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Questions and Answers
Where should the needle tip pierce the rubber stopper?
What should be injected into the vial?
Why is it important to keep the needle tip below the fluid level?
How should the vial be held?
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What is the purpose of inverting the vial?
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How should the plunger be touched?
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What should be done before withdrawing the medication?
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What is the correct hand position for withdrawing medication?
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What is the primary goal of removing medication from a vial?
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What should be checked against the original order in the medical record?
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Who evaluates the nurse's skill in removing medication from a vial?
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What is the purpose of gathering equipment in removing medication from a vial?
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What is the rating given to a nurse who has mastered the skill of removing medication from a vial?
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What is the first step in administering medication?
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What is the skill checklist used to evaluate?
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What is the purpose of the skill checklist?
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What should be compared with the CMAR/MAR?
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What is the rating given to a nurse who needs to improve their skill in removing medication from a vial?
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Why is it necessary to scan the bar code on the package?
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What should be done with the rubber stopper?
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How should the cap be removed from the needle or blunt cannula?
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What should be touched when handling the syringe?
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Why is air drawn back into the syringe?
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What should be prepared for each patient?
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What should you do if air bubbles accumulate in the syringe?
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What should you do after withdrawing the correct dose of medication?
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Why is it important to check the amount of medication in the syringe with the medication dose?
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What should you do with a multidose vial after use?
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Why is it important to lock the medication cart before leaving it?
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What should you do before administering the medication?
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What is the purpose of filtering the needle during medication administration?
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Why is it important to recheck the label with the CMAR/MAR?
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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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Description
Assess your knowledge of the fundamental principles and techniques of nursing care. This quiz covers essential skills for nursing professionals.
