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NUR 222 PSYCHOMOTOR SKILLS > EXAM 2 > Flashcards

EXAM 2 Flashcards

1
Q

What are the 10 rights to medication admin ?

A

Right dose, medication, patient, frequency, route, education, right to refuse, right assessment, documentation, evaluation

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2
Q

What are the 3 safety checks before giving a medication?

A
  1. READ MAR THEN SELECT MED
  2. COMPRE MED TO MAR
  3. RECHECK LABEL BEFORE PREPARING MED OR BEFORE ADMIN AT THE BEDSIDE
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3
Q

What should you never do when administering skin medication?

A

Rub it in

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4
Q

What should you do before administering skin medication?

A

Remove old patches

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5
Q

How do you administer skin meds ?

A
  • Put on gloves
  • Remove any old patches
  • Clean site
  • Firmly press down medication
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6
Q

What are some things skin meds are used for?

A

Hormones, Pain meds, Nicotine patches, Cardiac meds.

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7
Q

What are 3 different Respiratory/Inhalation devices?

A

Metered dose inhaler
Dry powder inhaler
Nebulizer

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8
Q

How do you administer a Metered dose inhaler

A

Push down on pump
Inhale slowly and deeply
Exhale through pursed lips for 5-10 secs.

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9
Q

How do you administer a Dry powder inhaler

A

Quickly inhale
Hold breathe 5-10 secs
Exhale slowly through pursed lips

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10
Q

What do you always assess before and after use of a nebulizer

A

LUNGS

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11
Q

What must the patient do after each use with the inhalation device?

A

Rinse their mouth

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12
Q

What position must the patient be in when admin a rectal suppository?

A

Left sims position with right leg flexed

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13
Q

How far does a rectal suppository need to go?

A

3 to 4 inches

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14
Q

How long does the patient need to stay on their side after a suppository ?

A

5 minutes

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15
Q

How elevated does a large volume enema need to be

A

18 inches

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16
Q

How long should the enema be given?

A

5-10 minutes

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17
Q

How long must the patient hold in the enema ?

A

5-10 minutes

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18
Q

How do you administer a small volume enema?

A

Squeeze bottle and roll end up on itself.

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19
Q

How long does a patient need to hold in a small volume enema ?

A

5-10 minutes

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20
Q

What are the important guidelines for documentation?

A

Needs to be factual, complete, current, accurate, organized

21
Q

What must clients sign ?

A

Notice and Authorization form

22
Q

What can not be delegated to a UAP?

A

Med admin, assessment, teaching/education

23
Q

What should you always consider when delegating to a UAP?

A

Patient stability, predictability of outcome, complexity, need of other patients, potential for harm

24
Q

p

A

after

25
Q

q

A

every

26
Q

noc

A

night

27
Q

ac

A

before

28
Q

hs

A

bedtime

29
Q

prn

A

whenever necessary

30
Q

c

A

with

31
Q

s

A

without

32
Q

When a physician gives a med order for oxygen therapy what must it include ?

A

Flow rate and device

33
Q

A normal SPO2 is?

A

92% or higher

34
Q

Documentation of Oxygen therapy

A 
DATE AND TIME OF OXYGEN THERAPY 
METHOD 
FLOW RATE 
CONDITION OF SKIN 
RESP ASSESSMENT BEFORE AND AFTER 
CLIENTS RESPONSE 
ANY ADVERSE REACTION 
ANY TEACHING DONE
35
Q

Whats the normal range for pulse ox

A

95-100%

36
Q

What can affect the reading of a pulse ox

A

nail polish

37
Q

what does the pulse ox assess

A

local circulation

hypoxia

38
Q

What are intradermal injections used for?

A

Allergy sensitivity and TB tests

39
Q

What considerations should you give when administering an intradermal

A

The bevel needs to be up

A wheal will appear at the injections site

40
Q

What angle do you give a intradermal injection?

A

5-15 degrees

41
Q

Where can you give an intradermal injection?

A

Inner forearm, upper. back

42
Q

What needle gauges do you use for intradermal injections?

A

25-27

43
Q

What are the subcutaneous injections needle gauges?

A

25-30

44
Q

What are subcutaneous injection sites?

A

Upper arm, abdomen, thigh, upper back, upper ventral gluteal area

45
Q

What are intramuscular injections used for ?

A

Vaccines, pain meds, antipsychotics, antibiotics

46
Q

What are the intramuscular injections sites?

A

deltoid, thigh, butt

47
Q

What are the needle gauges for intramuscular injections/

A

20-25

oil 18-25

48
Q

Complications for intramuscular injections ?

A

Abscess, Cellulitis, Injury to blood vessels, bones, nerves, lingering pain, tissue necrosis

NUR 222 PSYCHOMOTOR SKILLS (1 decks)

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