Med Administration

Question 1

how soon should STAT orders be done

Answer 1

within 90 minutes or according to facility policy

Question 2

AC

Answer 2

before meals

Question 3

PC

Answer 3

after meals

Question 4

SL

Answer 4

sublingually

Question 5

p

Answer 5

after

Question 6

c

Answer 6

with

Question 7

s

Answer 7

without

Question 8

parental vs nonparental meds

Answer 8

parental: deliver without the use of GI tract such as subQ, IV, ID
nonparental: uses the GI tract such as oral, vaginal, anal suppositories

Question 9

when are the 3 checks done to make sure it’s the right medication

Answer 9

1: compare to MAR when you remove
2: compare to MAR as you prepare
3. compare to MAR at client bedside

Question 10

idiosyncratic effect meaning

Answer 10

uncommon, unexpected, or individual med response thought due to genetic predisposition

Question 11

what does nonproprietary mean

Answer 11

not registered under a brand name
AKA generic name

Question 12

sublingual vs. buccal method of giving meds

Answer 12

sublingual: under tongue
buccal: cheek mucous membrane

Question 13

how to administer nasal spray effectively

Answer 13

sit up and head slightly hyperextended and inhale while spraying

Question 14

what is the nasal spray rebound effect

Answer 14

prolonged use can cause mucosal swelling and nasal congestion can worsen

Question 15

where should eye drops be instilled

Answer 15

conjunctival sac

Question 16

what position for inserting suppositories

Answer 16

left sim’s for around 5 mins afterwards to ensure absorption

Question 17

how should the ears be pulled between children and adults

Answer 17

children: auricle pulled down and back
adults: up and out

Question 18

purpose of spacer with inhaler usage

Answer 18

DELIVER MORE MEDS TO LUNGS: spacer slows down and breaks up medication which allows better control by the pt; decreases amount of med in the oropharynx

Question 19

dry powder inhaler (DPI)

Answer 19

no propellant and requires deep inhalation to allow release of meds; allows nurse to assess ability to inhale deeply with this method

Question 20

when should routine meds be given

Answer 20

within 30mins of the time ordered

Question 21

within how long for a.c. or p.c medications

Answer 21

within 30 mins of a meal

Question 22

difference between ER, XL, SR

Answer 22

ER: extended release
XL: extra long
SR: sustained-release - slightly shorter

Question 23

CD

Answer 23

controlled-dose

Question 24

CR

Answer 24

controlled-release

Question 25

CRT

Answer 25

controlled-release tablet

Question 26

LA

Answer 26

long-acting

Question 27

SA

Answer 27

sustained-action

Question 28

SR

Answer 28

sustained-release

Question 29

TR

Answer 29

timed-release

Question 30

TD

Answer 30

time-delay

Question 31

XL or XR

Answer 31

extended release

Question 32

what population is more prone to developing adverse reactions from meds

Answer 32

older adults, peds, polypharmacy, those with severe illness

Question 33

HS

Answer 33

at bedtime

Question 34

how to tell if it’s a single order

Answer 34

the order gives you the specific time

Question 35

enteric-coated tablet

Answer 35

coated to dissolve in small intestine which prevents irritation of stomach lining

Question 36

troche/lozenge

Answer 36

dissolved in mouth NOT swallowed

Question 37

capsule

Answer 37

encased in gelatin that is sustained released 12-24hrs

Question 38

caplet

Answer 38

easier to swallow for some pts, mix of capsule and tablet

Question 39

elixir

Answer 39

water, alcohol, sweetener, meds

Question 40

syrup

Answer 40

water, conc.sugar, meds

Question 41

suspension

Answer 41

fine particles that doesn’t dissolve completely in water

Question 42

solution

Answer 42

meds dissolved in H20 or NaCl

Question 43

1 lb = ? oz

Answer 43

1 lb = 16 oz