Skills Lab Stuff Flashcards
How might the nurse safely administer an extended-release capsule to a patient with dysphagia?
A. Encourage the patient to drink plenty of water when swallowing the capsule.
B. Open the capsule, and place the contents into 90 mL (3 fl. oz.) of juice.
C. Place the capsule in a spoonful of the patient’s applesauce.
D. Save the capsule to be administered last.
C
The nurse is preparing to administer several oral medications when the patient says he would like to take his pills with orange juice. What is the nurse’s best response?
A. Determine whether the patient’s prescribed diet includes orange juice.
B. Establish whether the medications may be taken with orange juice.
C. Ask the dietary aide to order extra orange juice for the unit.
D. Administer the pills with orange juice.
B
Which statement or question best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in administering oral medications?
A. “Does the patient need her pain medication?”
B. Please make sure the patient has plenty of fresh water to take with her pills.”
C. “How much did the pain medication improve her pain?”
D. “Stay with the patient until he swallows all the pills.”
B
The nurse has provided a patient with a PRN oral analgesic that may be repeated as needed every 6 to 8 hours. What is the most appropriate follow-up action to ensure appropriate pain management?
A. Reassess the patient’s pain in 30 to 40 minutes.
B. Document the patient’s request for pain medication.
C. Administer the pain medication again in 6 hours.
D. Include the patient’s pain history in the end-of-shift nursing report.
A
A patient with a history of nighttime confusion is to receive several oral medications at bedtime. What is the best way for the nurse to ensure that the patient has swallowed the medication?
A. Administer each tablet individually.
B. Observe the patient closely as he swallows the tablets.
C. Ask the patient to open his mouth after swallowing each tablet.
D. Ask the patient to swallow a full glass of water with the tablets.
C
what is TO?
Telephone order
what is VO?
Verbal order
telephone and verbal orders should only be done for…
emergency reasons
what do you include in documentation of medication administration?
1) Drug name
2) Dosage
3) Route and injection site
4) Time
5) if PRN, include indication and therapeutic response
6) preassessment data (BP, HR, etc)
if medication is withheld, what do you need to document?
1) time
2) reason
3) additional action taken
where do you check for allergy information?
1) MAR
2) electronic medical record or label attached to chart
3) wrist band (pts with allergies usually have an allergy wrist band)
Which example reflects effective documentation of medication administration by a nurse?
A. Comparing the written order with the medication administration record (MAR) three times
B. Providing patient education regarding a medication
C. Obtaining a BP before giving a blood pressure medication
D. Including the location of an injection site on the MAR
A
The patient refuses a scheduled dose of an antibiotic, saying that the medication makes him feel nauseated. What it the nurse’s best response?
A. Inform the patient why the medication is necessary.
B. Notify the prescriber of the patient’s reason for refusing the medication.
C. Offer to administer the medication with the patient’s favorite snack food.
D. Note the patient’s refusal in the MAR.
B
Which statement best illustrates the nurse’s understanding of the role of nursing assistive personnel (NAP) in documenting medication administration?
A. “Make a note that the patient just received her PM dose of pain medication.”
B. “Let me know if the patient says her nausea is getting worse.”
C. “Can you check the MAR and see when this patient had her pain medication last?”
D. “Ask the patient if I need to get another order from the provider.”
B
What is the best way for the nurse to ensure that a patient receives the correct dose of a medication?
A. Compare the prescriber’s order with the MAR before dispensing the medication.
B. Ask the patient if he would like a larger dose of pain medication.
C. Assess the patient’s ability to swallow oral medications without difficulty.
D. Check the name of the medication three times against the MAR.
A
