Fundamentals of Nursing: Skill Checklists
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Questions and Answers

Where should the needle tip pierce the rubber stopper?

  • At the edge of the stopper
  • At the top of the stopper
  • At the bottom of the stopper
  • At the center of the stopper (correct)
  • What should be injected into the vial?

  • Solution
  • Air (correct)
  • Medication
  • Water
  • Why is it important to keep the needle tip below the fluid level?

  • To inject the medication accurately
  • To withdraw the entire solution
  • To prevent contamination
  • To prevent air from entering the solution (correct)
  • How should the vial be held?

    <p>On a flat surface</p> Signup and view all the answers

    What is the purpose of inverting the vial?

    <p>To withdraw the medication efficiently</p> Signup and view all the answers

    How should the plunger be touched?

    <p>At the knob</p> Signup and view all the answers

    What should be done before withdrawing the medication?

    <p>Pierce the rubber stopper</p> Signup and view all the answers

    What is the correct hand position for withdrawing medication?

    <p>One hand on the plunger and the other on the vial</p> Signup and view all the answers

    What is the primary goal of removing medication from a vial?

    <p>To withdraw the proper dosage of medication into a syringe</p> Signup and view all the answers

    What should be checked against the original order in the medical record?

    <p>The medication order</p> Signup and view all the answers

    Who evaluates the nurse's skill in removing medication from a vial?

    <p>The nurse's evaluator</p> Signup and view all the answers

    What is the purpose of gathering equipment in removing medication from a vial?

    <p>To prepare the medication for administration</p> Signup and view all the answers

    What is the rating given to a nurse who has mastered the skill of removing medication from a vial?

    <p>Excellent</p> Signup and view all the answers

    What is the first step in administering medication?

    <p>Perform hand hygiene</p> Signup and view all the answers

    What is the skill checklist used to evaluate?

    <p>The nurse's skill in removing medication from a vial</p> Signup and view all the answers

    What is the purpose of the skill checklist?

    <p>To evaluate the nurse's skill in removing medication from a vial</p> Signup and view all the answers

    What should be compared with the CMAR/MAR?

    <p>The medication label</p> Signup and view all the answers

    What is the rating given to a nurse who needs to improve their skill in removing medication from a vial?

    <p>Needs Practice</p> Signup and view all the answers

    Why is it necessary to scan the bar code on the package?

    <p>To ensure the correct medication is administered</p> Signup and view all the answers

    What should be done with the rubber stopper?

    <p>Swab the rubber stopper with an antimicrobial swab</p> Signup and view all the answers

    How should the cap be removed from the needle or blunt cannula?

    <p>By pulling it straight off</p> Signup and view all the answers

    What should be touched when handling the syringe?

    <p>The plunger at the knob</p> Signup and view all the answers

    Why is air drawn back into the syringe?

    <p>To ensure the correct dose of medication</p> Signup and view all the answers

    What should be prepared for each patient?

    <p>Medications for one patient at a time</p> Signup and view all the answers

    What should you do if air bubbles accumulate in the syringe?

    <p>Tap the barrel of the syringe sharply and move the needle past the fluid into the air space</p> Signup and view all the answers

    What should you do after withdrawing the correct dose of medication?

    <p>Remove the needle from the vial and carefully replace the cap over the needle</p> Signup and view all the answers

    Why is it important to check the amount of medication in the syringe with the medication dose?

    <p>To ensure the correct dose is administered to the patient</p> Signup and view all the answers

    What should you do with a multidose vial after use?

    <p>Label the vial with the date and time opened, and store the vial containing the remaining medication according to facility policy</p> Signup and view all the answers

    Why is it important to lock the medication cart before leaving it?

    <p>To secure the medications and prevent unauthorized access</p> Signup and view all the answers

    What should you do before administering the medication?

    <p>Perform hand hygiene</p> Signup and view all the answers

    What is the purpose of filtering the needle during medication administration?

    <p>To remove any particles or debris from the medication</p> Signup and view all the answers

    Why is it important to recheck the label with the CMAR/MAR?

    <p>To ensure the correct dose is administered</p> Signup and view all the answers

    Study Notes

    Removing Medication from a Vial

    • Gather equipment and check the medication order against the original order in the medical record, according to facility policy.
    • Know the actions, special nursing considerations, safe dose ranges, purpose of administration, and adverse effects of the medications to be administered.
    • Perform hand hygiene before preparing medications.
    • Prepare medications for one patient at a time, and read the CMAR/MAR to select the proper medication from the patient's medication drawer or unit stock.
    • Compare the label with the CMAR/MAR, check expiration dates, and perform calculations if necessary.
    • Remove the metal or plastic cap on the vial and swab the rubber top with an antimicrobial swab, allowing it to dry.

    Withdrawing Medication from the Vial

    • Remove the cap from the needle or blunt cannula, and touch the plunger at the knob only.
    • Hold the vial on a flat surface, pierce the rubber stopper in the center with the needle tip, and inject the measured air into the space above the solution.
    • Invert the vial, keeping the tip of the needle or blunt cannula below the fluid level.
    • Withdraw the prescribed amount of medication while holding the syringe vertically and at eye level.

    Final Steps

    • Check the amount of medication in the syringe with the medication dose and discard any surplus.
    • Recheck the label with the CMAR/MAR.
    • If a multidose vial is being used, label the vial with the date and time opened, and store the vial containing the remaining medication according to facility policy.
    • Lock the medication cart before leaving it, perform hand hygiene, and proceed with administration based on the prescribed route.

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    Assess your knowledge of the fundamental principles and techniques of nursing care. This quiz covers essential skills for nursing professionals.

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