client’s medical record.

Right route: Confirm the route of medication per the provider’s order in the client’s medical record.

Right time: Confirm the time medication is to be given and the last time the medication was administered.

Right assessment: Confirm the client’s medication allergies, that the medication is appropriate for the client’s condition, and any drug–drug or drug–food interactions that may need addressed. Check lab work or vital signs, per the medication (e.g., a medication to reduce blood pressure should not be administered without checking the client’s blood pressure first).

Right documentation: Document the time the medication was administered and any other pertinent information.

Right to refuse: The client has the right to refuse the medication.

Right education: Provide education to the client addressing the name of the medication, the expected benefits, and the potential adverse medication effects.

Right evaluation: Check the client’s medications to determine if an untoward interaction may occur. Monitor the client’s response to the medication.

Question 19

The nurse is preparing to administer medications to a client. The pharmacy has delivered the correctly prescribed medications, but they are labeled with another client’s name and medical record number. What action should the nurse take?

Answer 19

collaborating with the pharmacist to correct the medication labeling

Question 20

How often do you do a med check?

Answer 20

three times.

When the medication is obtained by the nurse from the client’s medication drawer or from an automated medication dispensing machine
During preparation of the medication
At the client’s bedside immediately prior to administration

Question 21

Review med amin on the ATI mod

Question 22

What is phlebitis?

Answer 22

Inflammation of the vein as evidenced by localized redness, pain, heat and swelling.

Question 23

What is infiltration on an IV?

Answer 23

Intravenous fluid is administered to surrounding tissue as evidenced by pain, swelling, redness, cool skin temperature around insertion site, skin taunt around IV site, oozing of IV fluid at insertion site and repeated alarming of IV pump.