Alternative Routes
Name the six rights of medication administration.
What is right medication, right patient, right dose, right route, right documentation and right time?
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
Choose what degree the head of the bed should be elevated to when a patient is receiving tube feeding.
1. lying flat
2. 15 degrees
3. 30 degrees
4. 90 degrees
What is 30 degrees?
The health care provider has ordered a sputum specimen to be collected on a patient. Which statement is appropriate teaching for this patient?
A) "We will have to wait for the respiratory department to help."
B) "Here is a cup, just spit in this."
C) "The sputum cannot contain any saliva."
D) "You cannot drink any fluid until the specimen is obtained."
What is C- "The sputum cannot contain any saliva."
Name two alternative routes (non-oral) of medication administration.
What is topical, transdermal, sublingual, eye/ear drops, nasal spray, inhalers, rectal suppository, vaginal suppository or creams and buccal, intravenous, subcutaneous.
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
Which of the following are indications for a NG tube. SATA
1. decompression
2. decreased appetite
3. enteral feeding
4. dehydration
5. gastric lavage
What are lavage, decompression and enteral feeding
Rank order the following instructions that the nurse would tell a female patient who needed to obtain a midstream urine specimen.
A) Start voiding directly into the toilet.
B) Discard the last of the stream of urine into the toliet
C) Perform hand hygiene before obtaining the specimen.
D) Clean the perineum by wiping from front to back.
E) Collect a small amount of urine in the container.
What is Hand hygiene, Wipe perineum, Toilet, Collect, Discard
Explain how to administer a sublingual medication.
What is place medication under patients tongue and instruct them to allow it to dissolve?
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
Which of the following are complications of enteral feedings? SATA:
1. aspiration
2. shortness of breath
3. diarrhea
4. tube occlusion
5. black tarry stools
6. chest pain
What are:
1. aspiration
3. diarrhea
4. tube occlusion
What is the next step performed by the nurse after a specimen has been obtained?
A) Check the order for specific prerequisites.
B) Properly identify it (patient label, date/time obtained)
C) Place it on ice.
D) Send it to laboratory.
What is Properly identify it?
Explain how to use a spacer for an inhaler.
What is place spacer on inhaler and spray medication into chamber. Then have patient breath out and then inhale medication at a slow rate?
MD writes an order to administer 15mg/kg PO BID to a child that weighs 44 pounds. The medication is available in 100mg/mL. How much will you give per dose?
What is 3 mL.
These 3 ways are used to check appropriate position of the enteral tube.
What is Xray (Gold standard), pH (< or + 5.5), and verifying nasal marking or length of tube outside the nare or abdomen is the same as when it was placed.
A patient has an indwelling urinary catheter. A sterile urine specimen has been ordered for culture and sensitivity. Which is the best method for the nurse to collect the urine specimen?
A) Obtain 60 mL of urine from the collection bag.
B) Remove the current catheter, have the patient void, and then recatheterize.
C) Disconnect the tubing from the catheter and drain 2 mL of urine.
D) Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol.
Aspirate 10 mL of urine with a sterile syringe from the tubing port after cleaning with alcohol.
Explain how to give an otic medication to an adult and child.
What is have client turn head towards opposite ear, pull pinna up and back for an adult and straight back for a child.
The provider orders 500mL IVF to infuse over the next 4 hours. What will you set the pump rate?
What is 125ml/hr.
Your patient has a g/j tube, explain the difference between the two ports and why the j port would be used. (Where does the gastrectomy port go? Where does the jejunostomy port go?)
What is the g port (gastric port) enters directly to the stomach while the j port (jejunostomy port) bypasses the stomach and ends in the small intestine? This would be used to reduce the risk of aspiration.
Rank order the instructions that would be given to the patient who is to collect a 24-hour urine specimen.
A) Place the collection container on ice.
B) Discard the first voided specimen and then collect the total volume of each void.
C) Explain the importance of collecting all voiding.
D) Instruct the patient not to allow toilet tissue or stool to enter the collection container.
E) Collect each void in a urine hat and add to the larger collection container
F) Educate the client to empty the last of the bladder at the end time (24hr) of the test to ensure all urine made for the 24 hours was collected
Explain, Instruct, Place, Discard, Collect, Educate