Podcast
Questions and Answers
Which of the following is a nursing diagnosis related to patient care?
Which of the following is a nursing diagnosis related to patient care?
What is the rationale for gathering equipment before medication administration?
What is the rationale for gathering equipment before medication administration?
Why is it important to know the nursing considerations and adverse effects of medications?
Why is it important to know the nursing considerations and adverse effects of medications?
What action should be taken to prevent the spread of microorganisms during medication administration?
What action should be taken to prevent the spread of microorganisms during medication administration?
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What is the purpose of moving the medication cart outside the patient’s room before administration?
What is the purpose of moving the medication cart outside the patient’s room before administration?
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When preparing medications, how should they be administered?
When preparing medications, how should they be administered?
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What is the first check performed to ensure medication accuracy?
What is the first check performed to ensure medication accuracy?
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What is the primary reason for performing hand hygiene before medication administration?
What is the primary reason for performing hand hygiene before medication administration?
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What should be done with any remaining medication after an ampule is opened?
What should be done with any remaining medication after an ampule is opened?
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Who can be delegated the preparation of medication from an ampule?
Who can be delegated the preparation of medication from an ampule?
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Which equipment is necessary for administering medication from an ampule?
Which equipment is necessary for administering medication from an ampule?
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What must be assessed in an ampule before medication administration?
What must be assessed in an ampule before medication administration?
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What is the required action immediately after administering medication from an ampule?
What is the required action immediately after administering medication from an ampule?
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What should be done to ensure the appropriateness of drug administration?
What should be done to ensure the appropriateness of drug administration?
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What is the first step in the medication preparation process involving an ampule?
What is the first step in the medication preparation process involving an ampule?
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What is the primary purpose of wrapping a small gauze pad around the neck of the ampule?
What is the primary purpose of wrapping a small gauze pad around the neck of the ampule?
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Why should you withdraw medication in an amount ordered plus an additional small amount?
Why should you withdraw medication in an amount ordered plus an additional small amount?
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What is the benefit of using a filter needle during medication withdrawal from an ampule?
What is the benefit of using a filter needle during medication withdrawal from an ampule?
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What action should be taken if air is accidentally injected into the ampule during medication withdrawal?
What action should be taken if air is accidentally injected into the ampule during medication withdrawal?
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How should the plunger of the syringe be handled while withdrawing medication?
How should the plunger of the syringe be handled while withdrawing medication?
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What should be done before breaking the neck of the ampule?
What should be done before breaking the neck of the ampule?
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What does checking the expiration dates and verifying calculations ensure?
What does checking the expiration dates and verifying calculations ensure?
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What is the correct method for breaking an ampule to ensure safety?
What is the correct method for breaking an ampule to ensure safety?
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What is the primary reason for keeping the needle centered in the ampule while withdrawing fluid?
What is the primary reason for keeping the needle centered in the ampule while withdrawing fluid?
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What can happen if the needle is removed and reinserted into the ampule?
What can happen if the needle is removed and reinserted into the ampule?
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What procedure should be followed when measuring medication in the syringe?
What procedure should be followed when measuring medication in the syringe?
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Why is it important to check the medication labels before administration?
Why is it important to check the medication labels before administration?
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What is the purpose of engaging the safety guard on the filter needle after use?
What is the purpose of engaging the safety guard on the filter needle after use?
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What should be done with any medication that has not been removed from the ampule?
What should be done with any medication that has not been removed from the ampule?
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What could happen if air is ejected into the solution within the ampule?
What could happen if air is ejected into the solution within the ampule?
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When is it typically required to lock the medication cart before leaving it?
When is it typically required to lock the medication cart before leaving it?
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Study Notes
Administering Medication from an Ampule
- An ampule is a single-dose glass container for parenteral medications.
- Once opened, any unused medication must be discarded due to contamination risk.
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Preparing Medications from an Ampule
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Assess:
- Medication for particles or discoloration.
- Ampule for cracks or chips.
- Expiration date.
- Patient allergies, medications, and lab values.
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Gather:
- Sterile syringe and filter needle.
- Ampule of medication.
- Small gauze pad.
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Prepare:
- Compare medication order with medical record and patient allergies.
- Review medication's action, nursing considerations, safe dose ranges, purpose, and adverse effects.
- Perform hand hygiene before preparing medication.
- Prepare medication for one patient at a time.
- Verify the label of the medication against the CMAR/MAR.
- Calculate dosages and expiration dates.
- Scan bar codes if required.
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Break the Ampule:
- Tap the ampule stem to move medication to the bottom.
- Wrap gauze around the ampule neck for protection.
- Snap the ampule top along the scored line, moving away from the body.
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Draw Medication:
- Attach a filter needle to the syringe.
- Withdraw the medication, including an extra 30% to account for air bubbles.
- Avoid injecting air into the solution.
- Handle the plunger only at the knob to maintain sterility.
- Use one of two methods to withdraw medication:
- Insert the needle into an upright ampule and draw the medication.
- Invert the ampule and draw medication while keeping the needle centered.
- Tap the syringe and expel air after withdrawing medication.
- Verify the medication amount and discard any surplus.
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Administer:
- Engage the safety guard on the filter needle and remove it.
- Discard the filter needle in a sharps container.
- Attach the appropriate administration device to the syringe.
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Discard:
- Dispose of the ampule in a designated container.
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Finalize:
- Lock the medication cart before leaving.
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Assess:
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Delegation Considerations
- Preparation of medication from an ampule is not delegated to NAP or UAP.
- Delegation to an LPN/LVN may be permitted depending on state regulations and facility policies.
- Consider the patient's needs and the LPN/LVN's qualifications before delegating.
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Documentation
- Prompt documentation of medication administration is required immediately after administration.
- Removal of the medication from the ampule does not need to be recorded.
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Description
This quiz covers the essential steps and safety protocols involved in administering medication from an ampule. You will learn about assessment, preparation, and important considerations to ensure patient safety and effective medication delivery. Test your knowledge on the best practices for handling parenteral medications.
