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nur 155 exam 4 galen

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 19 pages. Originally published on StudyMerit.

Pages
19
Academic year
2025/2026
Language
English

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NUR 155 EXAM 4: MED ADMINISTRATION:  Six rights: ALWAYS CHECK PT ALLERGIES & MED EXPIRATION DATE  Right drug – verify using 3 checks:  When taking the drug out of the drawer/dispensing unit  When comparing drug with the MAR as the drug is being prepared  At the bedside immediately before administration  Right dose –  Verify calculation of the dose is correct & strength is correct  Dose prescribed is appropriate for the patient  Have another nurse check  Right time –  Administer within the right time frame (30 minutes before to 30 minutes after scheduled time)  Correct time system – USUALLY MILITARY TIME to avoid errors in day/night  Right route – verify that the medication will be administered by the right route, meds can ONLY be given the route that IS PRESCRIBED  PO – oral (by mouth)  SL – sublingual (under the tongue)  Buccal (against the cheek)  Parenteral (by injection or infusion)  PR – rectal  Vaginal  Topical (on skin or mucous membrane)  Transdermal  Subcutaneous  IM – intramuscular  Intradermal  IV  Inhalation (taken into body through respiratory tract)  Right patient –  Barcode scanning system OR verify patient using 2 identifiers (full name & DOB)  NEVER use patients room number or physical location to verify identity  Right documentation –  ONLY document AFTER administering med to reflect administration, refusal or withholding of prescribed med  Verify accuracy/complete Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) Scan to open on Studocu lOMoARcPSD|14174986

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 Note any adverse reactions/side effects  Safety checks when giving meds: 3 checks in detail -  1 st check – upon removal  Read the MAR and remove the medications from the client’s drawer. Verify that the clients name and room number match the MAR.  Compare the label of the medication against the MAR  If the dosage does not match the MAR, determine if you need to do a math calculation  Check the expiration date of the medication  2 nd check – when preparing  While preparing the medication (pouring, drawing up or placing unopened package in a medicine cup), look at the medication label and check against the MAR  3 rd check – at bedside  Recheck the label on the container (vial, bottle or unused unit-dose medication) against the MR before returning to its storage OR before giving the medication to the client  6 rights & HIGH RISK SITUATIONS –  Right drug:  Incorrectly dispensing and giving a med with a name similar to the one prescribed  Administer a med that the nurse did not prepare  Incorrectly identifying a medication  Not listening to a patient who reports that the medication looks different from that given previously  Right dose:  Needing multiple tablets, capsules, or med cups to prepare a single dose  Having a large change in prescribed dosage  Having a unit dose or dose supplied by the pharm that does not match the prescribed dose  Not listening to a patient who states that the dose being offered is different than that normally taken  Using unstandardized measuring devices (like a plastic spoon)  Breaking tablets that are not scored into pieces or not using an accepted cutting device to split tablet  Leaving part of a crushed med behind in the crushing device or the patient not eating all the door or liquid the med is crushed into  Not knowing the usual or safe dosage range Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) Scan to open on Studocu lOMoARcPSD|14174986

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 Incorrect calculation of dose ordered compared with supplied medication  Right time:  Giving all med at convenient times for the nurse instead of at the time they are most effective  Not administering medications according to specific needs, such as with food, or on an empty stomach  Missing doses and needing to reschedule times  Not adhering to prescribed frequency for PRN doses (giving more frequent than permitted)  Right route:  Not knowing the meds usual route  Not looking up unfamiliar meds  Preparing parenteral doses that are not designated for the parenteral route  Right patient:  Incorrectly identifying the patient with similar names  Bypassing the ID process and relying on memory of previous patient interactions  Relying on unsafe ID means (like patient room number)  Using a smudged or illegible name band as ID  Right Documentation:  Using incomplete, inaccurate, or illegible med information  Lacking documentation of the assessment data required for med, such as lab values and AP rate  Documenting administration before meds are administered  Failing to document the meds administers  Failing to document notification of provider when dose is not administered  Failing to document the patient response to meds  Patient rights:  Right to be informed of the name, purpose, and potential side effects of the medication  Right to refuse medication  Right to have an accurate medication history taken by qualified person  Right to receive med in accordance with the 6 rights of med administration  UAP MAY NOT ADMINISTER MED, CANNOT BE DELEGATED!!!  NEVER GIVE MEDS YOU DID NOT DRAW UP! Downloaded by Aisyln Vaughn (samuelkingstone40@gmail.com) Scan to open on Studocu lOMoARcPSD|14174986

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