Podcast
Questions and Answers
A healthcare worker discovers they administered the wrong dosage of medication to a client. What is the most appropriate immediate action?
A healthcare worker discovers they administered the wrong dosage of medication to a client. What is the most appropriate immediate action?
- Document the error in the MAR (Medication Administration Record) and continue with other tasks.
- Adjust the next dose to compensate for the error and avoid reporting it to prevent disciplinary action.
- Monitor the client for adverse effects and immediately report the error according to protocol. (correct)
- Wait to see if the client exhibits any symptoms before reporting the error to avoid unnecessary concern.
Which of the following best describes the purpose of performing three checks during medication preparation and administration?
Which of the following best describes the purpose of performing three checks during medication preparation and administration?
- To verify the medication label against the prescription at three distinct points to minimize errors. (correct)
- To ensure that the medication is cost-effective and within the client's budget.
- To confirm that the medication has not expired and is safe to administer.
- To allow different healthcare workers to cross-reference each other's work in order to identify potential mistakes or inconsistencies.
A client refuses to take their oral medication. According to the 'Rights' of medication administration, what is the most appropriate course of action?
A client refuses to take their oral medication. According to the 'Rights' of medication administration, what is the most appropriate course of action?
- Attempt to coerce the client into taking the medication by explaining its importance.
- Document their refusal, ensure they understand the potential consequences, and notify the healthcare provider. (correct)
- Administer the medication regardless, as the physician has prescribed it.
- Disguise the medication in food or drink without informing the client.
Why is it unsafe to leave a prepared medication unattended on the counter, even for a brief moment?
Why is it unsafe to leave a prepared medication unattended on the counter, even for a brief moment?
A nurse is preparing a medication for a client. Which of the following actions violates the 'Rights' of medication administration?
A nurse is preparing a medication for a client. Which of the following actions violates the 'Rights' of medication administration?
When assisting Mr. Hudson with his medications, what is the MOST critical reason for using multiple identifiers?
When assisting Mr. Hudson with his medications, what is the MOST critical reason for using multiple identifiers?
If Mr. Hudson refuses to take his 0800 medications, what is the MOST appropriate initial action for the HCA?
If Mr. Hudson refuses to take his 0800 medications, what is the MOST appropriate initial action for the HCA?
Why is it generally inappropriate for the HCA to alter the scheduled medication administration time for Mr. Hudson?
Why is it generally inappropriate for the HCA to alter the scheduled medication administration time for Mr. Hudson?
Under what circumstances, if any, is it acceptable for the HCA to purchase over-the-counter (OTC) medications for Mr. Hudson?
Under what circumstances, if any, is it acceptable for the HCA to purchase over-the-counter (OTC) medications for Mr. Hudson?
Glyburide (Diabeta) is classified as an oral sulfonylurea antidiabetic. What is its primary action in managing Mr. Hudson's diabetes?
Glyburide (Diabeta) is classified as an oral sulfonylurea antidiabetic. What is its primary action in managing Mr. Hudson's diabetes?
Besides administering Glyburide (Diabeta) with milk, what other key responsibility does the HCA have regarding this medication?
Besides administering Glyburide (Diabeta) with milk, what other key responsibility does the HCA have regarding this medication?
Following the administration of Glyburide (Diabeta), what observations should the HCA prioritize to detect potential adverse effects?
Following the administration of Glyburide (Diabeta), what observations should the HCA prioritize to detect potential adverse effects?
Prior to administering the Polysporin eye drops, the care plan specifies asking Mr. Hudson to remove his contact lenses. Why is this step important?
Prior to administering the Polysporin eye drops, the care plan specifies asking Mr. Hudson to remove his contact lenses. Why is this step important?
Flashcards
Medication Error: What to Do?
Medication Error: What to Do?
Report it immediately. Monitor the client for adverse effects, document the error, and reflect on the mistake.
Rights of Medication Administration
Rights of Medication Administration
Ensuring the right medication is given to the right person, in the right dose, via the right route, at the right time, with proper documentation and additional rights
Medication Checks: When?
Medication Checks: When?
- Removal from storage. 2. Preparation at bedside. 3. Immediately before administration.
Unattended Medication
Unattended Medication
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Right to Refuse
Right to Refuse
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Client Identifiers for Meds
Client Identifiers for Meds
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Refusal of Medication
Refusal of Medication
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Medication Timing
Medication Timing
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OTC Medication Purchases
OTC Medication Purchases
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Diabeta: Class & Action
Diabeta: Class & Action
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Responsibilities with Diabeta
Responsibilities with Diabeta
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Observations with Diabeta
Observations with Diabeta
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MAR Purpose
MAR Purpose
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Study Notes
- Mr. Hudson is an older adult with diabetes, a history of HTN, requiring medication assistance and using a walker.
- Mr. Hudson developed conjunctivitis in his right eye recently and lives alone.
- The DOT is to assist Mr. Hudson with his 0800 medications, per the care plan.
- Mr. Hudson's medications include 650 mg of Acetaminophen (Tylenol), 5 mg Glyburide (Diabeta), and Polysporin (antibiotic) eye drops (1 drop to the right eye).
- Medication administration must be documented on the MAR immediately.
- Medications should only be given with milk.
- Remove contact lenses before eye drop instillation.
- Client identifiers for medication assistance include the client's full name, date of birth, and MAR.
- If a client refuses medication, do not force them; document the refusal and report it to the nurse.
- Medications are to be given at 08:00 in the morning.
- Medication times cannot be changed for convenience because it will affect drug effectiveness and absorption.
- HCAs cannot purchase over-the-counter medications for clients without a nurse's or physician's permission.
- Diabeta is classified as an oral sulfonylurea antidiabetic.
- Diabeta stimulates the pancreas to release more insulin to lower blood sugar.
- Responsibilities for Diabeta medication include giving it with milk, ensuring the client takes it, and documenting on the MAR.
- Observations for Diabeta: watch for low blood sugar symptoms (confusion, shakiness, dizziness, sweating) and monitor blood sugar levels.
- Medication errors need to be reported immediately; do not try to ignore or cover them up.
- Steps for medication error: report, documentation in the MAR, monitor the client, and self-reflect.
- There are 10 Rights for assisting in medication administration: right patient, medication, dose, route, time, documentation, to refuse, assessment, education, and evaluation.
- There are 3 checks when preparing and administering medications: when taking medication from storage, when preparing it at the bedside, and right before administering to the client.
- Turning your back on medication is not acceptable to prevent accidental intake or medication mix-ups.
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