Patient Rights and Pain Assessment

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the first check to ensure patient safety during medication administration?

At bedside checks

On collection (correct)

Prior to administration

On dispensing

Which medication requires the heart rate to be above 60 bpm before administration?

Metoclopramide

Morphine

Heparin

Digoxin (correct)

Which among the following is included in nonpharmacological pain interventions?

Administering analgesics

Applying heat packs

Repositioning the patient (correct)

Using hot or cold packs on surgical wounds

What is the purpose of the PQRST pain assessment method?

To assess and describe the patient's pain Signup and view all the answers

What should a nurse check to ensure the right documentation is followed?

Patient's arm band and medication charts Signup and view all the answers

What should a nurse do when the patient refuses medication?

Document the refusal and notify the physician Signup and view all the answers

Which of the following doses is correct for Digoxin administration?

250 microg Signup and view all the answers

How should a nurse respond if a patient reports a pain level of 0-10 as a 10?

Conduct a full assessment of pain characteristics Signup and view all the answers

What is the correct method for calculating the volume for administering 5000 units of medication?

SR/SS x vol. = 5000 u / 5000 u x 1mL = 1mL Signup and view all the answers

Which site is NOT recommended for subcutaneous injections?

Dorsogluteal Signup and view all the answers

How far should a subcutaneous injection be administered from the umbilicus?

3-5cm inferior and 10cm lateral Signup and view all the answers

What should be checked at the injection site before administering an injection?

For marks, hard masses, wounds, redness, and cleanliness Signup and view all the answers

Which gauge needles are typically used for intramuscular injections?

25 gauge for insulin Signup and view all the answers

Which location is considered a valid site for ventrogluteal injections?

Between the greater trochanter and posterior superior iliac spine Signup and view all the answers

What should be done after injecting a subcutaneous medication?

Do not push or rub the site afterwards Signup and view all the answers

Which statement about rotating injection sites is true?

Sites should be rotated to avoid tissue damage Signup and view all the answers

What is the risk associated with using the gluteus medius for intramuscular injections?

Potential contact with the sciatic nerve Signup and view all the answers

What is the recommended position for the limb during a gluteal intramuscular injection?

Relaxed and in a neutral position Signup and view all the answers

What is the appropriate volume of medication that can be absorbed by the gluteus medius?

1 to 5 mL Signup and view all the answers

Which anatomical marker is NOT used for identifying the deltoid injection site?

Greater trochanter Signup and view all the answers

To locate the vastus lateralis injection site, which two landmarks are primarily used?

Greater trochanter and lateral femoral condyle Signup and view all the answers

How far down from the acromion should the deltoid injection site be located?

3 fingers widths Signup and view all the answers

Which of the following best describes the ventrogluteal injection site triangulation?

Creating a triangle from the iliac crest and greater trochanter Signup and view all the answers

What angle should the needle be inserted to ensure it reaches the muscle layer during an intramuscular injection?

90 degrees Signup and view all the answers

Study Notes

CSA Patient Rights

Patient has 11 rights
Right patient, right time, right prescription
Right medication, right form, right expiration date
Right to refuse, right documentation, right response
Right dose, right route

Medication Checks

3 checks required: on collection, on dispensing (independent check for heparin and injections)
Prior to administration
4 bedside checks: name, DOB, URN, allergies
Allergies checked against arm band and medical charts.

Pain Assessment (PQRSTU)

P: What makes pain better/worse (e.g., movement, breathing)
Q: Quality of pain (aching, dull, sharp, stabbing, etc.)
R: Region of pain (can the patient point to the location)
S: Severity on a 0-10 scale (0=no pain, 10=worst pain ever felt)
T: Timing of pain (when did it start, constant or intermittent)
U: Prior history of pain, potential cause

Non-Pharmacological Pain Interventions

Asking the patient what might make pain better or more comfortable.
Repositioning (semi or high Fowlers).
Distraction (e.g., TV).
No heat or cold packs over surgical wounds
Recheck pain 30 mins after intervention.

Medication Administration Details

Digoxin Oral: check HR must be above 60 bpm, 250 microg, PO
Metoclopramide IM: give emesis bag, let it take effect, 10 mg
Heparin SC: 5000 units, watch BP, pulse, and RR

Injection Sites (IM)

Subcutaneous (SC): Sites include abdomen (3-5cm inferior and 10cm lateral to umbilicus), lateral upper arm, anterior thigh, scapula
Intramuscular (IM): Sites include vastus lateralis (lateral middle third of thigh), deltoid (3 finger widths down from acromion), ventrogluteal (locate greater trochanter, index finger on anterior superior iliac spine, middle finger on iliac crest), dorsogluteal (draw an imaginary line between greater trochanter and posterior superior iliac spine; locate the center and find a point ~1 inch superior to it).
Dorsogluteal site not recommended due to sciatic nerve risk.
Important Considerations: Check sites for lesions/marks, rotate sites for injections, do not rub/push site after injection, position limb relaxed, put skin at 90 degrees (at least 70 degrees).

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

This quiz covers essential patient rights, including the 11 rights that ensure medication safety and proper care. Additionally, it explores the PQRSTU method for pain assessment and non-pharmacological pain interventions. Test your knowledge on these critical topics in healthcare!