Week 4 Nonparenteral Admin

Question 1

Enteral route

Answer 1

– administration through GI tract (most common – oral and gastric)

Question 2

Non-parenteral route

Answer 2

– administration other than parenteral (includes enteral, topical, inhalation, etc.)

Question 3

Parenteral route

Answer 3

Parenteral route – administration by injections (most common - SQ, ID, IM, IV)

Question 4

What is time it takes for a medication to reach its highest effective concentration called?

Duration
Onset
Trough
Peak

Answer 4

Peak

Question 5

After receiving a morning dose of Digoxin, your patient reported to you raised red itchy patches over most of his body. This is an example of which of the following:

Therapeutic action
Allergic reaction
Toxic effect
Medication interaction

Answer 5

Allergic reaction

Question 6

Nonparenteral Medication Routes?

Answer 6

Oral 
Enteral 
Topical 
Nasal
Eye
Ear
Vaginal 
Rectal
Inhalation

Question 7

Sublingual Oral Administration description?

Answer 7

• readily absorbed
  
  • place under tongue
  • hold fluids until completely dissolved

Question 8

Buccal Oral Administration description?

Answer 8

in mouth against mucus membranes in cheek

• alternate cheeks to avoid mucosal irritation
• no chewing, swallowing, or liquids until completely dissolved

Question 9

Why do we worry about Aspiration?

Answer 9

Patient safety is our number one priority!

Risk for aspiration pneumonia

Question 10

As a nurse, you understand that to protect your patients from aspiration while taking oral medications you do all of the following EXCEPT:

Turn them to their left side
Thicken regular liquids
Administer one pill at a time
Avoid drinking straws

Answer 10

Turn them to their left side

Question 11

Advantages of Oral Administration?

Answer 11

Easy, more natural route
30 - 60 min onset of action
More comfortable
Less anxiety producing
Economical
Can produce local or systemic effects

Question 12

Disadvantages of Oral Administration?

Answer 12

Many contraindications
Risk of aspiration
Some medications are irritating to GI tract
Some medications have unpleasant taste
Some medications discolor teeth
Slower absorption
Gastric secretions destroy some medications

Question 13

Nasogastric (NG) is it long term or short term?

Answer 13

Nasogastric (NG) tube (short-term use), verify placement by pH testing

Question 14

Percutaneous endoscopic gastrostomy (PEG) tube

Answer 14

Percutaneous endoscopic gastrostomy (PEG) tube (long-term use)

Question 15

If the NG tube is attached to suction, turn ___ the suction for _______ minutes after administering the medication

Answer 15

If the NG tube is attached to suction, turn OFF the suction for 30 to 60 minutes after administering the medication

Question 16

(T or F) It’s okay to mix all medications together when giving them via NG tube

Answer 16

False

Question 17

(T or F) Mixing medications in enteral feeding solution improves their absorption

Answer 17

False

Question 18

(T or F) Document carefully how much water used in flushes during medication administration

Answer 18

True

Question 19

(T or F) Hold NG tube suction for 30-60 minutes after medication administration

Answer 19

True

Question 20

(T or F) Hard gelatin capsules can be open for NG tube administration

Answer 20

True

Question 21

Types of Orders?

Answer 21

Routine
Standing
PRN
Single (one time)
STAT
Now

Question 22

Components of a medication order?

Answer 22

Patient’s full name
Date and time that the order is written
Medication name
Dose
Route of administration
Time and frequency of administration
Signature of health care provider

Question 23

The Six RIghts?

Answer 23

The right medication
The right dose
The right patient
The right route
The right time
The right documentation

Question 24

Nursing Responsibilities?

Answer 24

1. Evaluate the effects of the medication on the patients health status
2. Open medication in front of the patient and discuss reason for taking it.
   3.Teach patient about side effects.
3. Reinforce importance of adherence to med regimen.
   5 Evaluate patients technique with self admin.

Question 25

Examples of Medication Errors?

Answer 25

inaccurate prescribing, administering the wrong medication, giving the medication using the wrong route or time interval, and administering extra doses or failing to administer a medication