Medication Order Requirements

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Which of the following must be included in a medication order?

Patient's name and date of birth

Which of the following is NOT required in a medication order?

all of the above

What should you do if anything is missing from the medication order?

Call the provider

Which of the should not be included in a medication order?

<p>Patient's address</p> Signup and view all the answers

What happens if anything is missing from the medication order?

<p>The provider must be called</p> Signup and view all the answers

Which of the following is NOT required in a medication order?

<p>Patient's phone number</p> Signup and view all the answers

Which of the following is one of the rights of medication administration?

<p>Right patient</p> Signup and view all the answers

Which of the following is NOT one of the rights of medication administration?

<p>Right dosage</p> Signup and view all the answers

What are the three checks that should be performed during medication administration?

<p>Read the eMAR, select proper medication, compare medication label with the eMAR</p> Signup and view all the answers

Match the given practices with their correct explanation:

<p>Use medicines safely = Properly label medicines Give correct information about a patient’s medications = Give written information about medications the patient needs to take Rights of Medication Administration = (1) right patient (2) right medication (3) right dosage (4) right time (5) right route (6) right documentation (7) right reason (8) right assessment (9) right response from patient (10) right to education (11) right to refuse Nursing considerations Three Checks = (1) In the med room: read the eMAR and select proper medication (2) After retrieving medication: compare medication label with the eMAR (3) At bedside: recheck labels after identifying patient and before administration</p> Signup and view all the answers

Match the following rights of medication administration with their definitions:

<p>right patient = Identify patient correctly right medication = Ensure medication given is the one prescribed right dosage = Ensure the amount given is correct right route = Ensure the method of administration is correct</p> Signup and view all the answers

Match the following steps of the 'Three Checks' with their correct order:

<p>First Check = In the med room: read the eMAR and select proper medication Second Check = After retrieving medication: compare medication label with the eMAR Third Check = At bedside: recheck labels after identifying patient and before administration</p> Signup and view all the answers

Which position should a patient be in for oral medication administration?

<p>Sitting upright position</p> Signup and view all the answers

What should be done with needles after use?

<p>Place them in puncture-resistant containers</p> Signup and view all the answers

What should be done if a patient refuses to take their medication?

<p>Assess the reason for refusal and educate the patient</p> Signup and view all the answers

True or false: Most medications for children are available in liquid form?

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

True or false: Older adults may have difficulty swallowing medications?

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

True or false: Oral medications should be administered in the high fowler's position?

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

Which type of injection has the longest absorption time?

<p>Intradermal injection</p> Signup and view all the answers

Which type of injection is used for insulin and heparin?

<p>Subcutaneous injection</p> Signup and view all the answers

Which type of injection has the fastest rate of absorption due to larger and more blood vessels?

<p>Intramuscular injection</p> Signup and view all the answers

Match the injection types with their corresponding needle gauge and maximum volume:

<p>Intradermal injection = 27 gauge, less than 0.5 mL Subcutaneous injection = 29 gauge, no more than 1 mL Intramuscular injection = 20- to 25-gauge needle, up to 3 mL</p> Signup and view all the answers

Match the injection types with their corresponding angles of administration:

<p>Intradermal injection = 5-15 degrees Subcutaneous injection = 45 degree angle for smaller patients; 90 degree angle for larger patients Intramuscular injection = 90 degrees</p> Signup and view all the answers

Match the injection types with their corresponding rate of absorption:

<p>Intradermal injection = Longest absorption time Subcutaneous injection = Slow and sustained rate of absorption Intramuscular injection = Fastest rate of absorption</p> Signup and view all the answers

Which of the following is NOT a step in pharmacokinetics?

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

Which of the following factors does NOT affect the distribution of a drug within the body?

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

Which of the following is NOT a method of drug administration with a local effect?

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

Which of the following is NOT a right of medication administration?

<p>Right response from patient</p> Signup and view all the answers

True or false: Oral medications should be administered in the high fowler's position.

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

Which of the following is NOT a consideration for administering medications to older adults?

<p>Teaching the name of the drug</p> Signup and view all the answers

Which type of injection has the longest absorption time?

<p>Intradermal injection</p> Signup and view all the answers

Which of the following is NOT a side effect of morphine?

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

Which of the following is an example of an anaphylactic reaction to a drug?

<p>Respiratory distress</p> Signup and view all the answers

Which of the following factors can affect drug action?

<p>All of the above</p> Signup and view all the answers

Which of the following is NOT a common conversion used in dosage calculations?

<p>30 milliliters (mL) = 1 ounce (oz)</p> Signup and view all the answers

Study Notes

Medication Orders

  • A medication order must include the patient's name, date, medication name, dosage, route, and frequency.
  • The physician's signature and date are also required.

Rights of Medication Administration

  • The five rights are: right patient, right medication, right dose, right route, and right time.

Medication Administration

  • Patients should be in a comfortable position, with their head elevated (high Fowler's position), for oral medication administration.
  • Needles should be disposed of in a puncture-proof container after use.
  • If a patient refuses to take their medication, the nurse should try to understand their concerns and involve the physician if necessary.

Injections

  • Intramuscular (IM) injections have the longest absorption time.
  • Subcutaneous (SC) injections are used for insulin and heparin administration.
  • Intravenous (IV) injections have the fastest rate of absorption due to larger and more blood vessels.

Pharmacokinetics

  • Factors that affect drug distribution within the body include age, body composition, and liver and kidney function.
  • Methods of drug administration with a local effect include topical, ophthalmic, and otic routes.

Considerations for Older Adults

  • Older adults may have difficulty swallowing medications, and alternative forms (e.g., liquids) may be necessary.

Adverse Reactions

  • Anaphylactic reactions to a drug can include symptoms such as hives, itching, and difficulty breathing.
  • Factors that can affect drug action include age, body composition, and liver and kidney function.

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