CNA Roles in Medication Administration: Managing Patient Misuse

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Questions and Answers

What is the primary concern when instructing a patient to self-apply antibiotic ointment?

Avoid direct pressure on the eyeball

What is the nurse's highest priority assessment when teaching a patient to self-administer antibiotic eye drops?

Patient's ability to manipulate the applicator

How can the nurse ensure patient safety when using an automated medication dispensing system?

Prepare medications for one patient at a time

What is the nurse's primary consideration when placing an intraocular disk?

Lack of visibility of the disk under the lower eyelid Signup and view all the answers

What is the nurse's initial step in preparing to administer a prescribed medication using an automated medication dispensing system?

Review the medication administration record (MAR) Signup and view all the answers

What is the most effective way to prevent medication calculation errors?

Ask another registered nurse (RN) to verify the calculation. Signup and view all the answers

What is the primary purpose of using an oral dosing syringe when administering oral liquid medication?

To reduce the risk of 'wrong dose' medication error. Signup and view all the answers

When administering a rectal suppository to a patient, what is the most important step to protect the patient's safety?

None of the above (The correct answer is not provided in the text, but it would involve ensuring proper positioning, hygiene, and comfort of the patient during the procedure). Signup and view all the answers

What is the most appropriate response by the nurse to a patient who expresses embarrassment about receiving a rectal suppository?

Not provided in the text (The correct answer would be to acknowledge the patient's feelings and provide reassurance and education about the procedure). Signup and view all the answers

What is the primary laboratory value that the nurse will monitor after administering a rectal suppository for constipation?

None of the above (The correct answer is not provided in the text, but it would likely be monitoring for signs of bowel movement or relief from constipation). Signup and view all the answers

What action can a nurse take to minimize the risk of skin irritation when changing a patient's colostomy pouching system?

Cleaning the skin with warm water and patting it dry. Signup and view all the answers

What is the priority action a nurse should take when caring for a patient with a urostomy who has had no urine output for 4 hours?

Notify the healthcare provider. Signup and view all the answers

What is a critical patient safety issue that a nurse should consider when administering medication by IV bolus?

Determining that the medication is compatible with the IV solution. Signup and view all the answers

What instruction might a nurse give to a nursing assistant regarding the care of a patient with a newly established colostomy?

Alert me immediately if you see any blood in the fecal matter in the pouch. Signup and view all the answers

What is a key action a nurse can take to help a patient learn self-care of a colostomy pouching system?

Giving the patient a handheld mirror to watch the nurse provide care. Signup and view all the answers

What is the most appropriate action for the nurse to take when administering an extended-release capsule to a patient with dysphagia?

Place the capsule in a spoonful of the patient's applesauce. Signup and view all the answers

When administering medications to a patient with a history of nighttime confusion, what is the best way to ensure that the patient has swallowed the medication?

Ask the patient to open his mouth after swallowing each tablet. Signup and view all the answers

What is the most important consideration for the nurse when administering eye drops to a patient?

Wear gloves during the entire application process. Signup and view all the answers

What is the primary reason for asking visitors to leave the patient's bedside when setting up a sterile field for a sterile procedure?

To prevent contamination of the sterile field and reduce the risk of infection. Signup and view all the answers

What is the primary complication the nurse should educate the patient about when preparing to discharge after removal of an indwelling urinary catheter?

Urinary tract infection (UTI) Signup and view all the answers

What is the best way for the nurse to ensure that a patient with watery diarrhea is safely administered a suppository?

Question a provider's order to insert a suppository into the rectum of the patient. Signup and view all the answers

What is the most appropriate follow-up action for the nurse to take after administering a PRN oral analgesic to a patient?

Reassess the patient's pain in 30 to 40 minutes. Signup and view all the answers

What is the purpose of employing clean technique when removing an indwelling urinary catheter?

To minimize the risk of infection during the removal process. Signup and view all the answers

Why is it essential to check the documentation for the volume of fluid used to inflate the balloon during removal of an indwelling urinary catheter?

To minimize the risk of injury to the patient during the removal process. Signup and view all the answers

Why is it crucial to maintain sterility when obtaining a urine sample from an indwelling urinary catheter?

To ensure that microorganisms in the specimen are from the urine, and not the result of contamination. Signup and view all the answers

What is the correct sequence of actions when handling soiled linens contaminated with HDs?

The nurse wears PPE, removes the linens, and places them in impervious laundry bags marked as hazardous waste. Signup and view all the answers

Why is it crucial to reassess medication administration during care transition points, such as patient transfer to another unit?

Care transition points increase the risk of medication administration errors. Signup and view all the answers

What is the nurse's first action in the event of an HD spill?

Evacuate those not involved in the exposure area. Signup and view all the answers

Why is it important to reassign a pregnant nurse caring for a patient taking HDs?

HDs carry a risk for reproductive abnormalities, low birth weight, and early pregnancy termination. Signup and view all the answers

What is the nurse's correct response to a patient who expresses concern about a medication, saying 'I've never seen this blue pill before'?

Let me double-check the doctor's order to make sure this is the correct medication for you. Signup and view all the answers

What is the primary consideration for the nurse when administering medication using an automated medication dispensing system?

Refusing to share individual security log-in code to ensure patient and staff safety. Signup and view all the answers

What is the nurse's best action when a patient's oral medication dispensed from an automated medication dispensing system is twice the correct dose?

Notify the pharmacy to determine if the accurate dose is available. Signup and view all the answers

What is the best way to minimize discomfort caused by the instillation of ear medication?

Warm the eardrops to room temperature before instillation. Signup and view all the answers

What instruction would help ensure the maximum therapeutic response when a patient self-administers ear medication?

Remain in the lateral position (unaffected side) for a few minutes after instillation. Signup and view all the answers

What is the nurse's primary concern when instructing a patient to self-administer ear medication?

The patient's hand grasp, strength, coordination, and ability to manipulate the applicator. Signup and view all the answers

What is the nurse's initial step in preparing a patient for the instillation of ear medication?

Instill the medication after gently pulling the ear up and back. Signup and view all the answers

What is the primary consideration for the nurse when educating a patient about self-administering ear medication?

Be sure to keep the patient on her side for a few minutes, because I just administered her eardrops. Signup and view all the answers

What is the nurse's primary responsibility when using an automated medication dispensing system?

Protecting the safety of patients and staff by refusing to share individual security log-in code. Signup and view all the answers

What is the nurse's primary action when a patient's oral medication is dispensed incorrectly from an automated medication dispensing system?

Notify the pharmacy to determine if the accurate dose is available. Signup and view all the answers

What is the nurse's primary consideration when educating a patient about self-care of ear medication?

The patient's ability to manipulate the applicator and understand the importance of remaining in the lateral position after instillation. Signup and view all the answers

Study Notes

Administering Medications

Do not apply pressure directly to the eyeball when removing excess medication.
When self-applying an antibiotic ointment, ensure the patient's safety by having someone assist them to the bathroom if their vision is temporarily impaired.
To assess the correct placement of an intraocular disk, check if the disk is not visible under the lower eyelid.

Automated Medication Dispensing Systems

Review the medication administration record (MAR) before preparing to administer a prescribed medication.
Prepare medications for one patient at a time to ensure patient safety.
The nurse's understanding of the role of nursing assistive personnel (NAP) in using automated medication dispensing systems involves ensuring that NAP can set up the system and assist with administering medications.

Urinary Catheter Care

When preparing a patient for discharge after an indwelling urinary catheter removal, educate them on the common complication of urinary tract infection (UTI).
To minimize the risk of infection during removal, the nurse or NAP must employ clean technique.
After removal, instruct the patient to void and notify NAP to monitor for back pain and fever.

Indwelling Urinary Catheter Removal

To minimize the risk of injury, check the documentation for the volume of fluid used to inflate the balloon before removal.
When removing the catheter, ensure that the nurse or NAP employs clean technique.
After removal, monitor for common complications, such as fever and back pain.

Sterile Urine Specimen Collection

Sterile technique ensures that microorganisms in the specimen are from the urine, not from contamination.
Keep the urine specimen sterile while obtaining it from an indwelling urinary catheter to ensure reliable results.
Handle the specimen properly to minimize the risk of contamination.

Medication Administration Safety

To minimize the risk of calculation errors, ask another registered nurse (RN) to verify the calculation.
When administering oral liquid medications, use an oral dosing syringe to reduce the risk of "wrong route" errors.
To ensure the correct dose, ask the pharmacy to split an unscored tablet and repackage it with the adjusted dose.

Rectal Suppository Administration

When administering a rectal suppository, offer the patient assistance to the bathroom if needed.
Protect the patient's safety by instructing them to use the call light for assistance.
Monitor for side effects, such as bowel movement, after administering the suppository.

Colostomy Pouching System

When pouching a patient's colostomy, protect the skin from irritation caused by fecal drainage.
Avoid unnecessary changes to the pouching system to minimize irritation of the skin surrounding the stoma.
Give the patient a handheld mirror to watch the nurse provide care to help them learn self-care.

Urostomy Care

When changing the pouching system, clean the skin with warm water and pat it dry to protect the peristomal skin.
Notify the healthcare provider if the patient has no urine output for 4 hours.
Monitor for side effects, such as pain at the insertion site, when administering an IV bolus of analgesic medication.

Medication Administration Errors

When preparing a patient's oral medication, notify the pharmacy if the pill dispensed is twice the correct dose.
Refuse to share individual security log-in codes for the automated medication dispensing system to protect patient and staff safety.
When administering medications, reassess the patient's pain in 30 to 40 minutes to ensure appropriate pain management.

Ear Medication Administration

Warm the eardrops to room temperature before instillation to minimize discomfort.
Instruct the patient to remain in the lateral position (unaffected side) for a few minutes after instillation to ensure the maximum therapeutic response.
When administering eardrops, ensure the patient's hand grasp, strength, coordination, and ability to manipulate the applicator.

PRN Oral Analgesic Administration

When administering a PRN oral analgesic, reassess the patient's pain in 30 to 40 minutes to ensure appropriate pain management.
When giving oral medications to a patient with nighttime confusion, ask the patient to open their mouth after swallowing each tablet to ensure they have taken the medication.

Eye Medication Administration

Wear gloves during the entire application process to minimize the risk of contaminating the patient's eye during the instillation of eye drops.
When administering eye medications, ensure the patient's hand grasp, strength, coordination, and ability to manipulate the applicator.

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Description

Test your knowledge of the role of nursing assistive personnel in administering medication, especially eye medications. Learn how to ensure patient safety during self-application and understand the importance of assistance in the bathroom.

Nursing Assistant Roles and Medication Administration

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