Pharmacy and Medication Safety
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Questions and Answers

What is anaphylactic shock caused by a medication?

  • A side effect that can be treated with antibiotics
  • A life-threatening reaction causing respiratory distress (correct)
  • A mild skin rash
  • A minor allergic reaction

    • Why was the 'Do not use' list created?

  • To prevent medical errors and eliminate prone abbreviations (correct)
  • To standardize medication dosages
  • To simplify medical terminology
  • To reduce medication costs

    • What is the primary consideration when selecting a syringe size?

  • Viscosity of the solution
  • Type of medication
  • Route of administration
  • Volume of medication (correct)

    • What is the purpose of a spacer when using an inhaler?

    <p>To prevent inhaling too quickly</p> Signup and view all the answers

    What is a trade brand?

    <p>A brand name medication from a big pharma company</p> Signup and view all the answers

    What type of data is collected through patient questioning?

    <p>Subjective data</p> Signup and view all the answers

    What is the goal of selecting a medication?

    <p>To achieve a desired effect without an adverse effect</p> Signup and view all the answers

    What is the correct sequence for mixing NPH and Regular insulin?

    <p>Roll NPH, put air into NPH, put air into Regular, pull Regular, pull NPH</p> Signup and view all the answers

    What is a JCO?

    <p>A hospital police officer</p> Signup and view all the answers

    What is the correct sequence of assessment steps in the GI tract?

    <p>Inspection, auscultation, palpation, percussion</p> Signup and view all the answers

    What is the purpose of setting SMART goals?

    <p>To create specific, measurable, attainable, realistic, and time-bound goals</p> Signup and view all the answers

    What is a potential side effect of a medication?

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

    What is the purpose of a 'Do not use' list?

    <p>To prevent medical errors</p> Signup and view all the answers

    Which of the following is a route of administration?

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

    What is the correct sequence for mixing NPH and Regular insulin?

    <p>Roll NPH, put air into NPH, put air into Regular, pull Regular, pull NPH</p> Signup and view all the answers

    What is a trade brand?

    <p>A brand name medication</p> Signup and view all the answers

    What is the primary purpose of documenting medication administration?

    <p>To maintain a record of medication administration</p> Signup and view all the answers

    What should be considered when selecting a syringe size?

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

    What is an example of objective data?

    <p>Patient's blood pressure reading</p> Signup and view all the answers

    What is the desired outcome of a medication?

    <p>The therapeutic effect without an adverse effect</p> Signup and view all the answers

    What is the purpose of assessment in the GI tract?

    <p>To identify potential health problems</p> Signup and view all the answers

    What is the purpose of a 'Do not use' list in a hospital?

    <p>To prevent medical errors due to prone abbreviations</p> Signup and view all the answers

    What type of reaction can cause respiratory distress?

    <p>Anaphylactic shock</p> Signup and view all the answers

    Which of the following is not a route of administration?

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

    What is the purpose of a controlled substance double-locked system?

    <p>To prevent unauthorized access to controlled substances</p> Signup and view all the answers

    What is the purpose of a spacer when using an inhaler?

    <p>To prevent inhaling too quickly</p> Signup and view all the answers

    What is a trade brand?

    <p>A brand name medication from a big pharma company</p> Signup and view all the answers

    What is the correct term for the actual compound of a medication?

    <p>Generic name</p> Signup and view all the answers

    What should be considered when selecting a syringe size for medication administration?

    <p>Medication volume, viscosity of solution, and body size</p> Signup and view all the answers

    What type of data is collected through physical examination of a patient?

    <p>Objective data</p> Signup and view all the answers

    What is the purpose of setting SMART goals in patient care?

    <p>To create specific, measurable, achievable, realistic, and time-bound goals</p> Signup and view all the answers

    What is the term for the desired therapeutic effect of a medication without causing an adverse effect?

    <p>Desired effect</p> Signup and view all the answers

    What type of reaction can cause respiratory distress and is life-threatening?

    <p>Anaphylactic shock</p> Signup and view all the answers

    What is the purpose of the 'Do not use' list in a hospital?

    <p>To prevent medical errors</p> Signup and view all the answers

    What type of data is collected through patient questioning?

    <p>Subjective data</p> Signup and view all the answers

    What is the purpose of a spacer when using an inhaler?

    <p>To prevent inhaling too quickly</p> Signup and view all the answers

    What is the purpose of a controlled substance double-locked system?

    <p>To secure medications from unauthorized access</p> Signup and view all the answers

    What is the primary purpose of documenting medication administration?

    <p>To maintain a record of medication administration</p> Signup and view all the answers

    Which of the following is an example of subjective data?

    <p>Patient's verbal report of pain</p> Signup and view all the answers

    What is the term for the desired therapeutic effect of a medication without causing an adverse effect?

    <p>Desired effect</p> Signup and view all the answers

    Which of the following is an example of objective data?

    <p>Measurement of a patient's blood pressure</p> Signup and view all the answers

    JCO stands for 'Joint Commission Organization'.

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

    Anaphylactic shock is a mild allergic reaction.

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

    A spacer is used to slow down the administration of medication.

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

    A trade brand is a generic form of medication.

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

    Generic name refers to the brand name of a medication.

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

    The steps of assessment in the GI tract are inspection, palpation, percussion, and auscultation.

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

    Desired effect of a medication always leads to an adverse effect.

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

    SMART goals are specific, measurable, achievable, realistic, and time-bound.

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

    Subjective data is information that can be measured.

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

    The ______ name is the actual compound of the medication (ex: Alprazolam)

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

    When picking ______ size, factors to consider include medication volume and viscosity of solution

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

    SMART is an acronym that stands for Specific, Measurable, ______, Realistic, and Time-bound

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

    Steps of assessment in the GI tract include inspection, ______, palpation, and percussion

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

    Desired effect refers to the desired therapeutic effect without causing an ______ effect

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

    Match the following medical abbreviations with their meanings:

    <p>U = Unit IU = International Unit Q.D. = Daily MSO4 = Medication name</p> Signup and view all the answers

    Match the following medication routes with their descriptions:

    <p>Sublingual = Under the tongue Buccal = Between the cheek and gum Oral = By mouth Topical = Applied to the skin</p> Signup and view all the answers

    Match the following medical concepts with their definitions:

    <p>Anaphylactic shock = Life-threatening allergic reaction Side effect = Unintended result of medication Allergic reaction = Mild to severe reaction to medication Spacer = Device to slow down inhalation</p> Signup and view all the answers

    Match the following medication handling procedures with their descriptions:

    <p>Controlled substance double-locked system = Secured storage for controlled substances 2 Nurse check = Verification of medication by two nurses Chart waste = Recording of unused medication Witnessed = Verified by another nurse</p> Signup and view all the answers

    Match the following syringe parts with their descriptions:

    <p>Plunger = Moves inside the barrel Barrel = Holds the medication Needle hub = Attaches to the syringe Bevel = Slanted edge of the needle</p> Signup and view all the answers

    Match the following medication administration times with their descriptions:

    <p>When the nurse gets contender = Before administration After retrieval from the drawer = Before pouring into multidose container Just before administering = Final check before giving medication At shift change = Counting and matching medication</p> Signup and view all the answers

    Match the following medical terminology with their meanings:

    <p>Trade brand = Brand name of a medication Generic name = Non-proprietary name of a medication JCO = Joint Commission Organization IU = International Unit</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Generic name = The actual compound of the medication Desired effect = The desired therapeutic effect without causing an adverse effect Adverse effect = Harmful effects that lead to injury Objective data = Information that can be measured</p> Signup and view all the answers

    Match the following steps of assessment with their correct order in the GI tract:

    <p>Inspection = a Auscultation = b Palpation = c Percussion = d</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>SMART goals = Specific, Measurable, Attainable, Realistic, Time-bound goals Outcomes = Met, Unmet, Ongoing, Partially met Diagnosis = Impairment of skin related to immobility Subjective data = What the patient says</p> Signup and view all the answers

    Match the following factors with their consideration when selecting a syringe size:

    <p>Medication volume = a Medication = b Site of administration = c Viscosity of solution = d</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Documentation = Recording of medication administration Assessment = Collection of patient data Diagnosis = Impairment of skin related to immobility Objective data = Information that can be measured</p> Signup and view all the answers

    Match the following steps of assessment with their correct order:

    <p>Inspection = a Palpation = b Percussion = c Auscultation = d</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Desired effect = The desired therapeutic effect without causing an adverse effect Adverse effect = Harmful effects that lead to injury Objective data = Information that can be measured Subjective data = What the patient says</p> Signup and view all the answers

    Match the following terms with their definitions:

    <p>Outcomes = Met, Unmet, Ongoing, Partially met Diagnosis = Impairment of skin related to immobility SMART goals = Specific, Measurable, Attainable, Realistic, Time-bound goals Documentation = Recording of medication administration</p> Signup and view all the answers

    Study Notes

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

    Medication Administration

    • Side effects of medication can cause complications such as constipation.
    • Allergic reactions can range from mild to severe, manifesting as symptoms like rashes.
    • Anaphylactic shock is a life-threatening allergic reaction that causes respiratory distress.

    JCO and Abbreviations

    • JCO (Joint Commission on Accreditation of Healthcare Organizations) does not recommend using certain abbreviations to prevent medical errors.
    • The list of abbreviations to avoid includes U (Unit), IU (International Unit), QD (Daily), MS, MSO4, and MSSO4.

    Patient Positions and Medication Administration

    • Patient positions are related to the medication being administered.

    Routes of Administration

    • Sublingual, buccal, oral, transdermal, topical, inhalation, and NG tube routes are used to administer medications.
    • Parenteral routes, including suspension, are also used.

    Anatomy of a Syringe

    • A syringe consists of a plunger, barrel, needle, needle hub, bevel, and needle cap.

    Handling Controlled Substances

    • Two nurses must check controlled substances before administration.
    • Records must include the patient's name, amount used, time given, and provider's name.
    • Counts must be matched in the dispensing system at shift change.
    • A double-locked system and witnessed counts are required.
    • Waste must be charted.

    Medication Checks

    • Three medication checks are required: when the nurse retrieves the medication, after comparing with the MAR, and before administration.

    Mixing NPH and Regular Insulin

    • NPH and Regular insulin must be mixed in a specific order: roll NPH, put air into NPH, put air into Regular, pull Regular, and pull NPH.

    Spacers and Inhalers

    • Spacers are used to prevent inhaling too quickly when using an inhaler.

    Trade Brand and Generic Names

    • Trade brand names are used by big pharmaceutical companies (e.g., Xanax).
    • Generic names are the actual compounds of the medication (e.g., Alprazolam).

    Documentation

    • All medication administrations must be documented.

    Selecting Syringe Size

    • Factors to consider when selecting a syringe size include medication volume, site of administration, route, viscosity of solution, quantity, body size, and type of medication.

    Diagnostic and Objective Data

    • Diagnosis involves identifying impairments, such as skin impairment due to immobility.
    • Objective data is measurable information.
    • Subjective data is based on patient reports.

    SMART Goals

    • SMART goals are Specific, Measurable, Attainable, Realistic, and Time-bound.

    Steps of Assessment

    • The steps of assessment include inspection, palpation, percussion, and auscultation.
    • For the GI tract, the steps are inspection, auscultation, palpation, and percussion.

    Outcomes

    • Outcomes can be Met, Unmet, Ongoing, or Partially Met.

    Desired and Adverse Effects

    • Desired effects are the intended therapeutic effects without adverse effects.
    • Adverse effects are harmful effects that can lead to injury.

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    Description

    This quiz covers the potential side effects and complications of medications, including allergic reactions, anaphylactic shock, and medication administration errors. It also touches on medical abbreviations and patient positioning in relation to medication administration.

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