Podcast
Questions and Answers
What is the chemical name for acetaminophen?
What is the chemical name for acetaminophen?
- N-acetyl-para-aminophenol (correct)
- Acetylsalicylic acid
- Paracetamol
- Tylenol
What is a potential effect of taking digoxin?
What is a potential effect of taking digoxin?
- Nausea
- Dysrhythmias (correct)
- Hearing loss
- Hypotension
Which of the following names is considered the official name given by the United States Adopted Names Council?
Which of the following names is considered the official name given by the United States Adopted Names Council?
- Atenolol
- Tylenol
- N-acetyl-para-aminophenol
- Acetaminophen (correct)
What defines a stat prescription?
What defines a stat prescription?
Which statement regarding adverse effects is true?
Which statement regarding adverse effects is true?
Why might nurses monitor clients taking digoxin?
Why might nurses monitor clients taking digoxin?
Which statement about trade names is true?
Which statement about trade names is true?
What is a potential outcome of medication interactions?
What is a potential outcome of medication interactions?
What is the primary reason for administering medication on time?
What is the primary reason for administering medication on time?
Which of the following is necessary to verify before initiating cytotoxic medication therapy?
Which of the following is necessary to verify before initiating cytotoxic medication therapy?
For time-critical medications, when should they be administered?
For time-critical medications, when should they be administered?
Which type of medication should be administered within 1 hour of the prescribed time?
Which type of medication should be administered within 1 hour of the prescribed time?
What information is NOT required to be updated before starting medication therapy?
What information is NOT required to be updated before starting medication therapy?
Clients should be asked about their use of which product as part of their health history?
Clients should be asked about their use of which product as part of their health history?
Which of the following is an example of non-time-critical medication administration guidance?
Which of the following is an example of non-time-critical medication administration guidance?
Which aspect of the medication therapy process is crucial for ensuring client safety?
Which aspect of the medication therapy process is crucial for ensuring client safety?
What should be done if a client refuses medication?
What should be done if a client refuses medication?
Which of the following is NOT a common medication error?
Which of the following is NOT a common medication error?
What is the primary role of the Institute for Safe Medication Practices (ISMP)?
What is the primary role of the Institute for Safe Medication Practices (ISMP)?
Which abbreviation should NEVER be used due to the risk of medication errors?
Which abbreviation should NEVER be used due to the risk of medication errors?
What is essential to assess before administering digoxin?
What is essential to assess before administering digoxin?
If a medication administered to a client is something they are allergic to, this is categorized as which type of error?
If a medication administered to a client is something they are allergic to, this is categorized as which type of error?
What should one do to ensure correct administration of medications?
What should one do to ensure correct administration of medications?
What should a healthcare provider do after administering medication?
What should a healthcare provider do after administering medication?
What should a nurse do if a medication prescription is unclear or seems inappropriate for the client's condition?
What should a nurse do if a medication prescription is unclear or seems inappropriate for the client's condition?
What is one of the first steps in medication administration prioritization?
What is one of the first steps in medication administration prioritization?
How can distractions impact the medication administration process?
How can distractions impact the medication administration process?
What should a nurse do if a client questions the size of their medication dose?
What should a nurse do if a client questions the size of their medication dose?
What is a key practice for ensuring safe medication administration?
What is a key practice for ensuring safe medication administration?
Who should verify dosages of high-alert medications before administration?
Who should verify dosages of high-alert medications before administration?
What is the appropriate action if a medication has expired?
What is the appropriate action if a medication has expired?
What role should clients play in their medication safety?
What role should clients play in their medication safety?
What should a nurse do immediately after administering medication?
What should a nurse do immediately after administering medication?
What is a key factor in ensuring the correct administration of medication by telephone prescription?
What is a key factor in ensuring the correct administration of medication by telephone prescription?
Which routes are commonly recognized for medication administration?
Which routes are commonly recognized for medication administration?
How much time before or after the scheduled time can medication be administered?
How much time before or after the scheduled time can medication be administered?
What is the role of the nurse regarding client education about medication?
What is the role of the nurse regarding client education about medication?
Which of the following best describes the act of reading back a prescription?
Which of the following best describes the act of reading back a prescription?
What is crucial when verifying a telephone prescription?
What is crucial when verifying a telephone prescription?
What should be documented after administering a medication?
What should be documented after administering a medication?
Study Notes
Medication Effects and Types
- Medications can have multiple therapeutic effects; for instance, diphenhydramine can be taken for allergies or sleep induction.
- Each medication has a unique chemical name (e.g., acetaminophen: N-acetyl-para-aminophenol), one generic name (e.g., acetaminophen), and multiple trade names (e.g., Tylenol, Tempra).
Adverse and Toxic Effects
- Adverse effects are undesirable responses that can be immediate or develop over weeks/months; for example, gentamicin can lead to hearing loss.
- Toxic effects vary by medication; digoxin can cause dysrhythmias due to cardiotoxicity, especially with hypokalemia increasing risk.
Medication Interactions and Administration
- Medications can interact, producing beneficial or harmful effects; for example, atenolol may be used with nifedipine to prevent tachycardia.
- Stat prescriptions require immediate administration (e.g., digoxin 0.125 mg IV bolus).
Important Pre-Administration Assessments
- Gather health history, including age, health problems, current medications, herbal products, allergies, and clients' understanding of medications.
- Evaluate clients physically before medication administration (e.g., measure heart rate before digoxin).
Client Rights and Safety Measures
- Clients have the right to refuse medication; inform them of consequences and document refusals.
- Right assessment involves collecting data before and after administration; essential for verifying therapeutic effects and side effects.
Medication Error Prevention
- Common medication errors include incorrect medication or dose, administration to allergic clients, and incorrect timing.
- ISMP educates on safe medication practices and identifies error-prone abbreviations and high-alert medications.
Medication Administration Protocols
- Time-critical medications should be administered within 30 minutes of scheduled times; non-time-critical medications can be given within specific hours.
- Distractions during medication preparation increase risk; best to prepare for one client at a time.
Best Practices for Administration
- Follow the five rights of medication administration: right patient, medication, dose, route, and time.
- Verify orders, maintain clear documentation, and educate clients about medications and their uses.
Communication and Documentation
- Document medications immediately after administration, including client responses and observations of adverse effects.
- Verify telephone prescriptions with read-back protocols to prevent miscommunication.
Routes of Administration
- Common administration routes include oral, topical, subcutaneous, intramuscular, and intravenous; additional routes include sublingual, buccal, nasal, and more.
- Ensure correct preparation for the prescribed route to prevent complications.
Client Education
- Inform clients about the purpose, expected outcomes, administration method, and any adverse effects to report.
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Description
Test your knowledge on the various effects and types of medications. This quiz covers therapeutic effects, adverse reactions, toxic effects, and interactions between different medications. Enhance your understanding of medication administration and their implications in healthcare.
