Medication Aides
PCA Delegation
LPN Delegation
Drug Calculations
100
Was the idea of medication aides originally supported by nursing organizations?
No.
100
What are examples of patient care activities that may be delegated to a NAP?
Aide patients in activities of daily living such as dressing, bathing, feeding, and toileting Perform vital signs Assisting with range of motion exercises Collecting specimens Assisting in nursing procedures Answer call lights Aide in patient ambulation Provide mouth and skin care
100
What is the minimum certification that an LPN must hold to be able to administer an oral medication?
LPN degree plus medication class completion.
100
You have received an order to give 30mg of oxycodone PO to your recovering femur fracture patient. You have 10mg tablets available. How many tablets will you give?
3 tablets.
200
Can an 18 year old be a medication aide?
Yes, with the right certification.
200
What is an example of the most effective way to delegate a task?
Give rationale and be courteous.
200
Can LPN's administer intravenous drugs?
Only if he or she completes the IV administration class.
200
Your four year old patient is scheduled to receive 320mg of acetaminophen (Tylenol) PO. You have liquid Tylenol at 160mg/5mL. How many mL of Tylenol would you prepare?
10mL.
300
Who is ultimately responsible for making sure that the medication is given correctly?
The RN.
300
What is the result of incorrect delegation?
Compromised patient care or missed nursing care.
300
According to the Scott-Cawiezell study, nurses of what certification administered medications most often in the five midwest nursing homes?
Certified Medical Technicians/Aides.
300
You have received a physician's order for Vancomycin 500mg PO. How many 250mg tablets would you give this patient for one dose?
2 tablets.
400
Are medication aides permitted to administer oxygen?
No.
400
When would be an appropriate time for open communication and delegation of tasks?
Morning staff change.
400
Which group had the highest rate of error in medication administration?
RN's.
400
Your patient weighs 100 kilograms and is supposed to receive gentamicin at 3mg/kg/day. If the patient is scheduled to receive the gentamicin in 3 equal doses, how many milligrams will he receive in each dose.
100mg per dose.
500
How many hours of continuing education must a mediation aide complete on a biannual basis?
15 hours.
500
What are the five rights of delegation?
Right task Right circumstance Right person Right direction or communication Right supervision
500
True or false: in the Scott-Cawiezell study, the rate of medication error was significantly greater for RN's than for LPN's.
False. Although the raw data indicated that RN's have a higher rate of medication error, the difference was not statistically significant.
500
Your 60kg patient is supposed to receive 2mg/kg of her pain medication in each dose. How many tablets will she receive in her 0800 dose if each tablet is 30mg?
4 tablets.
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