Podcast
Questions and Answers
What is a potential reaction of the patient to Vancomycin?
What is a potential reaction of the patient to Vancomycin?
The patient has been diagnosed with cardiac-related pain.
The patient has been diagnosed with cardiac-related pain.
False
What is the primary focus of pain management in this patient scenario?
What is the primary focus of pain management in this patient scenario?
To assess and manage the patient's pain effectively.
The patient suffers from __________, a condition affecting the lungs that causes breathing difficulties.
The patient suffers from __________, a condition affecting the lungs that causes breathing difficulties.
Signup and view all the answers
Which medication administration technique involves inserting a needle into the muscle?
Which medication administration technique involves inserting a needle into the muscle?
Signup and view all the answers
Match the following medications to their administration route:
Match the following medications to their administration route:
Signup and view all the answers
The patient has a medium falls risk according to the assessment.
The patient has a medium falls risk according to the assessment.
Signup and view all the answers
What should be verified in the patient's medical file before administering medications?
What should be verified in the patient's medical file before administering medications?
Signup and view all the answers
The mnemonic used for pain assessment is P, Q, R, S, T, U, and it stands for __________.
The mnemonic used for pain assessment is P, Q, R, S, T, U, and it stands for __________.
Signup and view all the answers
Which of the following is an expected intervention when a patient buzzes for assistance due to pain?
Which of the following is an expected intervention when a patient buzzes for assistance due to pain?
Signup and view all the answers
Which of the following is NOT a contraindication for the use of heat and cold therapies?
Which of the following is NOT a contraindication for the use of heat and cold therapies?
Signup and view all the answers
Hand hygiene should be performed before and after administering medications.
Hand hygiene should be performed before and after administering medications.
Signup and view all the answers
Identify one pharmacological intervention that can be used following a pain assessment.
Identify one pharmacological intervention that can be used following a pain assessment.
Signup and view all the answers
The abbreviation for the process of verifying medication before administration is ___ checks.
The abbreviation for the process of verifying medication before administration is ___ checks.
Signup and view all the answers
Match the following medication order verification components:
Match the following medication order verification components:
Signup and view all the answers
What should be done 30 minutes after administering a medication?
What should be done 30 minutes after administering a medication?
Signup and view all the answers
The patient must always be informed about the expected effects of medications prescribed.
The patient must always be informed about the expected effects of medications prescribed.
Signup and view all the answers
Name one non-pharmacological method that could be used for pain relief.
Name one non-pharmacological method that could be used for pain relief.
Signup and view all the answers
Before administering medications, it is important to check for ___ allergies.
Before administering medications, it is important to check for ___ allergies.
Signup and view all the answers
Match the type of medication administration with its description:
Match the type of medication administration with its description:
Signup and view all the answers
Which of the following is NOT one of the '11 rights' of medication administration?
Which of the following is NOT one of the '11 rights' of medication administration?
Signup and view all the answers
It is acceptable to administer medication without confirming the patient's identity.
It is acceptable to administer medication without confirming the patient's identity.
Signup and view all the answers
What must be documented immediately after administering a medication?
What must be documented immediately after administering a medication?
Signup and view all the answers
Effective communication includes ensuring the patient's understanding if ___ is their second language.
Effective communication includes ensuring the patient's understanding if ___ is their second language.
Signup and view all the answers
If a patient refuses medication, what should be done?
If a patient refuses medication, what should be done?
Signup and view all the answers
What is one reason for choosing parental medication over oral medication?
What is one reason for choosing parental medication over oral medication?
Signup and view all the answers
The nurse must check the expiration date of the medication only once during administration.
The nurse must check the expiration date of the medication only once during administration.
Signup and view all the answers
List two nursing considerations when administering medication.
List two nursing considerations when administering medication.
Signup and view all the answers
The _________ technique must be used when drawing up medication to prevent contamination.
The _________ technique must be used when drawing up medication to prevent contamination.
Signup and view all the answers
The patient should be asked for their name and date of birth before medication administration.
The patient should be asked for their name and date of birth before medication administration.
Signup and view all the answers
What are the three checks of medication administration?
What are the three checks of medication administration?
Signup and view all the answers
Medication administration requires monitoring for expected and unexpected __________.
Medication administration requires monitoring for expected and unexpected __________.
Signup and view all the answers
Match the components of medication administration with their descriptions:
Match the components of medication administration with their descriptions:
Signup and view all the answers
Which gauge needle is commonly used for insulin administration?
Which gauge needle is commonly used for insulin administration?
Signup and view all the answers
A nursing student can administer medications from Schedule 4 without supervision.
A nursing student can administer medications from Schedule 4 without supervision.
Signup and view all the answers
What should be done when preparing medication to ensure no air bubbles are present in the syringe?
What should be done when preparing medication to ensure no air bubbles are present in the syringe?
Signup and view all the answers
The nurse must document medication administration in the __________.
The nurse must document medication administration in the __________.
Signup and view all the answers
Which site is NOT appropriate for subcutaneous injections?
Which site is NOT appropriate for subcutaneous injections?
Signup and view all the answers
Nurses are permitted to recap used needles after administering medication.
Nurses are permitted to recap used needles after administering medication.
Signup and view all the answers
Which of the following is NOT part of the equipment needed for medication administration?
Which of the following is NOT part of the equipment needed for medication administration?
Signup and view all the answers
It is acceptable to recap a used needle before disposing of it.
It is acceptable to recap a used needle before disposing of it.
Signup and view all the answers
What is the correct angle for inserting a needle during an intramuscular injection?
What is the correct angle for inserting a needle during an intramuscular injection?
Signup and view all the answers
The
______ technique is essential when drawing up medication to prevent contamination.
The ______ technique is essential when drawing up medication to prevent contamination.
Signup and view all the answers
Which of the following is part of the '11 rights' of medication administration?
Which of the following is part of the '11 rights' of medication administration?
Signup and view all the answers
Patients should be assessed for allergies before administering medication.
Patients should be assessed for allergies before administering medication.
Signup and view all the answers
Match the medication administration components with their purpose:
Match the medication administration components with their purpose:
Signup and view all the answers
What should be done to the injection site to ensure cleanliness before administering medication?
What should be done to the injection site to ensure cleanliness before administering medication?
Signup and view all the answers
Documentation must include the patient's name, DOB, allergies, and the
______ of the medication.
Documentation must include the patient's name, DOB, allergies, and the ______ of the medication.
Signup and view all the answers
What is the purpose of aspirating the syringe before injecting medication?
What is the purpose of aspirating the syringe before injecting medication?
Signup and view all the answers
Hand hygiene is critical before and after medication administration.
Hand hygiene is critical before and after medication administration.
Signup and view all the answers
What is a key consideration when selecting an injection site?
What is a key consideration when selecting an injection site?
Signup and view all the answers
How should the syringe be held during injection?
How should the syringe be held during injection?
Signup and view all the answers
Following medication administration, it is important to monitor the patient's ______ to assess the medication's effects.
Following medication administration, it is important to monitor the patient's ______ to assess the medication's effects.
Signup and view all the answers
A student can independently administer medications scheduled up to schedule 8.
A student can independently administer medications scheduled up to schedule 8.
Signup and view all the answers
Study Notes
Medication Administration Assessment and Skills
- Patient: Margaret Smith, Day 1 post-admission to the hospital, admitted via ED.
- Medical History: Atrial Fibrillation (AF), Emphysema, Gastroesophageal Reflux Disease (GORD), Bilateral Total Knee Replacement (2018)
- Current Concerns: Increasing shortness of breath, chest pain (likely reflux), nausea, restricted mobility, sleeps upright.
- Allergies: Vancomycin (anaphylaxis)
- Risk Assessment: Medium falls risk, requires supervision with mobility.
- VTE Prophylaxis: Anticoagulant therapy
Pain Assessment and Management
- Pain Assessment: Use the PQRSTU mnemonic (Provoking/Palliative Factors, Quality, Region/Radiation, Severity, Timing, Understanding the patient's experience)
- Documentation: Record pain assessment in progress notes, including location, intensity (using a pain scale), quality, and duration of pain.
- Intervention: Determine appropriate pain relief interventions following the assessment. This can include both pharmacological (medications) and non-pharmacological (heat/cold) options.
- Communication: Discuss intervention options with the patient and registered nurse (RN).
Medication Administration (Oral, Subcutaneous, Intramuscular)
- General Principles: Adhere to the 11 Rights of medication administration (Right patient, medication, dose, route, time, preparation, assessment, documentation, response, form, refusal)
- Three Checks: Verify medication three times: initial pick-up, after preparation, and before administration.
- Patient Confirmation: Verify patient identity using name, date of birth (DOB), and allergies against the patient's armband and medical records.
- Medication Order Validation: Check medication order for accuracy, including details like date/time of prescription, drug name, dose, route, and frequency.
- Patient Education: Explain the medication's intended and potential side effects. Assess patient's ability to swallow and follow instructions.
- Calculations: Show precise calculation of medication dosage in clinical documentation, including formulas and working out.
- Monitoring: Monitor patient response, such as pain relief, blood pressure changes, or respiratory rate, 30 minutes to one hour after administration, and monitor closely for any side effects.
- Documentation: Report and document all medication administration, patient responses, and any unexpected events or refusals on the medication chart using appropriate codes.
Specific Considerations
- Oral Medications: Check for patient swallowing issues. Position the patient appropriately & verify allergies and contraindications from medical records. Ensure the medication is taken safely by the patient.
- Subcutaneous Medications: Assess the injection site for any abnormalities or risks. Ensure appropriate needle size and technique.
- Intramuscular Medications: Identify appropriate injection sites (e.g., ventrogluteal, vastus lateralis, deltoid) and assess the site for any contra-indications. Rotate sites to prevent complications. Ensure the correct needle size is used. Aspirate to ensure injection into a vessel is avoided.
Clinical Handover
- Use the SHARED format to provide handover information.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz assesses your understanding of medication administration and pain management techniques in a clinical setting. You will apply knowledge of patient history, risk assessment, and pain assessment mnemonics in real-life scenarios. Evaluate appropriate interventions for patient comfort and safety.
