Med Math
Order: Morphine 7.5 mg PO now
Available: Morphine 15 mg tablets
Q: How many tablets will you administer?
What is 0.5 tablet?
Needle angle for SC injections?
45–90 degrees
Needle angle for IM injections?
90 degrees
Before administering medications through a G-tube, the nurse should verify this.
What is tube placement?
Before administering an opioid such as morphine or hydromorphone, what is the nurse's priorty assessment?
What is respiratory rate and level of sedation/consciousness?
This is the most common medication administration route.
What is oral (PO)?
This medication route delivers medication through the skin over time
What is transdermal?
This must be checked against the MAR three times during medication preparation
What is medication label?
This device typically delivers the lowest amount of supplement oxygen
What is nasal cannula?
Order: Cephalexin (Keflex). Available: 250mg tablets. How many tablets do you give?
What is 3 tablets?
Maximum volume for most SC injections?
0.5ml-2ml
The maximum amount of fluid given in the deltoid muscle
What is 2 mL?
This should be done before and after administering medications through a G-tube.
What is flush the tube with water?
Name 3 symptoms of hypoglycemia
What is shakiness, sweating, chills, clammy skin fast or irregular heartbeat, Extreme hunger, Tingling, nervousness or anxiety moderate symptoms: Dizziness or light headedness, headache, confusion, blurred vision, weakness, drowsiness, mood swings, Severe symptoms: seizures, loss of consciousness, coma
The nurse should ensure the patient can do this before administering oral medications
What is swallow safely?
Before applying a new patch , the nurse should remove this.
What is the old patch?
A patient asks, " what is this medication for?" The nurse should do this
What is explain the medication?
Safe range of oxygen saturation for most adults is :
What is 95-100 %?
The Physcian Orders hydromorphone 1.5mg SC q4h PRN for pain. Available 2mg/mL . How many mL do you give?
What is 0.75mL?
Common Sc injections sites include the abdomen, upper arm, and this location.
What is the thigh?
What IM site is considered the safest for larger medication volumes
What is ventrogluteal site?
Multiple medications should generally be adminisitered this way through a G-tube.
What is one at a time?
What are 3 symptoms of Hyperglycemia
What is increased thirst, frequent urination, fatigue and blurred vision, unexplained fatigue or weakness, headache. Severe symptoms: nausea, vomiting, fruity smell breath, shortness of breath or rapid , labored breathing, confusion, flushed
Enteric- coated tablets should not be done to them
What is crush them?
The nurse should document this when applying a transdermal patch
What is location, date, and time?
A patient refuses medication. The nurse should first do this
What is determine the reason for refusal?
A patient with an SPO2 of 88 % is expericing
What is hypoxemia?
A child is prescribed Amoxicillin 250 mg PO q8h. Available: 125 mg/5 mL. How many mL will you administer per dose?
What is 10 mL?
The nurse should rotate insulin injection sites to prevent this complication?
What is lipodystrophy?
(localized complication of repeated insulin injections, subcutaneous fat tissue reacts abnormally: build up into firm rubbery lumps or break down into small, sunken dents)
When locating the ventrogluteal site, the nurse places the palm over this boney landmark
What is greater trochanter?
Extended- release medications should generally NOT be adminisitered through G-tube because they may be:
What is crushed?
A patient uses a metered-dose inhaler (MDI) incorrectly and complains that it “doesn’t work.” What is your nursing action?
Re-teach proper technique, provide a spacer if needed, observe the patient using it again
This medication form is designed to dissolve under the tongue
What is sublingual?
Heating pads should generally not be applied over medication patches because they can increase this.
What is medication absorption?
You find a medication already poured but unlabeled. What should you do?
What is discard it and prepare a new dose?
This position helps improve with lung expansion and breathing
What is High Fowlers position?
A child is prescribed Amoxicillin 125mg PO. The medication is available as 250mg/5ml. how many mL will you administer ?
What is 2.5 ml ?
Before giving insulin, the nurse should always check this blood test result.
What is blood glucose?
When giving an injection into the deltoid what is the needle gauge most often used.
What is 23-25g 1" ? (frequently used in clinical practice)
(22-25g most common IM range)
Patient needs a medication crushed for g tube medication administration but it is enteric coated. What should you do?
Call pharmacy, state that you need a liquid formulation of medication, you can't crush enteric coated meds
You are teaching a patient about a new inhaler, and they ask, “Do I need to hold my breath after I breathe in?” What do you say?
What is instruct them to hold breath for 10 seconds after inhalation to improve absorption
A patient beings coughing after taking oral medications. what is the priorty action?
What is assess airway and swallowing ability?
Where should transdermal patches be applied?
What is clean, dry, intact, and hairless skin on a flat surface, chest, back, upper arm, or flank (between ribs and pelvis) to prevent irritation
This is the FIRST action after discovering a medication error
What is assess the patient?
A patient becomes short of breath with an oxygen saturation of 84%. what is your priority action?
What is assess the patient and apply oxygen as ordered?
The provider orders 1.5g of Cefazolin IV Available: 500mg/vial. How many vials are required?
What is 3 vials?
Solution:
convert grams to mg first: 1.5g=1500mg
1500/500=3 vials
Your patient is receiving Humulin N and Humulin R at 0800 . Which Insulin do you draw up first?
What is Humulin R?
A patient reports numbness and shooting pain during an IM injection. what should the nurse do?
What is stop the injection and assess the patient?
A G-tube becomes clogged after medication administration. what is the nurse's first action?
What is attempt to flush with warm water?
What drug reverses an opioid overdose?
What is Narcan
A patient has a order for Metoprolol 50mg PO. Before administration, you assess a heart rate of 48bpm. what is the nurse's priority action?
What is hold medication and notify the charge nurse/ physician according to agency policy?
A patient arrives wearing two fentanyl patches. what is the priority nursing action?
What is assess the patient and notify the charge nurse/ physician immediately?
A nurse accidentally administers insulin to the wrong patient. The patient is currently asymoptomatic. What are the nurse's priority actions?
What are assess the patient, notify the charge nurse/ physician, monitor blood glucose, and follow agency policy for medication errors?
You enter a patients room and find:SPO2 84%, respiratory rate 32/min, patient is anxious and using accessory muscles to breathe. what is the nurse's priority action?
What is assess the patient, place in high fowlers position, apply oxygen according to orders/ protocol while calling for assistance