Medication Administration
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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?

  • Standing order (correct)
  • PRN order
  • Single order
  • Stat order
  • What is the abbreviation for 'after meals'?

  • qid
  • ac
  • pc (correct)
  • bid
  • What is the purpose of the FIRST CHECK in the Safe Medication Administration process?

  • To read the medication record and remove the medication(s) from the client’s drawer (correct)
  • To check the medication with another nurse
  • To administer the medication to the client
  • To document the administration of the medication
  • What is the essential part of a drug order that specifies the timing of administration?

    <p>Frequency of administration</p> Signup and view all the answers

    What type of medication order is written for a specific situation, such as before surgery?

    <p>Single order</p> Signup and view all the answers

    What does the abbreviation 'gm' stand for?

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

    What is the type of medication order that is written to be given immediately and only once?

    <p>Stat order</p> Signup and view all the answers

    What is the abbreviation for 'right eye'?

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

    What is the primary purpose of a medication?

    <p>To relieve a symptom or prevent a disease</p> Signup and view all the answers

    What is the term for the written direction for the preparation and administration of a drug?

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

    What is the term for a gelatinous container that holds a drug in powder, liquid, or oil form?

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

    What is the term for a semisolid preparation of one or more drugs used for application to the skin and mucous membrane?

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

    What is the term for a finely grounded drug or drugs, some used internally and others externally?

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

    What is the term for the desired effect, or the primary effect intended, that is the reason the drug is prescribed?

    <p>Therapeutic effect</p> Signup and view all the answers

    What is the term for the secondary effect or unintended effect and it may be harmful or potentially harmful, and usually it is predictable?

    <p>Side effect</p> Signup and view all the answers

    Which of the following is NOT a type of medication preparation?

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

    What is the main purpose of the 'THIRD CHECK' in medication administration?

    <p>To recheck the label on the container against the medication record</p> Signup and view all the answers

    What is the primary concern when instilling eye medications?

    <p>Preventing instillation directly onto the cornea</p> Signup and view all the answers

    What is the significance of using sterile drops and solutions when administering eardrops?

    <p>To prevent infection in case the eardrum is ruptured</p> Signup and view all the answers

    What is the primary purpose of the 'Right Client Education' in the 'Ten Rights' of Medication Administration?

    <p>To educate the client about their medication regimen</p> Signup and view all the answers

    What is the main goal of the 'SECOND CHECK' in medication administration?

    <p>To compare the label on the medication against the medication record</p> Signup and view all the answers

    What is the primary purpose of reviewing pertinent information related to medication?

    <p>To understand the action, purpose, and side effects of the medication</p> Signup and view all the answers

    What should be avoided when instilling eardrops?

    <p>Forcing the solution into the ear</p> Signup and view all the answers

    Why is it essential to check the expiration date on the medication container?

    <p>To verify the medication's potency and safety</p> Signup and view all the answers

    What is the primary purpose of the 'Right Documentation' in the 'Ten Rights' of Medication Administration?

    <p>To accurately document the medication administration</p> Signup and view all the answers

    What is the significance of checking the accuracy and completeness of the Medication Administration Record (MAR) with the doctor's order?

    <p>To ensure the MAR matches the doctor's order and is complete</p> Signup and view all the answers

    What is the purpose of wiping clean from inner to outer canthus when instilling eye medications?

    <p>To remove drainage or crusting from the eyelid margins</p> Signup and view all the answers

    Why is it necessary to assess the patient's medical history and medication history?

    <p>To identify potential allergies or interactions</p> Signup and view all the answers

    Why is hand hygiene essential before instilling eye and ear medications?

    <p>To prevent infection transmission</p> Signup and view all the answers

    What is the purpose of discussing the purpose and possible adverse effects of each medication with the patient?

    <p>To ensure informed consent and patient education</p> Signup and view all the answers

    Why is it essential to identify the patient using two identifiers before administering eye or ear medications?

    <p>To ensure accurate medication administration</p> Signup and view all the answers

    What is the primary purpose of comparing the MAR or computer printout with the medication labels at the patient's bedside?

    <p>To ensure accurate medication administration</p> Signup and view all the answers

    What should be done before instilling eye medications?

    <p>Remove gloves and perform hand hygiene</p> Signup and view all the answers

    What is the purpose of applying gentle pressure to the nasolacrimal duct?

    <p>To help absorb excess medication</p> Signup and view all the answers

    Why is it important to warm eardrops to room temperature?

    <p>To increase patient comfort</p> Signup and view all the answers

    What should be done if the patient blinks or closes their eye during instillation of eye medications?

    <p>Repeat the procedure</p> Signup and view all the answers

    Why should the healthcare provider avoid pressing directly against the patient's eyeball?

    <p>To prevent eye damage</p> Signup and view all the answers

    What should the patient do after instilling eye medications?

    <p>Close their eyes gently</p> Signup and view all the answers

    What is the correct way to apply ointment to the eye?

    <p>Along the inner edge of the lower eyelid</p> Signup and view all the answers

    Why is it important to use a clean tissue or cotton ball when instilling eye medications?

    <p>To prevent infection</p> Signup and view all the answers

    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.

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