Nurse Delegation and Medication Administration
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Questions and Answers

Which of the following are conditions that must be met for nurse delegation? (Select all that apply)

  • Any task can be delegated
  • Delegation covers a specific task for one client (correct)
  • Only qualified nursing assistants/Home care aides can accept a delegation (correct)
  • A licensed registered nurse transfers performance (correct)

    • What are the settings in which delegation can occur? (Select all that apply)

  • Certified community residential programs (correct)
  • In client's home (correct)
  • Licensed assisted living facilities (correct)
  • Private residences

    • Which of the following tasks cannot be delegated? (Select all that apply)

  • Routine patient observation
  • Sterile procedures (correct)
  • Maintenance of central lines (correct)
  • Injections other than insulin (correct)

    • Insulin injections are a delegated task.

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

    What are two primary actions a nursing assistant is responsible for in delegation?

    <p>Reporting to delegating RN new or changed medications or treatments, Performing the delegated task according to the specific instructions of the RN.</p> Signup and view all the answers

    What should you do if your supervisor asks you to take on a delegated task that is outside their authority?

    <p>You cannot accept the delegation from your supervisor; ask them to contact the delegating RN.</p> Signup and view all the answers

    In which body system do pneumonia and chronic obstructive pulmonary disease occur?

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

    In which body system do congestive heart failure, hypertension, and stroke occur?

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

    What is the barrier against bacteria and moisture called?

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

    What coordinates body functions and monitors changes in the environment?

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

    What gives the body information about the world around it?

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

    Which system moves blood to deliver oxygen and remove carbon dioxide?

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

    What system produces hormones that regulate body activities?

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

    What system provides a framework for the body and protects internal organs?

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

    What gets rid of waste products through urine and regulates the chemical balance in the blood?

    <p>Genito-Urinary</p> Signup and view all the answers

    What manages the transfer of oxygen from the air to the blood?

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

    What changes food into usable substances for the body?

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

    What is one effect of aging on the skin?

    <p>The epidermis becomes thinner, paler, and more translucent.</p> Signup and view all the answers

    In which body system do urinary tract infections and urinary incontinence occur?

    <p>Genito-Urinary</p> Signup and view all the answers

    What are the primary parts of the gastrointestinal system?

    <p>Mouth, Stomach, Small intestine, Esophagus, Liver, Pancreas, Gallbladder.</p> Signup and view all the answers

    In which body system do pressure injuries occur?

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

    Sweat glands belong to which system?

    <p>Integumentary/skin</p> Signup and view all the answers

    The pancreas belongs to which systems?

    <p>Gastrointestinal and Endocrine</p> Signup and view all the answers

    What is a medication side effect?

    <p>An effect on the body different from what the medication is given for.</p> Signup and view all the answers

    What are three routes of medical administration? (Select all that apply)

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

    Which of the following are types of medications? (Select all that apply)

    <p>Non-legend drugs</p> Signup and view all the answers

    What is a medication interaction?

    <p>When two or more medications change the effects of one or both medications.</p> Signup and view all the answers

    Which of the following are examples of medication side effects? (Select all that apply)

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

    What should you do for Carl Green if his wife asks you to crush his medications?

    <p>Continue to administer the eye drops as delegated and inform them that you cannot crush other medications unless delegated by the RN.</p> Signup and view all the answers

    What should you do if a client refuses their medication?

    <p>Notify the delegating RN and document the refusal while exploring reasons for refusal.</p> Signup and view all the answers

    What are five steps to follow when administering medications?

    <p>Document the administration, evaluate the client, prepare the medication, administer the medication, observe the client for the medication effects.</p> Signup and view all the answers

    What are the Five Rights of Medication Administration?

    <ol> <li>Right Client, 2. Right Medication, 3. Right Dose, 4. Right Route, 5. Right Time.</li> </ol> Signup and view all the answers

    What are requirements to become qualified to receive a delegation? (Select all that apply)

    <p>Complete education requirements for delegation</p> Signup and view all the answers

    Maintenance of a central line can be delegated to a nursing assistant.

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

    A licensed practical nurse (LPN) can delegate tasks to a nursing assistant.

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

    What is one responsibility of a delegating RN?

    <p>Obtaining written consent from the client or authorized representative for the delegation.</p> Signup and view all the answers

    What are two responsibilities of a home care aide when receiving a delegation?

    <p>Performing the delegated task according to the instructions, Reporting changes in the client's condition promptly.</p> Signup and view all the answers

    What should you do if you are unable to perform a delegated task?

    <p>Notify the Delegating RN and your employer as soon as possible.</p> Signup and view all the answers

    Which of the following are considered developmental disabilities? (Select all that apply)

    <p>Cerebral palsy</p> Signup and view all the answers

    Which of the following are body systems described in this lesson? (Select all that apply)

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

    What body system is colitis associated with?

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

    What body system is urinary incontinence associated with?

    <p>Genito-Urinary</p> Signup and view all the answers

    What body system is asthma associated with?

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

    What body system is hypothyroidism associated with?

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

    What body system is arthritis associated with?

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

    What body system is cataracts associated with?

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

    What body system is Alzheimer's associated with?

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

    What body system is hypertension associated with?

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

    What body system is pressure injuries associated with?

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

    Diabetes Mellitus affects which body system?

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

    What is a medication?

    <p>Any compound that changes the chemical activity within the body.</p> Signup and view all the answers

    _____ drugs are drugs that can only be sold or given out with a prescription.

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

    What is a scheduled medication?

    <p>Controlled substances that could be dangerous or have a high potential for abuse.</p> Signup and view all the answers

    What are three factors that can affect a medication's action?

    <p>Age, genetic inheritance, emotional condition.</p> Signup and view all the answers

    ________ are unintended effects of medications on the body that are not part of the goal of medication therapy.

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

    A _______ ________ occurs when the administration of one medication alters the effect of another.

    <p>Medication interaction</p> Signup and view all the answers

    When you have been delegated oral medication administration, you are allowed to put the pill in the client's mouth.

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

    A route of medication administration is the way the medication is given.

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

    What is the method for taking medication that involves being swallowed?

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

    What is the method for medication administration that involves piercing the skin?

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

    What is the method of administering medication that involves being sprayed or inhaled?

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

    What is the method of medication administration that involves inserting into the rectum?

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

    What is the method of medication administration that involves placement under the tongue?

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

    What is the method of applying medication directly to the skin or mucous membrane?

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

    What is the method of administering medication that involves insertion into the vagina?

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

    What are two things that should always be on a medication label?

    <p>Client name, dose.</p> Signup and view all the answers

    What is the correct order of five steps in the medication administration process?

    <p>Step 1: Evaluate client, Step 2: Prepare medication, Step 3: Administer medication, Step 4: Document medication administration, Step 5: Observe client for the effects of the medication.</p> Signup and view all the answers

    What are two important rights that clients have regarding medication administration?

    <p>The right to refuse medications or treatments, The right to privacy when medications are administered.</p> Signup and view all the answers

    Refrigerated medication storage should be separated from what?

    <p>Food storage.</p> Signup and view all the answers

    Glucometer testing measures the _____ in a person's blood.

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

    Study Notes

    Nurse Delegation and Tasks

    • Five conditions for nurse delegation include: transferring a specific task for one client by a licensed RN, qualifications of nursing assistants for acceptance, and delegation limited to specific common environments.
    • Delegation can occur in certified community residential programs, licensed adult family homes, licensed assisted living facilities, and clients' homes.
    • Four tasks that cannot be delegated are maintenance of central lines, injections (except insulin), sterile procedures, and tasks requiring nursing judgment.

    Medication Administration

    • Insulin injections are considered a delegated task.
    • Nursing assistants should report new or changed medications and follow specific instructions from the delegating RN.
    • Eye drop administration is a delegated task, but any additional medication changes require RN delegation.
    • Medication administration includes five steps: evaluate the client, prepare the medication, administer the medication, document the administration, and observe the effects.

    Rights and Responsibilities

    • The Five Rights of Medication Administration are: Right Client, Right Medication, Right Dose, Right Route, and Right Time.
    • Clients have the right to refuse medication and privacy during administration.
    • Delegating RN responsibilities include obtaining written consent for delegation.

    Health Systems and Disorders

    • Common health systems include:
      • Respiratory: Disorders include pneumonia, asthma, and COPD.
      • Cardiovascular: Includes congestive heart failure, hypertension, and stroke.
      • Integumentary: Involves skin integrity issues like pressure injuries and stasis ulcers.
      • Gastrointestinal: Processes food and waste; includes disorders such as colitis.
    • Aging effects on skin include thinning, paleness, poor temperature regulation, and nail changes like brittleness.

    Medication Concepts

    • Side effects are unintended responses differing from therapeutic effects, with examples like drowsiness and upset stomach.
    • Medication interactions occur when multiple medications alter the efficacy of one another.
    • Routes of medication administration include oral, injection, inhalation, sublingual, topical, vaginal, and rectal.
    • Legend drugs require a prescription, while non-legend drugs do not.

    Important Qualifications for Delegation

    • Qualifications for receiving a delegation include completing educational requirements, demonstrating competence, and being designated as HCA, NA-R, or NA-C in Washington.

    Client Care and Reporting

    • If unable to perform a delegated task, promptly notify the delegating RN and your employer.
    • In cases of medication refusal or adverse reactions, gather client information and report to the delegating RN while documenting the incident.

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    Description

    Test your knowledge on the principles of nurse delegation and the administration of medications. This quiz covers key concepts including tasks that can and cannot be delegated, as well as the essential steps in medication administration. Perfect for nursing assistants and registered nurses looking to refresh their understanding!

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