Podcast
Questions and Answers
Which checks should be performed prior to medication administration?
Which checks should be performed prior to medication administration?
It's acceptable to administer medications without checking the patient's allergies first.
It's acceptable to administer medications without checking the patient's allergies first.
False
What does the 'R' in the PQRST(U) pain assessment stand for?
What does the 'R' in the PQRST(U) pain assessment stand for?
Radiation or where the pain is located
The correct dose of Digoxin to administer orally is __________ micrograms.
The correct dose of Digoxin to administer orally is __________ micrograms.
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Match the following medications with their dosage forms:
Match the following medications with their dosage forms:
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What is the minimum heart rate requirement before administering Digoxin?
What is the minimum heart rate requirement before administering Digoxin?
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Nonpharmacological pain interventions should not be considered before administering medication.
Nonpharmacological pain interventions should not be considered before administering medication.
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What should the nurse check for when assessing a patient for pain management?
What should the nurse check for when assessing a patient for pain management?
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What is the correct dosage for heparin administered subcutaneously?
What is the correct dosage for heparin administered subcutaneously?
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Abdomen is a commonly used site for subcutaneous injections.
Abdomen is a commonly used site for subcutaneous injections.
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Name one site for intramuscular injections.
Name one site for intramuscular injections.
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For subcutaneous injections, the needlestick should not be pushed or rubbed at the _______.
For subcutaneous injections, the needlestick should not be pushed or rubbed at the _______.
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Match the following sites with their description:
Match the following sites with their description:
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What gauge needle is recommended for subcutaneous injections?
What gauge needle is recommended for subcutaneous injections?
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It is recommended to rotate injection sites for regular injections.
It is recommended to rotate injection sites for regular injections.
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What should you check the subcutaneous injection site for?
What should you check the subcutaneous injection site for?
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Why is the site recommended for IM injection not optimal?
Why is the site recommended for IM injection not optimal?
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The deltoid injection site is located on the anterolateral thigh.
The deltoid injection site is located on the anterolateral thigh.
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What is the preferred amount of medication the gluteus medius muscle can absorb?
What is the preferred amount of medication the gluteus medius muscle can absorb?
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To locate the ventrogluteal injection site, one should place their palm over the greater trochanter with the thumb pointing towards the ______.
To locate the ventrogluteal injection site, one should place their palm over the greater trochanter with the thumb pointing towards the ______.
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Match the following injection sites with their correct anatomical markers:
Match the following injection sites with their correct anatomical markers:
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What should be the angle of injection for intramuscular sites?
What should be the angle of injection for intramuscular sites?
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The vastus lateralis injection site is located on the outer side of the thigh.
The vastus lateralis injection site is located on the outer side of the thigh.
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In the ventrogluteal site identification process, which finger should be pointed towards the anterior superior iliac spine?
In the ventrogluteal site identification process, which finger should be pointed towards the anterior superior iliac spine?
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Study Notes
CSA Patient 1 - Rights and Procedures
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Patient Rights (11):
- Right patient
- Right time
- Right prescription
- Right medication
- Right form
- Right expiration date
- Right to refuse
- Right documentation
- Right response
- Right dose
- Right route
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Medication Checks (3):
- Collection: Independent check for heparin and injections.
- Dispensing: Independent check for heparin and injections.
- Administration: Prior to administration.
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Bedside Checks (4):
- Name
- Date of Birth (DOB)
- Unique Record Number (URN)
- Allergies
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Pain Assessment (PQRSTU):
- P (Provoking/Palliative): What makes the pain better/worse (movement, breathing)?
- Q (Quality): Describe the pain (aching, sharp, stabbing, throbbing, crushing)?
- R (Region/Radiation): Location of pain and if it spreads.
- S (Severity): Pain scale from 0-10 (0 = no pain, 10 = worst possible).
- T (Timing): When did the pain start, what were you doing, is it constant or intermittent?
- U (Understanding): Have you experienced similar pain before? Why do you think you might have this pain now?
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Non-Pharmacological Pain Interventions:
- Asking the patient what might make the pain better.
- Repositioning (e.g., semi-Fowler's).
- Distraction (e.g., TV).
- Checking pain level 30 minutes post-intervention.
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Digoxin (Oral): Check heart rate (HR) must be above 60 bpm before dose. 250 microg PO. Calculation: SR/SS = 1 tablet.
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Metoclopramide (IM):
- Administration method: Intramuscular (IM)
- Emesis bag required
- Dose 10mg, and calculation: SR/SS x vol. = 2mL of solution
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Heparin (Subcutaneous):
- Administration method: Subcutaneous (SC)
- 5000 units dose SC, and calculation: SR/SS x vol. = 1mL of solution.
IM Injection Sites (2)
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IM Sites (25 gauge, 25mm 30g for insulin):
- Vastus lateralis: Lateral middle-third of thigh.
- Deltoid: 3 finger widths down from the acromion process.
- Ventrogluteal: Center of the area between iliac crest, anterior superior iliac spine, and greater trochanter.
- Dorsogluteal: (Not recommended, high risk of complications.) Between greater trochanter and posterior superior iliac spine, approximately 1 inch above the center of the line.
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Important considerations for injection sites:
- Cleanliness and condition of the injection site.
- Avoiding previous injection sites.
- Positioning and relaxation of the patient.
Subcutaneous Injection Sites
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Subcutaneous (SC) (21 and 23 gauge, 16mm) sites:
- Abdomen: 3-5 cm inferior and 10 cm lateral.
- Lateral aspect of the upper arm.
- Anterior thigh.
- Scapula (fatty tissue underneath).
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Description
Test your knowledge on patient rights, medication checks, and pain assessment procedures. This quiz covers important guidelines that healthcare professionals must follow to ensure patient safety and care quality. Explore the critical components that contribute to effective medication administration and patient evaluation.
