Medication Administration 2

Question 1

What does the Health Products and Food Branch of the federal government do?

Answer 1

Regulates the manufacture and sale of all health products and drugs within Canada and assess the safety, efficiency and quality

Question 2

What does the Food and Drug Act regulate?**

Answer 2

• Prescribing standards of composition
• Strength
• Potency
• Purity
• Quality or other property of any article of food, drug, cosmetic or device

Question 3

What does the College of Registered Nurses of Manitoba do for medication?

Answer 3

Establishes regulations that guide nursing practice related to safe medication administration

Question 4

At the actual site (hospital), what are they responsible for pertaining to drugs?

Answer 4

Establish policies for drug control, distribution and administration that conform to provincial/federal regulation

Question 5

What do hospitals need to have available at every site?

Answer 5

Policy and procedure manual

Question 6

Legally, what two things do nurses need to know before safely being about to give medication?

Answer 6

• Site policy and procedures

- Their own limits of knowledge and skill

Question 7

Are nurses allowed to delegate medication administration?

Answer 7

NO

Question 8

Why do home care facilities allow delegation of medication?

Answer 8

Because they’re in blister packs so dosage does not need to be figured out

Question 9

What 5 things are nurses responsible for when practicing med admin?

Answer 9

• Interpreting order
• Transcription/ Reconciliation
• Administration
• Monitoring
• Reporting (including errors)

Question 10

What is a medication error?

Answer 10

Any preventable event that could cause/lead to a patient either receiving inappropriate med therapy or failing to receive inappropriate med therapy

Question 11

What are the 5 most common med errors made by nursing students?

Answer 11

• Omission
• Improper dose
• Wrong time
• Extra dose
• Wrong patient

Question 12

What are the steps to give PRN medication

Answer 12

• Assess patient to determine right dose and route
• Check when last dose was given
• Document on MAR and progress notes
• Follow up documentation on effectiveness of drug

Question 13

What is different about waste disposal for narcotics?

Answer 13

Needs to be witnessed

Question 14

What are the 7 topical medication types?

Answer 14

• Transdermal
• Opthalmic
• Otic
• Nasal
• Vaginal
• Inhaled
• Rectal

Question 15

What would be some reasons for dermatologic medication?

Answer 15

• Decrease pruritus
• Lubricate/soften skin
• Local vasoconstriction/dilation

Question 16

What should we do before applying dermatologic medication?

Answer 16

Clean area with soap and water, pat dry

Question 17

What are transdermal medications?

Answer 17

Medications that administer sustained action meds via multilayer films containing drug

Question 18

What can a fever do to affect transdermal medication

Answer 18

Fever may cause faster absorption/metabolism

Question 19

What areas should we not apply transdermal patches

Answer 19

distal extremities, breast tissue, skin issues, scar tissue, wrinkling or friction

Question 20

What needs to be done once patch is applied to a patient?

Answer 20

Signed: date, time and initial

Question 21

Do we always have to wear gloves when administering ophthalmic medication?

Answer 21

Yes

Question 22

How do we prepare eye for medication?

Answer 22

Wash first with a cloth, wiping inside to outside

Question 23

How do we administer ophthalmic medication?

Answer 23

• Discard first bead on sterile gauze

- Hold tube above lower conjunctival sac and squeeze from inner to outer canthus

Question 24

What is a morgan lens?

Answer 24

A device similar to a contact lens, that is hooked to an IV bag, to irrigate eye

Question 25

What are the steps to administering otic medications?

Answer 25

• Clean pinna and meatus
• Straighten ear canal
• Press tragus a few times
• Remain on side for 5 minutes after admin
• Insert cotton loosely for 15-20 minutes

Question 26

How do we straighten ear canal in adult? Child under 3?

Answer 26

Adult: up and back
Child: down and back

Question 27

What can chronic use of nasal decongestants lead to?

Answer 27

Rebound effect: more nasal congestion

Question 28

What should we get patients to do, prior to nasal medication?

Answer 28

Blow their nose

Question 29

If a patient has a deviated septum, how do we administer nasal medication?

Answer 29

Both sprays into one nair

Question 30

What are 4 factors that can influence drug action in pediatrics?

Answer 30

• Immature liver/kidneys
• Immature blood brain barrier
• Larger % body surface area fro their weight, thinner epidermal layer
• Drug ordering different

Question 31

What are 4 factors influencing drug absorption in older adults?

Answer 31

• Absorption
• Protein binding sites
• Metabolism
• Nephrons, glomerular filtration rate

Question 32

Before administering the medication, what 4 things do we have to check?

Answer 32

• Reason for medication
• Patient status prior to medication
• Patient perspective on medication
• Potential change that the medication may have on patients health status

Question 33

Does the medication dose change depending on route?

Answer 33

Yes

Question 34

What does medication history include?

Answer 34

• Prescription drugs
• Over the counter drugs
• non- sanctioned drugs (weed)

Question 35

What are some cultural considerations when giving medication?

Answer 35

• Dietary habits
• Need for privacy when administering
• Integrating medication into lifestyle
• Spiritual beliefs and fasting rituals

Question 36

What does ID stand for?

Answer 36

Intradermal

Question 37

What does NG stand for?

Answer 37

Nasogastric tube

Question 38

What does NJ stand for?

Answer 38

Nasojejunal tube

Question 39

What does ac stand for?

Answer 39

before meals

Question 40

What does pc stand for?

Answer 40

after meals