EXAM 2

Question 1

What are the 10 rights to medication admin ?

Answer 1

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

Question 2

What are the 3 safety checks before giving a medication?

Answer 2

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

Question 3

What should you never do when administering skin medication?

Answer 3

Rub it in

Question 4

What should you do before administering skin medication?

Answer 4

Remove old patches

Question 5

How do you administer skin meds ?

Answer 5

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

Question 6

What are some things skin meds are used for?

Answer 6

Hormones, Pain meds, Nicotine patches, Cardiac meds.

Question 7

What are 3 different Respiratory/Inhalation devices?

Answer 7

Metered dose inhaler
Dry powder inhaler
Nebulizer

Question 8

How do you administer a Metered dose inhaler

Answer 8

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

Question 9

How do you administer a Dry powder inhaler

Answer 9

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

Question 10

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

Answer 10

LUNGS

Question 11

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

Answer 11

Rinse their mouth

Question 12

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

Answer 12

Left sims position with right leg flexed

Question 13

How far does a rectal suppository need to go?

Answer 13

3 to 4 inches

Question 14

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

Answer 14

5 minutes

Question 15

How elevated does a large volume enema need to be

Answer 15

18 inches

Question 16

How long should the enema be given?

Answer 16

5-10 minutes

Question 17

How long must the patient hold in the enema ?

Answer 17

5-10 minutes

Question 18

How do you administer a small volume enema?

Answer 18

Squeeze bottle and roll end up on itself.

Question 19

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

Answer 19

5-10 minutes

Question 20

What are the important guidelines for documentation?

Answer 20

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

Question 21

What must clients sign ?

Answer 21

Notice and Authorization form

Question 22

What can not be delegated to a UAP?

Answer 22

Med admin, assessment, teaching/education

Question 23

What should you always consider when delegating to a UAP?

Answer 23

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

Question 24

p

Answer 24

after

Question 25

q

Answer 25

every

Question 26

noc

Answer 26

night

Question 27

ac

Answer 27

before

Question 28

hs

Answer 28

bedtime

Question 29

prn

Answer 29

whenever necessary

Question 30

c

Answer 30

with

Question 31

s

Answer 31

without

Question 32

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

Answer 32

Flow rate and device

Question 33

A normal SPO2 is?

Answer 33

92% or higher

Question 34

Documentation of Oxygen therapy

Answer 34

``` 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 ```

Question 35

Whats the normal range for pulse ox

Answer 35

95-100%

Question 36

What can affect the reading of a pulse ox

Answer 36

nail polish

Question 37

what does the pulse ox assess

Answer 37

local circulation | hypoxia

Question 38

What are intradermal injections used for?

Answer 38

Allergy sensitivity and TB tests

Question 39

What considerations should you give when administering an intradermal

Answer 39

The bevel needs to be up | A wheal will appear at the injections site

Question 40

What angle do you give a intradermal injection?

Answer 40

5-15 degrees

Question 41

Where can you give an intradermal injection?

Answer 41

Inner forearm, upper. back

Question 42

What needle gauges do you use for intradermal injections?

Answer 42

25-27

Question 43

What are the subcutaneous injections needle gauges?

Answer 43

25-30

Question 44

What are subcutaneous injection sites?

Answer 44

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

Question 45

What are intramuscular injections used for ?

Answer 45

Vaccines, pain meds, antipsychotics, antibiotics

Question 46

What are the intramuscular injections sites?

Answer 46

deltoid, thigh, butt

Question 47

What are the needle gauges for intramuscular injections/

Answer 47

20-25 | oil 18-25

Question 48

Complications for intramuscular injections ?

Answer 48

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