Oral meds
How many times are you checking the medication against the MAR?
3
What angle are you giving an IM injection at?
90 degrees
What angle do you give a SubQ injection at?
45 degrees
Is it alright to massage the injection site afterwards?
No
Explain how to instill eye drops
Pull down the lower conjunctival sac and place drop in that area.
What should you do if the medication falls on the floor? Is it any different if the medication is a narcotic?
Throw it away, document the waste and if narcotic it must be a two person waste with another nurse
What do we need to ask the patient if they are allergic to before taking a flu vaccine?
eggs
List some sites you can give Sub Q injections at? What is the preferred site due to absorption?
abdomen, behind the arm,
What is usually the chosen site to give an Intradermal injection at?
Forearm
Explain how to give ear drops to an adult vs child.
For child under 3: Pull ear down and back
You patient takes the oral medication but within a minute the patient vomits up the medication, what are your next steps?
Document it, depending on the meds you will need to ask provider for IV med or give something to the patient to settle the stomach and try later
Name 3 sites where you can give IM injections at?
Deltoid, vastus lateralis, ventrogluteal
What is the name of the medication that is given as a preventative in the hospital to prevent blood clots and it is an injectable?
enoxaparin (Lovenox)
What angle are you giving the Intradermal injection at?
10-15 degrees
Explain how to use an inhaler
Remove cap and shake inhaler, breathe out all the way, breathe in and press down, hold your breathe for a count of 10, slowly breathe out.
Your patient tells you he has trouble swallowing big pills, what would you do next?
Crush the medication if you can, see if there is an alternative med in a different form such as liquid
Why do we use the Z-track method to give an IM injection?
Prevents drug leaking out and helps to keep the medication get into the muscle
Explain what onset, peak, and duration is?
onset-when if first starts working, peak-when it is working the best, and duration is how long it lasts
What is one of the most important things to tell your patient before and after getting a TB injection for the first time?
Make sure they can come back in 48-72 hours to get the test read, if not they will need to do the test all over again.
Explain how to put on a nicotine patch
It is important to rotate sites, time, date, and initial the patch
What are the six rights of medication administration?
Right person, med, time, dose, route, documentation, reason
An adult client received the annual influenza vaccine yesterday afternoon and now presented back to the clinic today feeling very tired and has a sore arm. Temperature is 99.3 F, what is your best action?
Tell the patient that this is a normal inflammatory response.
How often do you give your long acting insulin such as Lantus, and it has a duration of how long?
once daily and 24 hours
If your patient needed to get further testing done due to suspected TB infection, what are the two other tests we would do?
Chest x-ray and sputum culture
Explain how to give nasal spray.