Medication Administration
500 mLs of urine in last 4.5 hours. How many mLs per hour is this?
111.1 mLs/hour
How do you hold the ear for an adult client when administering otic drops?
Pull pinna up and back
What can you do if your patient has an indwelling urinary catheter and complains of bladder fullness?
Irrigate the catheter
How often should ostomy pouches be changed?
Every 3 to 7 days or sooner if drainage is seen -assess and change the pouch and perform ostomy care when needed
What organs does a KUB examine?
Visualizes the kidneys, ureters, and bladder (abdomen)
This type of enema works by osmotic pressure, drawing fluid out of interstitial spaces into the colon, which then fills with fluids and distends.
What is a hypertonic enema?
How do you administer ophthalmic drops?
Instill drops in outer third of the lower conjunctival sack
What is a bladder scanner and when can you use it?
It measures the amount of urine in the bladder, it is commonly used after indwelling urinary catheters have been d/c if patient has not urinated within 8 hours
What specific types of foods can you educate your patient on who is constipated?
Green leafy vegetables, fruits
What position should your patient be in for a bone marrow biopsy?
prone or lateral position
You are administering Morphine 2 mg IV. What do you check before administrating the medication?
The patients respiratory status specifically their respiratory rate
What position do you have your patient in when administrating rectal medications?
Left lateral or left sims position with upper leg flexed
You are inserting an indwelling urethral catheter. After wiping from front to back what do you do next?
Lubricate the catheter tip
When administrating an enema what position should your patient be in?
Left side-lying position.
What do you do right after puncturing the capillary site when checking a blood glucose on your patient?
Using a 2 × 2 gauze pad or cotton ball, wipe off the first drop of blood and any remaining alcohol.
What are the 6 rights of medication administration?
The right drug, right dose, right time, right route, right patient, and right documentation.
You accidentally administered a medication to the wrong patient. What do you do first?
Assess the patient!!
What does a decreased BUN indicate?
Increased urine output, overhydration
What is some education you can provide to your patient on promoting good bowel health?
Exercise, high fiber diet, positive attitude, etc.
Fecal occult blood test
What is a guaiac test?
What type of injections (IV, IM, Intradermal, etc) do you administer at a 15 degree angle?
Intradermal injections
How do you apply topical medications?
Directly on the affected area on the skin
A slight loss of urine after sneezing, coughing, or laughing to complete inability to control urination.
What is stress incontinence?
You notice excessive drainage around your patients ostomy. What should you do?
Perform ostomy care and apply a new ostomy bag
Dark tarry stools
What is melena?