Injections
Name the three types of injections.
What are intradermal, subcutaneous and intramuscular?
Explain what PRN stands for.
What is as needed?
MD writes an order for Colace 50 mg daily via PEG tube. Pharmacy dispenses you with 100 mg/ 15 ml. How many ml will you administer per dose?
A. 50 ml/dose
B. 7.5ml/dose
C. 15 ml/dose
D. 2.5 ml/dose
Correct answer: B. 7.5ml/dose
Order that is followed until another order cancels it or it is discontinued.
What is a routine order?
Done immediately after a medication is administered.
What is documentation?
Name the five sites for subcutaneous injections.
What are the back of the arm, the abdomen, the outer mid-thigh, the buttocks and below the scapula.
Meaning of ADPIE
Assessment
Nursing diagnosis
Planning
Implementation
Evaluate
MD writes an order for Ibuprofen 300 mg by mouth every 4 hours for pain. Pharmacy dispenses you with 50 mg/ 2.5 ml. How many ml will you administer per dose?
A. 17 ml/dose
B. 5 ml/dose
C. 15 ml/dose
D. 150 ml/dose
Correct answer: C. 15 ml/dose
This is the definition of a STAT medication order.
What is One time order administered without delay?
Simplest and most convenient way of administration of medication
What is oral route?
Name the four sites for intramuscular injections.
What is vastus lateralis, deltoid and ventrogluteal and rectus femoris?
State what you should do when a pill falls on the floor.
Pill is contaminated and need to be re-dispensed per agency policy
MD writes an order for Dilantin 1000 mg by mouth daily. Pharmacy dispenses you with 0.5 gram per capsule of Dilantin. How many capsules do you administer per dose?
A. 2 capsules/dose
B. 0.5 capsules/dose
C. 0.2 capsules/dose
D. 3 capsules/dose
Correct answer: A. 2 capsules/dose
Define a controlled substance count.
What is controlled substances must be counted by 2 nurses at every shift change (Discrepancies are reported immediately.)
State what should be assessed for an elderly patient before giving medications.
What is assess for swallowing difficulty.
State which 2 angles you can inject a SQ injection and why you would choose one over the other.
What are 45 and 90 degrees. You would do 45 degrees for a person without much fat.
State who writes an incident report when a medication error occurs.
What is the nurse who discovers the error?
MD writes an order for Demerol oral suspension 50 mg by mouth every 6 hours for pain. Pharmacy dispenses you with 25 mg/ 2 ml. How many teaspoons will you give per dose?
A. 0.5 tsp/dose
B. 2 tsp/dose
C. 0.8 tsp/dose
D. 250 ml/dose
Correct answer: C. 0.8 tsp/dose
This should be done after you receive a telephone/verbal order.
What is Always "read back" order for verification?
Clients right related to mediation.
What is Pt's have the right to refuse their Medications?
Describe how to find the ventrogluteal site.
Place palm over greater trochanter with index finger towards the anterior iliac spine, make a v-shape with third finger by spreading it towards the posterior iliac crest and inject in triangle.
You received an order to infuse 750mL of NS over 8 hours. You will set that pump rate at (round to the nearest tenth):
750/8=93.75
Phenytoin (Dilantin), 0.1 g PO, is ordered to be given through a nasogastric tube. Phenytoin is available as 30 mg / 5 mL. How much would the nurse administer?
What is 16.7mL?
List all the essential parts of a medication order.
Name of pt
age or DOB
Date and time of order
drug name
Dose, frequency and route
Name/signature of prescriber
Name the six rights of medication administration.
What is right medication, right patient, right dose, right route, right documentation and right time?
When giving injections this should be done to reduce bruising and improve absorption of medication.
What is rotate sites?
Name the four methods of medication packaging.
Unit Dose
Blistered Card
Individual pill packs
Stock meds
Your client has IV fluids ordered to run continuously at 125 mL/hr. You have a 1,000 mL bag that you hung at 1325. At what time, in military time, will you need to hang a new bag?
What is 2125?
1000/125=8 hrs
1325+8hrs=2125
What is inject air into the long acting (cloudy), inject air into the short acting (clear), draw up the short acting (clear) then draw up the long acting (cloudy).
Steps the nurse takes after a medication error occurs.
What is assess the patient, notify the physician, implement new orders and complete an incident report?