Ch. 2 Medication Administration Flashcards
Uncontrolled substance
Do not pose risks of misuse or addiction but must be monitored by a provider (ex: abx)
Controlled substance
Potential for misuse and addiction
Schedule I - no medical use (heroin)
Schedule II-V - have medical use and have decreasing risk of misuse (ex: morphine is schedule II and has greater risk for misuse than phenobarbital which is schedule IV)
What are the FDA’s Pregnancy Risk Categories?
A, B, C, D, X
X is the most dangerous
What is the first step of medication administration?
Right client (confirm 2 patient identifiers and check for allergies)
How many times should you read medication labels and compare with the MAR?
3 times: before removing the container, when removing the med from the container, and in the presence of the patient before administering the med.
What are methods to determine the correct dose?
- use a unit-dose system
- check drug reference to ensure it is in the typical range
- have another nurse check the dosage
- use standard measuring devices
- don’t override an automated machine if there is a warning
When should you administer a time-critical medication?
30 min before or after the prescribed time
When should you administer a non-time-critical medication prescribed ONCE daily, weekly, or monthly?
Within 2 hours of the prescribed time
When should you administer non-time-critical medications prescribed MORE than once daily?
Within 1 hour of prescribed time
Where can you find lists of common confused medications and error-prone abbreviations?
The Institute for Safe Medication Practices
What is the difference between the assessment and planning stages of medication administration in the nursing process?
Assessment involves but is not limited to: obtaining patient data to determine if the med is appropriate and establish a baseline, be aware why you are administering a med and what it does, be aware of medical hx and potential contraindications, interpret rx correctly, and question inappropriate rx
Planning: Identify patient outcomes for the med and set priorities (which med should be given first and how should it be timed with procedures, food, etc)
What is the difference between the assessment and planning stages of medication administration in the nursing process?
Assessment involves but is not limited to: obtaining patient data to determine if the med is appropriate and establish a baseline, be aware why you are administering a med and what it does, be aware of medical hx and potential contraindications, interpret rx correctly, and question inappropriate rx
Planning: Identify patient outcomes for the med and set priorities (which med should be given first and how should it be timed with procedures, food, etc)
In which part of the nursing process would you report medication errors?
Evaluation
In which part of the nursing process would you investigate if a client questions the dose or appearance of a med?
Implementation (because at this point you have prepared and are ready to administer the med)
At which point of the nursing process do you educate the patient and caregivers about the medication?
Implementation
