Chapter 29 - Medication Administration

Question 1

What is the difference between chemical, generic and trade name

Answer 1

Chemical name provides the exact description of medication composition
Generic name is the manufacturer who first developed the drug assigned the name
Trade name is known as the brand name

Question 2

What are the actions are pharmacokinetics

Answer 2

Absorption, distribution, metabolism, excretion

Question 3

What is the therapeutic effect?

Answer 3

Expected or predicted psychological response

Question 4

What are adverse effects?

Answer 4

Unintended undesirable often unpredictable response to medication

Question 5

What are side effects?

Answer 5

Predictable, unavoidable secondary effects of the drug

Question 6

What is toxic effect?

Answer 6

Accumulation of medication in the bloodstream

Question 7

What is idiosyncratic reaction?

Answer 7

Over reaction or under reaction or different reaction from normal

Question 8

What is defined as oral root medication and what is the difference between sublingual and Buccal

Answer 8

Oral routes for medications can be tablets, capsules, liquids, suspensions, elixirs, and lozenge

Sublingual is under the tongue in Buccal is in the cheek of the mouth

Question 9

Weather four major sites of injections

Answer 9

Intradermal, subcutaneous, intramuscular, intravenous

Question 10

What are the two routes that are limited to physicians?

Answer 10

Intracardiac and intrasrticular

Question 11

True or false in your system cannot admit medication without supervision by licensing RN

Answer 11

True

Question 12

What are the six rights for medication administration?

Answer 12

Right medication, right dose, right patient, right root, right time in right documentation

Question 13

What’s the three checks of medication administration?

Answer 13

First check is when the nurse reaches for the container or unit dose package
Second check is after retrieving from the drawer and checking with the EMAR/MAR
Third check is before giving the unit dose medication to the patient

Question 14

How do you identify the patient?

Answer 14

Check the identification bracelet, validating the patient’s name, validate the patient, identification number, medical records, and birthdate, ask the patient to date his or her name if possible

Question 15

True or false when administering medication’s ensure patient took the medication and never leave the medication in the patient’s room

Answer 15

True

Question 16

True or false, use sterile technique if the patient has an open wound

Answer 16

True

Question 17

What actions should be done for a transdermal patch

Answer 17

Remove old patch before applying new one
Document the location of the new patch
Ask about patches during the medication history
App,h a label to the patch if it is difficult to see
Document removal of the patch as well

Question 18

What to avoid during eye instillation

Answer 18

Avoid the cornea
Avoid the eyelid with dropper or tubes to decrease risk of infections
Use only in the affected eye
Never share medications

Question 19

What temperature should ear drops be

Answer 19

Room temperature

Question 20

How do we have the patient sit when giving ear drops

Answer 20

Sit upright or lie on their side

Question 21

How do we straighten an ear canal for an adult vs a child

Answer 21

For an adult you pull the auricle upwards and outward while for children down and back

Question 22

After vaginal instillation how long should the patients stay supine for

Answer 22

5 minutes

Question 23

True or false, patients often prefer administering their own vaginal medication and need privacy

Answer 23

True

Question 24

What position should the patient be in for a recital instillation and how long should they remain in that position for?

Answer 24

Left lateral or sims positions
Remain in the position for five minutes

Question 25

How to prepare an ample for injection

Answer 25

Snap off am neck away from yourself As medication into syringe using a filter needle Free replace filter, needle with inappropriate size needle or needless device Administer injection

Question 26

How do we prepare an injection from a vial?

Answer 26

If try use solvent or diluted as needed Inject air into viral Label multidose vitals after mixing Refrigerate remaining doses if needed Never put a dirty needle in a multidose viral

Question 27

What size needle do you use for a subcutaneous injection?

Answer 27

3/8–5/8 inch, 25–27 gauge needle for subcutaneous injections

Question 28

What angle should a subcutaneous injection be administered at?

Answer 28

Injected at a 45–90° angle. 90° angles are for obese patient

Question 29

What size volume should a subcutaneous injection be?

Answer 29

Small volumes not more than 1.5 ML’s of solution

Question 30

What is subcutaneous injection?

Answer 30

Administering into the adipose tissue layer, just below the epidermis and dermis

Question 31

What angle should intramuscular injections be given at?

Answer 31

Intramuscular injection should be administered at a 90° angle

Question 32

Which injection is faster, absorption subcutaneous route or intramuscular

Answer 32

Intramuscular injections have faster absorption

Question 33

For intramuscular injection what size needle do we use?

Answer 33

For intramuscular injections you have to take into consideration, BMI due to adipose tissue, influencing, needle size selection

Question 34

Are dorsal gluteal injections recommended

Answer 34

Dorsal gluteal injections are not recommended because of being near the sciatic nerve and major blood vessels

Question 35

What is ventral gluteal recommended?

Answer 35

When the dosage volume is greater than two mL

Question 36

What position does the patient need to be for ventral gluteal injection

Answer 36

Flex the knee and hip to relax muscle

Question 37

What needle size would you use for ventral gluteal

Answer 37

For an adult 1.5 inches and for a child. 5–1 inch.

Question 38

Where do we give injections on the vastus lateralis ( thigh )

Answer 38

Use the middle third of the muscle for injections, this site is often used for infants, toddlers, and children receiving biological

Question 39

For dealt with it injection, what should the needle length be?

Answer 39

Adult should be 1– 1.5 in for a child should be .5 – 1

Question 40

What is a z track method?

Answer 40

The track method is recommended to minimize skin irritation by sealing the medication in muscle tissue. By having the needle remain inserted for 10 seconds to allow the medication to disperse evenly rather than Chanley back up the track of the needle.

Question 41

What angle should the needle be for intradermal injection?

Answer 41

5–15° with bevel of needle pointing up

Question 42

When is intradermal injections used?

Answer 42

Used for TB screening or allergy test

Question 43

What is piggyback in IV administration?

Answer 43

Infusion of a solution containing the prescribed medication of a small volume of IV fluid through an existing IV line

Question 44

How big is a large volume infusion IV bag and what should you know about it?

Answer 44

Large volume is when 500 or 1000 ML’s are used This is the safest and easiest method of IV administration but if infuse to rapidly the patient is at risk for overdose and fluid overload