Rights
Which action demonstrates the nurse's application of the six rights to ensure the safe administration of medication?
What is checking the order with the MAR three times?
The correct gauge sizes for SQ injections?
What are 23-25 gauges.
This method is when the medication is trapped into the muscle.
What is Z - track?
Interpret this order "Give patient 3 gtts OU BID"
What is 3 drops in both eyes twice a day?
A surgical patient is prescribed RTC Acetaminophen 1,000mg Q8HR for non narcotic analgesia. This is why a nurse might hold the med.
What are liver problems.
This an example of an osmotic laxative
What is Miralax
The patient is taking 81mg of ASA daily
To prevent blood clots or a DVT
The MD orders 150mg of Wellbutrin PO daily, but the pharmacy only stocks 25mg tablets.
What is give the patient 6 tablets
Identify the correct right when the nurse is checking the arm band.
What is right patient
Correct way to mix Regular and NPH insulin.
What is air in the cloudy (NPH), air in the clear (regular), draw up the regular (clear), and then draw up the NPH (cloudy)?
Correct gauge size for IM injections.
The nurse recognizes that medications ending in "olol" are of what type of drug class
What are Beta Blockers?
The Z-track method is used to:
What is trap the medication into the muscle?
This is the mechanism of action for osmotic laxatives
It draws water into the stool, bulking up the stool; which in turn pushes on the baroreceptors, telling the body to evacuate the chamber
The patient is about to work with PT and they are scheduled to take their BP med. These are the parameters to meet.
What is having a systolic BP >90 or a HR >60 bpm
HCTZ HydoCholaThiaZide comes in 25 mg tablets, but the MD has ordered 12..5mg
What is the nurse needs to cut the pill in half.
At 0700, the nurse is performing their first check, the nurse sees that the medication was supposed to be given at 0400. What right is violated?
What is Right Time?
Complications from a subcutaneous injection the nurse would assess for. (three answers)
What is pain, hypertrophy of the skin, abscess?
"Palm on the greater trochanter, index finger to the anterior superior iliac spine, the middle finger to the iliac crest, and in between the V will be the spot of injection".
What is the ventrogluteal?
The nurse recognizes that medications ending in "-pril" are of what type of drug class
What is anti-hypertensive? Specidfically Ace inhibitors.
Format of the drug name will be on NCLEX.
What is generic?
This is an example of a stool softener
What is colace or docusate sodium ..DSS
The MD ordered Colace 250mg PO daily after surgery. This why a nurse would withhold the med.
What pt has loose stools
Toradol comes in 30mg/ml and the MD has ordered 15mg Q6HR RTC. This is the correct dose to draw up.
What is 0.5ml = 15mg
The number of MAR checks performed on medication administration.
What is three checks?
What is the right side?
The angle to give in an thin patient.
What is 90 degrees?
Assessment that needs to be performed prior to giving a PO medication.
What is swallowing?
Correct positioning for suppository insertion.
What is side-lying or dorsal recumbent?
The mechanism of action for DSS?
Incorporates water and fat into the stool making it soft and easy to pass.
MD orders Heparin 5,000 units SQ daily and the nurse checks these labs first because...
H/H to check to see if patient is already anemic
Platelets to make sure they can still clot if necc.
CrCl to make sure the kidneys can excrete the med properly
MD orders 500mg of Tylenol Q6HR. This is how many Grams the pt is taking per day.
What is 2 grams /day
The nurse is giving a pain medication for a pain of 8/10 on pain scale, the nurse checked th e MAR and the drug to give is Morphine 4mg IM. The nurse pulls a pre-filled syringe from the patient's profile and the label states "Meperidine 75mg". What right would this violate if she gave the medication?
What is Right medication
Insulin is scheduled to be given at 0800 to a patient, the blood sugar is 75. What is the priority action by the nurse?
What is call the provider to hold the medication?
The part of the syringe that can be touched and not contaminated is:
What is outside of the barrel?
Only PO medication that can be cut in half?
What is scored?
The acronym BLT refers to which precautionary guidelines for a back surgery patient?
What are NO BENDING LIFTING OR TWISTING?
This is a stimulant laxative
What is Senna?
The reason why Senna works
What is because it is a stimulant laxative and causes increased peristalsis
Norvasc comes in 10mg tablets and the MD orders 25mg STAT for a BP of 160/85. The nurse gives this many tablets
What is 2.5 tablets