QMA Class Flashcards

Questions and Answers

A QMA may not administer controlled substances.

True

A QMA may administer medication by injection if required by the DON.

False

What are the six rights of medication administration?

Right dose, right time, right route, right resident, right medication, right documentation.

What will help prevent infection in the facility?

Medical asepsis, standard precaution, cleaning with bleach. Signup and view all the answers

What is an infection acquired in a hospital called?

Nosocomial infection. Signup and view all the answers

What does pruritus mean?

Intense itching. Signup and view all the answers

What does apnea mean?

Cessation of breathing. Signup and view all the answers

Pain is experienced differently by everyone, and there may be visible signs of pain.

True Signup and view all the answers

What will help to depress allergic reactions?

Antihistamines. Signup and view all the answers

Blood pressure is normally measured at which artery?

Brachial artery. Signup and view all the answers

What is considered an abnormal temperature?

101 F. Signup and view all the answers

The systolic blood pressure is the force of blood when the heart is contracting.

True Signup and view all the answers

Where is a tympanic temperature measured?

In the ear. Signup and view all the answers

What position would you use to instill a vaginal cream?

Dorsal recumbent. Signup and view all the answers

What are the elements of good communication that involve actively listening to the resident?

Observe for feedback, receive the message, record the feedback. Signup and view all the answers

What is the study of medication and their effects on the body called?

Pharmacology. Signup and view all the answers

What should a QMA do when removing a medication from the medication cart for administration?

Read the label, clarify any questionable orders, check the medication label against the MAR. Signup and view all the answers

Dimetapp and Benadryl are examples of what?

Antihistamines. Signup and view all the answers

What type of medication requires initials in the appropriate box on the medication administration record?

Any medication. Signup and view all the answers

When administering medication via G-tube/J-tube, the HOB should be raised to what position?

45-60 degrees. Signup and view all the answers

What medication is used to help manage the symptoms of Parkinson's disease?

Sinemet. Signup and view all the answers

What is the term for the phenomenon where Alzheimer’s patients may become more confused later in the day?

Sundowning. Signup and view all the answers

What medication is administered to help with Alzheimer's disease?

Aricept. Signup and view all the answers

When passing medications, what should the medication cart always be?

Clean and orderly. Signup and view all the answers

What is another name for head or body lice?

Pediculosis. Signup and view all the answers

What is the best position for a resident to be in when instilling ear drops, and how long should they remain in position for absorption?

Sidelying/lateral, 5 minutes. Signup and view all the answers

What should you do if the time is not indicated while preparing to administer medications to a resident?

Notify the nurse so they can clarify the order. Signup and view all the answers

What does the half-life of medication help determine?

How often the dose should be repeated to maintain serum level. Signup and view all the answers

What are the initial and final steps included in the policy and procedure of a facility?

Initial and final steps, they are included in the policy and procedure of a facility. Signup and view all the answers

How many milliliters are equivalent to three teaspoons?

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How many cc's/ml are in 7 oz?

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What are the chemical regulators of the body systems called?

Hormones. Signup and view all the answers

What drug classification treats scabies, a mite that burrows under the skin?

Scabicide. Signup and view all the answers

How many final steps are there in medication administration procedures?

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How many initial steps are there in medication administration procedures?

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What is the regulation for counting controlled substances?

QMA's are allowed to count controlled substances. Signup and view all the answers

What medication can cause Mr. Walker to experience withdrawal symptoms if stopped abruptly?

Orasone. Signup and view all the answers

What is true about Flexeril, a muscle relaxant?

It is a muscle relaxant and may develop tolerance. Signup and view all the answers

How should Zyloprim be taken?

Taken with plenty of fluids to prevent stone formation. Signup and view all the answers

Excessive accumulation of fluid in the tissues is known as what?

Edema. Signup and view all the answers

Which medication causes weakness, dry mouth, orthostatic hypotension, and headache?

Lasix. Signup and view all the answers

What should be monitored for after administering diuretics?

Hypokalemia and daily weight. Signup and view all the answers

What carries iron in the form of hemoglobin in the blood?

Red blood cells. Signup and view all the answers

What condition causes the heart not to pump effectively, leading to edema?

CHF. Signup and view all the answers

What should be monitored for after administering Lasix?

Urinary output. Signup and view all the answers

Which urinary tract medication may turn urine a red-orange color?

Pyridium. Signup and view all the answers

What should be assessed for someone taking Plavix?

Increased bruising. Signup and view all the answers

What conditions result from hyperglycemia?

Fruity breath, Kussmaul breathing, extreme thirst. Signup and view all the answers

What classification does Ancef fall under?

Antibiotic. Signup and view all the answers

What are the adverse drug reactions (ADRs) of anti-inflammatory steroids?

Mask infection, night sweats, hair loss, increased blood sugars, weight gain, prolonged bleeding and bruising. Signup and view all the answers

If a resident on a 1700 cc fluid restriction drank one 8-ounce glass of juice, two 6-ounce glasses of water, and a 12-ounce bottle of Mountain Dew, how many cc's are left for the 24-hour period?

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What is the systematic effect of medication that affects the entire body called?

Systemic effect. Signup and view all the answers

What is used to start a newly ordered medication that needs to be administered immediately?

EDK. Signup and view all the answers

What can only be obtained with a prescription?

Legend medications. Signup and view all the answers

What process changes a substance into a form that is more easily excreted by the body?

Metabolism or biotransformation. Signup and view all the answers

Who determines the need for and orders medication?

The physician. Signup and view all the answers

If you make or discover a medication error, what is the first thing you should do?

Tell the nurse. Signup and view all the answers

What is it called when medication moves from the site of administration into the bloodstream?

Absorption. Signup and view all the answers

What determines whether a medication will be absorbed in the stomach or intestine?

Chemical composition. Signup and view all the answers

What is the process by which a drug is eliminated from the body called?

Excretion. Signup and view all the answers

What organ most drugs are metabolized by?

The liver. Signup and view all the answers

What organ primarily excretes most oral and parenteral medications in urine?

Kidney. Signup and view all the answers

Maalox and Mylanta are classified as what?

Antacid. Signup and view all the answers

What is Kaopectate classified as?

Antidiarrheal. Signup and view all the answers

What is a laxative also known as?

Cathartics which promote bowel action. Signup and view all the answers

Compazine and Phenergan are classified as what?

Antiemetics. Signup and view all the answers

Aldactiazide is a diuretic that is a combination of what?

Aldactone and Hydrodiuril. Signup and view all the answers

Flexeril is classified as what?

Muscle relaxants, tolerance of the medication can occur. Signup and view all the answers

Study Notes

Medication Administration and Guidelines

QMA (Qualified Medication Aide) cannot administer controlled substances or medications by injection unless directed by the Director of Nursing (DON).
Six rights of medication administration: right dose, right time, right route, right resident, right medication, right documentation.
Importance of medical asepsis and standard precautions in preventing infections caused by pathogens.

Infection and Symptoms

Nosocomial infection refers to infections acquired in a hospital setting.
Pruritus is defined as intense itching.
Apnea indicates a temporary cessation of breathing.

Pain and Allergies

Pain is subjective and experienced differently by each individual; it can have visible signs.
Antihistamines help to reduce allergic reactions.

Vital Signs and Measurements

Blood pressure is typically measured at the brachial artery.
An abnormal body temperature is considered to be 101°F or higher.
Systolic blood pressure is the force of blood when the heart contracts.
Tympanic temperature is measured in the ear.

Medication Positioning and Communication

The dorsal recumbent position is ideal for administering vaginal creams.
Effective communication with residents includes observing feedback, receiving messages, and documenting feedback.

Pharmacology and Medication Safety

Pharmacology is the study of medications and their effects on the body.
Important steps when removing medication for administration: read the label, clarify questionable orders, and check against the MAR (Medication Administration Record).

Specific Medications and Conditions

Dimetapp and Benadryl are examples of antihistamines.
Fowlers position lifts the head of the bed (HOB) to 45-60 degrees to reduce aspiration risks when administering medication via g-tube or j-tube.
Sinemet is a medication that helps alleviate symptoms of Parkinson’s disease.
Aricept is administered to assist with Alzheimer’s disease.

General Medications and Procedures

Medication carts should be kept clean and orderly while passing medications.
Pediculosis refers to infestations of lice causing intense itching.
To instill ear drops effectively, the resident should be positioned sideways/laterally for 5 minutes for proper absorption.

Monitoring and Reporting

Notify the nurse for clarification on any undocumented medication administration times.
The half-life of a medication determines how often a dose should be repeated to maintain serum levels.
Initial and final safety steps are crucial in every interaction per facility policy.

Measurement and Conversion

Three teaspoons equal 15 milliliters; 7 ounces is equivalent to 210 cc's/ml.
The chemical regulators of body systems are hormones.

Conditions Treated by Medications

Scabies are treated with specific medications targeting mite infestations.
Chronic conditions like Alzheimer’s and COPD require careful monitoring and management of medications such as Aerobid and Ativan.

Specific Patient Profiles

Monitor Mr. Smith, a 76-year-old patient with multiple conditions, for proper administration of his various medications.
Mr. Yang has Alzheimer’s and COPD; Aerobid should be rinsed after use to prevent infections.
Pay attention to side effects of medications like Dilantin, which can cause swollen gums.

Medication Handling and Pharmacology

When administering PRN medications, follow the protocol of verifying with a nurse and obtaining authorization.
Healthcare workers are protected under duty of care laws.
Important note: Most medications are metabolized by the liver and excreted by the kidneys.

Laboratory and Tests

UA/C&S should be obtained prior to antibiotic treatment for UTIs.
Hemoccult testing is used to screen for fecal occult blood.

Other Key Facts

Conditions resulting from hyperglycemia include fruity breath and increased thirst.
Medications like Flexeril are muscle relaxants that require monitoring for tolerance.
Anti-inflammatory steroids can mask infections and have various side effects such as weight gain or night sweats.

Compliance and Communication

Legend medications must be prescribed; inform a nurse immediately if a medication error occurs.
Proper drug absorption depends on chemical composition and patient condition.

Summary of Key Drug Classes

Antacids and antidiarrheals are classified for specific gastrointestinal treatments.
Cathartics promote bowel movement and antiemetics manage nausea and vomiting.

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Description

Test your knowledge on Qualified Medication Aide (QMA) principles with these flashcards. Review key concepts including medication administration rights and safety precautions for QMA practices. Perfect for those in the healthcare field or preparing for certification.