Medication Administration
Absorption, metabolism, distribution, excretion
What are the four phases of a drug’s journey through the body?
What must you never do with enteric or time release p.o. medications?
Cut or crush
Diagnostic label, etiology, defining characteristics
What are three components of a complete nursing diagnosis?
“appears/seems to be,” “acceptable,” “normal, “doing well”
What are words to avoid in nursing documentation?
Philosophical ideals of what is right and what is wrong.
What is ethics?
Provocation/Quality/Region or radiation/Severity/ Timing
What is the PQRST method of pain assessment?
Congenital malformations produced in an embryo or fetus due to exposure to a harmful environment.
What is Teratogenesis?
A question that can be answered with a short, fixed response (such as Yes or No).
What is a closed-ended question?
Oral, sublingual, buccal or rectal
What are enteral methods of drug administration?
How many times are meds checked before administering?
What is 3?
A patient states, "I can't catch my breath" or rates their pain as a 5 on a scale from 0 to 10.
What is Subjective Data?
Situation, Background, Assessment, Recommendations
What are topics included in a nursing hand-off report?
The right of patients to make their own decisions based on their own beliefs and values.
What is Autonomy?
Pain that has a rapid onset and a duration of less than six months.
What is Acute Pain?
Decreased hepatic metabolism, increase in half-life of some drugs, increased response to oral drugs, decrease in first pass effects
What is altered in geriatric metabolism of drugs?
Question that encourage patients to provide a detailed response allowing expression of thoughts, feelings and opinions.
Water or a water-based soluble lubricant (such as KY jelly)
What type of lubricant should be used when inserting a suppository?
When are oral mediations contraindicated?
What is impaired swallowing, nausea/vomiting, NPO, absence of gag reflex.
Lab values, vital signs, head-to-toe assessment
What are examples of objective data?
Clarity, Conciseness, Relevance, Tone, Non-verbal cues
What are Components of Effective Verbal Communication?
The duty of nurses to do what is best for their patients while also respecting patient dignity and autonomy.
What is beneficence?
Pain that lasts longer than 6 months and interferes with daily activities.
What is Chronic Pain?
Inadequate supervision, increased individual variations, low therapeutic index medications, drug accumulation, polypharmacy and chronic illness.
What are attributing factors to adverse drug reactions in the geriatric client?
What is false reassurance?
Right patient, right drug, right time, right dose, right route.
What are the 5 rights of medication administration?
How do you help prevent aspiration when administering p.o. medications?
Patient should be in a 90-degree seated position.
Assessment, gather data, prioritize patient care needs using Maslow Hierarchy of Needs.
What steps need to be completed before making a nursing diagnosis?
Synthesis of information with relationships identified and formalized.
What is knowledge?
Keeping promises and being faithful and true to professional responsibilities.
What is Fidelity?
Chronic pain that is difficult or impossible to manage ordinary medical, surgical, nursing, or pharmaceutical measures.
What is Intractable Pain?
Drug passes through the GI tract to the liver and metabolized to an inactive form then excreted
What is the First Pass Effect?
A non-therapeutic communication technique where a caregiver offers solutions based on their own personal thoughts or opinions.
What is giving unsolicited advice?
Nasal congestion that occurs when you overuse nasal sprays.
What is Rebound Congestion?
What is the biggest risk associated with oral administration of medications?
What is aspiration
Specific, Measurable, Attainable, Realistic and Timely
What are the criteria for a patient goal/outcome?
This independent, not-for-profit organization accredits and certifies health care organizations and programs in the United States.
What is The Joint Commission?
The obligation not to harm a patient.
What is non-maleficence?
Chronic pain that occurs from injury to one or more nerves.
What is Neuropathic Pain?
The relationship between too much drug and not enough.
What is the Therapeutic Index?
A patient-centered process of using verbal and nonverbal communication to connect and correspond with patients.
What is Therapeutic Communication?
FDA regulated warnings on products that carry risks of death or serious injury.
What are Black Box Warnings?
Types of medications that you don't crush. Name 3
What is enteric coated, XR, SR?
When a nurse attempts to heal the whole person, the patient benefit is care that is described as this.
What is Holistic Care?
In your nursing note, this information informs the health care team what was done for the patient.
What is a nursing ACTION/intervention?
Fidelity, beneficence, autonomy, nonmaleficence
What are the 4 main principles that are part of the Nursing Code of Ethics?
Mechanical, Chemical, Thermal
What are the different types of noxious stimuli?
The most important factor when determining a child’s dose of commonly used pain medicines or fever reducers, including acetaminophen and ibuprofen.
What is the child's weight?
Repeating what the patient said using your own words to summarize the message you received.
What is restating?
Intravenous, intramuscular, subcutaneous and intrathecal.
What are parenteral methods of drug administration?
Given on a regular schedule until the provider cancels or replaces the order
What is a routine order?
This step involves measuring the extent to which the patient achieved the outcomes.
What is evaluation?
Provides proof of your work and care that has been provided to a patient.
What is nursing documentation?
A situation where a nurse must make a decision or perform an act that confilcts with their personal values or with the Code of Ethics for Nursing.
An unpleasant sensory and emotional experience associated with, or resembling that associated with, actual or potential tissue damage"
What is Pain?
A tightly locked layer of cells that defend your brain from harmful substances, germs and other things that could cause damage
What is the Blood-Brain Barrier?
Respect, time, patience, honesty, compassion.
What are five essential components of therapeutic communication?
Applied to the skin or mucous membranes for a localized effect
What is topical administration
What is the difference between bucccal and sublingual?
Sublingual is under the tongue and buccal is in the back of the mouth between the cheek and the back of the tongue.
In this step, the nurse analyzes patient data to identify patient strengths and health problems.
What is diagnosing?
This is private for the user, changed frequently, and should not be shared with anyone.
What is a password?
This occures when a nurse knows the ethically correct action to take but feels powerless to take that action.
What is Moral Distress?
Psychological (distraction), repositioning, physical therapy, thermal therapy, Complimental Alternative Therapy (CAM) approaches.
What are nonpharmacological pain management techniques.
This influence can cause non-compliance with medications due to adverse side effects such as impotence, gynecomastia, and increased hair growth.
What is Gender?
Communication that includes eye contact, facial expressions, posture, and body language.
What is non-verbal communication?
Any noxious, unintended, and undesired result of taking a drug in appropriate doses
Adverse reaction
Given at the request of a patient or when the nurse observes the need
What is a prn order?
This step involves collecting, validating, and communicating patient data.
What is assessing?
RN asks the PCA to change the patient's dressing and notify her of the patient's drainage.
What is negligent or inappropriate delegation and supervision?
The ability to act ethically and in the best interest of the patient, even if it involves personal risk or discomfort.
What is Moral Courage?
Constipation, nausea/vomiting, pruritis, respiratory depression, drowsiness.
What are some opioid analgesic side effects?
Patients have this “right” related to their medications due to religious or other cultural objections.
What is The Right to Refuse?
The technique of showing genuine interest in what your patient has to say (nodding and responding "I see).
What is active listening?
Besides using 2 identifiers what do you ask the patient before administering a new medication
Do you have any allergies?
To be given once and immediately
What is a STAT order?
In this step, the nurse carries out the plan of care.
What is implementing?
These essential pieces of information should end all nursing documentation.
What is a signature with credentials?
An individual's ability to make moral choices based on some notion of right and wrong and to be held accountable for these actions.
What is Moral Agency?
This is a normal process of pain stimuli caused by tissue injury or damage.
What is Nociceptive Pain?
The categories of drugs that should be avoided during pregnancy is what?
What are Categories D and X?
The technique of repeating what you think the patient is saying and asking whether you are making a correct interpretation.
What is seeking clarification?