exam 2 Flashcards

1
Q

When should the first safety check be performed?

A

When removing the medication from the system.

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2
Q

When should the second safety check be performed?

A

During medication preparation.

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3
Q

When should the third safety check be performed?

A

At the bedside before administration.

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4
Q

What is the first right of medication administration?

A

Right Client – Verify identity using two forms of ID.

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5
Q

What is the second right of medication administration?

A

Right Medication – Ensure the correct drug is given.

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6
Q

What is the third right of medication administration?

A

Right Dose – Administer the prescribed dosage.

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7
Q

What is the fourth right of medication administration?

A

Right Route – Give medication via the correct route.

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8
Q

What is the fifth right of medication administration?

A

Right Time – Administer at the scheduled time.

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9
Q

What is the sixth right of medication administration?

A

Right Documentation – Record administration accurately.

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10
Q

What is the seventh right of medication administration?

A

Right Assessment – Check patient condition before giving.

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11
Q

What is the eighth right of medication administration?

A

Right to Refuse – Patients can decline medication.

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12
Q

What is the ninth right of medication administration?

A

Right Education – Inform patients about their meds.

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13
Q

What is the tenth right of medication administration?

A

Right Evaluation – Monitor for desired effects and side effects.

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14
Q

How is oral (PO) medication administered?

A

It is swallowed and absorbed in the digestive tract.

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15
Q

How is sublingual (SL) medication administered?

A

It dissolves under the tongue for rapid absorption.

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16
Q

Where is buccal medication placed?

A

Between the cheek and gums.

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17
Q

How is rectal (PR) medication administered?

A

It is inserted into the rectum for absorption.

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18
Q

How is topical medication applied?

A

Directly to the skin.

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19
Q

How does transdermal medication work?

A

It is delivered through a skin patch.

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20
Q

How is intravenous (IV) medication given?

A

Injected into the vein for immediate effect.

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21
Q

How is intramuscular (IM) medication given?

A

Injected into the muscle.

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22
Q

How is subcutaneous (SubQ) medication given?

A

Injected under the skin.

23
Q

How is intradermal (ID) medication given?

A

Injected into the dermis.

24
Q

How is inhalation medication administered?

A

Through inhalers or nebulizers.

25
How is intranasal medication administered?
Through the nasal passages.
26
What should be assessed before medication administration?
Medical history, allergies, and vitals.
27
What should be done during medication administration?
Verify identity, observe for reactions, and ensure correct route.
28
What should be monitored after medication administration?
Therapeutic effects, side effects, and document findings.
29
How should nurses protect patient health information (PHI)?
Secure logins, log out after use, and avoid public discussions.
30
What are examples of HIPAA violations?
Unauthorized access, sharing, or improper disposal of PHI.
31
What does 'S' in SBAR stand for?
Situation – State the problem concisely.
32
What does 'B' in SBAR stand for?
Background – Provide patient history and relevant details.
33
What does 'A' in SBAR stand for?
Assessment – Explain current status and concerns.
34
What does 'R' in SBAR stand for?
Recommendation – Suggest next steps or interventions.
35
What is the function of the skin?
Protects against injury, infection, and temperature changes.
36
What are the three layers of skin?
Epidermis, Dermis, and Subcutaneous Tissue.
37
What is the function of the epidermis?
Provides a protective barrier with keratinocytes and melanocytes.
38
What is the function of the dermis?
Contains blood vessels, collagen, and nerves for sensation.
39
What is the function of subcutaneous tissue?
Provides insulation and shock absorption.
40
Why are infants at risk for skin issues?
Immature skin is prone to irritation and breakdown.
41
Why are elderly patients at higher risk for skin damage?
Thin skin, reduced elasticity, and decreased circulation.
42
How does diabetes affect skin integrity?
It impairs sensation and delays wound healing.
43
Why does immobility increase the risk of skin breakdown?
Prolonged pressure can cause pressure ulcers.
44
How often should a nurse assess skin integrity?
Regularly, using tools like the Braden Scale.
45
How can nurses prevent pressure injuries?
Frequent repositioning and using cushions.
46
How does hydration help skin integrity?
Prevents dryness and promotes elasticity.
47
What are the five steps of the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation.
48
What happens in the assessment phase?
The nurse gathers patient data.
49
What happens in the diagnosis phase?
The nurse identifies patient problems.
50
What happens in the planning phase?
The nurse develops a strategy to address the issue.
51
What happens in the implementation phase?
The nurse carries out interventions.
52
What happens in the evaluation phase?
The nurse assesses if interventions were effective.
53
What is the difference between a nursing and medical diagnosis?
A nursing diagnosis focuses on patient response and care, while a medical diagnosis identifies a disease or condition.