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Questions and Answers
What type of medication order is written to be carried out for a specified number of days or indefinitely until an order is written to cancel it?
What type of medication order is written to be carried out for a specified number of days or indefinitely until an order is written to cancel it?
What is the abbreviation for 'after meals'?
What is the abbreviation for 'after meals'?
What is the purpose of the FIRST CHECK in the Safe Medication Administration process?
What is the purpose of the FIRST CHECK in the Safe Medication Administration process?
What is the essential part of a drug order that specifies the timing of administration?
What is the essential part of a drug order that specifies the timing of administration?
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What type of medication order is written for a specific situation, such as before surgery?
What type of medication order is written for a specific situation, such as before surgery?
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What does the abbreviation 'gm' stand for?
What does the abbreviation 'gm' stand for?
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What is the type of medication order that is written to be given immediately and only once?
What is the type of medication order that is written to be given immediately and only once?
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What is the abbreviation for 'right eye'?
What is the abbreviation for 'right eye'?
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What is the primary purpose of a medication?
What is the primary purpose of a medication?
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What is the term for the written direction for the preparation and administration of a drug?
What is the term for the written direction for the preparation and administration of a drug?
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What is the term for a gelatinous container that holds a drug in powder, liquid, or oil form?
What is the term for a gelatinous container that holds a drug in powder, liquid, or oil form?
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What is the term for a semisolid preparation of one or more drugs used for application to the skin and mucous membrane?
What is the term for a semisolid preparation of one or more drugs used for application to the skin and mucous membrane?
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What is the term for a finely grounded drug or drugs, some used internally and others externally?
What is the term for a finely grounded drug or drugs, some used internally and others externally?
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What is the term for the desired effect, or the primary effect intended, that is the reason the drug is prescribed?
What is the term for the desired effect, or the primary effect intended, that is the reason the drug is prescribed?
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What is the term for the secondary effect or unintended effect and it may be harmful or potentially harmful, and usually it is predictable?
What is the term for the secondary effect or unintended effect and it may be harmful or potentially harmful, and usually it is predictable?
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Which of the following is NOT a type of medication preparation?
Which of the following is NOT a type of medication preparation?
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What is the main purpose of the 'THIRD CHECK' in medication administration?
What is the main purpose of the 'THIRD CHECK' in medication administration?
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What is the primary concern when instilling eye medications?
What is the primary concern when instilling eye medications?
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What is the significance of using sterile drops and solutions when administering eardrops?
What is the significance of using sterile drops and solutions when administering eardrops?
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What is the primary purpose of the 'Right Client Education' in the 'Ten Rights' of Medication Administration?
What is the primary purpose of the 'Right Client Education' in the 'Ten Rights' of Medication Administration?
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What is the main goal of the 'SECOND CHECK' in medication administration?
What is the main goal of the 'SECOND CHECK' in medication administration?
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What is the primary purpose of reviewing pertinent information related to medication?
What is the primary purpose of reviewing pertinent information related to medication?
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What should be avoided when instilling eardrops?
What should be avoided when instilling eardrops?
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Why is it essential to check the expiration date on the medication container?
Why is it essential to check the expiration date on the medication container?
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What is the primary purpose of the 'Right Documentation' in the 'Ten Rights' of Medication Administration?
What is the primary purpose of the 'Right Documentation' in the 'Ten Rights' of Medication Administration?
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What is the significance of checking the accuracy and completeness of the Medication Administration Record (MAR) with the doctor's order?
What is the significance of checking the accuracy and completeness of the Medication Administration Record (MAR) with the doctor's order?
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What is the purpose of wiping clean from inner to outer canthus when instilling eye medications?
What is the purpose of wiping clean from inner to outer canthus when instilling eye medications?
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Why is it necessary to assess the patient's medical history and medication history?
Why is it necessary to assess the patient's medical history and medication history?
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Why is hand hygiene essential before instilling eye and ear medications?
Why is hand hygiene essential before instilling eye and ear medications?
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What is the purpose of discussing the purpose and possible adverse effects of each medication with the patient?
What is the purpose of discussing the purpose and possible adverse effects of each medication with the patient?
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Why is it essential to identify the patient using two identifiers before administering eye or ear medications?
Why is it essential to identify the patient using two identifiers before administering eye or ear medications?
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What is the primary purpose of comparing the MAR or computer printout with the medication labels at the patient's bedside?
What is the primary purpose of comparing the MAR or computer printout with the medication labels at the patient's bedside?
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What should be done before instilling eye medications?
What should be done before instilling eye medications?
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What is the purpose of applying gentle pressure to the nasolacrimal duct?
What is the purpose of applying gentle pressure to the nasolacrimal duct?
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Why is it important to warm eardrops to room temperature?
Why is it important to warm eardrops to room temperature?
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What should be done if the patient blinks or closes their eye during instillation of eye medications?
What should be done if the patient blinks or closes their eye during instillation of eye medications?
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Why should the healthcare provider avoid pressing directly against the patient's eyeball?
Why should the healthcare provider avoid pressing directly against the patient's eyeball?
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What should the patient do after instilling eye medications?
What should the patient do after instilling eye medications?
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What is the correct way to apply ointment to the eye?
What is the correct way to apply ointment to the eye?
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Why is it important to use a clean tissue or cotton ball when instilling eye medications?
Why is it important to use a clean tissue or cotton ball when instilling eye medications?
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Study Notes
Medication Administration
- A medication is a substance administered for the diagnosis, treatment, or relief of a symptom or for prevention of disease.
- A prescription is a written direction for the preparation and administration of a drug.
- An official name is the name under which the drug is listed in official publications.
- A brand (trade) name is the name given by the drug manufacturer.
Types of Medication Preparations
- Aerosol spray or foam: a liquid powder or foam deposited in a thin layer of the skin by air pressure.
- Aqueous solution: one or more drugs dissolved in water.
- Caplet: a solid form, shaped like a capsule, coated, and easily swallowed.
- Capsule: a gelatinous container to hold a drug in powder, liquid, or oil form.
- Ointment: a semisolid preparation of one or more drugs used for application to the skin and mucous membrane.
Types of Drug Preparations
- Powder: a finely grounded drug or drugs, some used internally and others externally.
- Suppository: one or several drugs mixed with a firm base such as gelatin and shaped for insertion into the body.
- Syrup: an aqueous solution of sugar often used to disguise unpleasant-tasting drugs.
- Tablet: a powdered drug compressed into a hard small disc.
Effects of Drugs
- Therapeutic effect: the desired effect, or the primary effect intended, that is the reason the drug is prescribed.
- Side effect: the secondary effect or unintended effect, which may be harmful or potentially harmful, and is usually predictable.
- Adverse effects: severe side effects.
Types of Medication Order
- Stat order: indicates that the medication is to be given immediately and only once.
- Single order: for medication to be given once at a specified time (e.g., before surgery).
- Standing order: may or may not have a termination date, and may be carried out indefinitely until an order is written to cancel or for a specified number of days.
- PRN order: or as needed order.
Essential Parts of a Drug Order
- The client's full name.
- Date and time the order is written.
- Name of the drug to be administered.
- Dose of the drug.
- Frequency of administration.
- Route of administration.
- Signature of the person writing the order.
Common Abbreviations
- ac: before meals.
- aq: water.
- bid: twice a day.
- c: with.
- Cap: capsule.
- G, gm, GM: gram.
- gtt: drop.
- hs: at bedtime.
- ID: intradermal.
- IM: intramuscular.
- IV: intravenous.
- Kg, Kg: kilogram.
- l or L: liter.
- mcg: microgram.
- mg: milligram.
- OD: right eye.
- OS: left eye.
- OU: both eyes.
- pc: after meals.
- Po, PO: by mouth.
- prn: when needed.
- q: every.
- qh: every hour.
- q2h: every 2 hours.
- q6h: every 6 hours.
- qid: four times a day.
- qod: every other day.
- sc: subcutaneous.
- stat: at once.
- supp: suppository.
- tab: tablet.
- tid: three times a day.
Check Three Times for Safe Medication Administration
- FIRST CHECK: read the medication record, verify the client's name and room number, compare the label of the medication against the medication record, and check the expiration date of the medication.
- SECOND CHECK: while preparing the medication, look at the medication label and check against the medication record.
- THIRD CHECK: recheck the label on the container against the medication record before returning to its storage place or before giving the medication to the client.
Ten "Rights" of Medication Administration
- Right medication.
- Right dose.
- Right time.
- Right route.
- Right client.
- Right client education.
- Right documentation.
- Right to refuse.
- Right assessment.
- Right evaluation.
Instilling Eye and Ear Medications
- Eye medications are usually in the form of drops and ointments.
- Care must be taken to prevent instilling medication directly onto the cornea.
- The conjunctival sac is a more appropriate site for medication instillation.
- Ear medications are usually in a solution and instilled by drops.
- Administer eardrops at room temperature.
- Avoid forcing any solution into the ear.
- Check accuracy and completeness of each medication administration record (MAR) with the doctor's order.
- Review pertinent information related to medication.
- Assess the condition of external eye or ear structures.
- Assess patient's medical history, history of allergies, and medication history.
- Assess patient's level of consciousness and ability to follow directions.
- Prepare medications for instillation.
- Perform hand hygiene and arrange supplies at the bedside.
- Identify the patient using two identifiers.
- Discuss the purpose of each medication, action, and possible adverse effects.
- Allow the patient to ask any questions about the drugs.
- Instill eye medications by applying clean gloves, holding a cotton ball or clean tissue, and gently pressing downward with the thumb or forefinger against the bony orbit, exposing the conjunctival sac.
- Instill ear drops by warming the medication to room temperature and gently placing the prescribed number of drops into the ear canal.
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Description
This quiz covers the basics of medication administration, including definitions of key terms such as medication, prescription, and official and brand names.