Exam (elaborations)
B260_ Med Admin, Safety, Hygiene, Mobility (2).
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B260_ Med Admin, Safety, Hygiene, Mobility (2).
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B260: Med Admin, Safety, Hygiene, Mobility- Have oxygen, suction, oral airway at bedside
- Padded side rails
- Saline locked IV for immediate access (High risk patients)
- Rapid intervention to maintain airway patency.
- Clutter free environment
-place head on soft surface and to the side - ANS-Seizure precautions
-promote patient comfort
-provide aseptic environment
-decreases skin breakdown - ANS-Purpose of bed making
.5-3 mL syringe
25-31 gauge
3/8-5/8 needle - ANS-Equipment sizes for sub-q injection
"Do you take your medications consistently?"
"Do you know how to take these prescriptions?"
"Do you know when to take your drugs?"
"Do you know why the health care provider has prescribed these medications?" - ANS-A patient
is on a large number of medications, and the nurse is concerned about the patient's personal
ability to manage taking all the medications at home. Which questions would the nurse ask to
assess the patient's potential safety risk?
(adj.) limp, not firm; lacking vigor or effectiveness - ANS-Flaccid
1-5 mL syringe
22-25 gauge
1-1.5 in needle - ANS-Equipment sizes for IM injection
1. Removing med from drawer: Label on med matches MAR (dosage calculation, review pt
allergies, check expiration date)
2. Preparing med. Check label with MAR
3. Checking against MAR in patient room immediately before administration - ANS-When does
nurse perform three checks on medication
a clot that forms on the wall of a vein, most of the time in the deep veins of the calves and
thighs. - ANS-What is Deep Vein Thrombosis (DVT)?
A safety strategy in which the patient sits up on the side of the bed prior to standing -
ANS-Dangling
, abdomen, anterior thigh, scapular, buttocks, outer aspect of the upper arm - ANS-Subcutaneous
injection sites
Abnormal formation of the spinal cord - ANS-What effect can occur from spina bifida
Adult with impaired gas exchange due to reduced lung capacity - ANS-Adult with impaired gas
exchange due to reduced lung capacity is likely to have
Adverse effects - ANS-Severe, unintended, unwanted reactions that occur when one drug
interacts with another (could be drug, or food) after single dose
After meals - ANS-Prescription states that a patient is to take a medication by mouth bid pc.
Which dosing instruction does pc elicit from this prescription
Allergic reaction - ANS-Unpredictable immune response caused by antibody reactions to
antigens
i.e. rash, itching, inflammation, swelling
Along rectal wall, 3-4 inches into rectum - ANS-How are rectal suppository placed
Alternate the cheek with each dose - ANS-Buccal irritation following admin of buccal med for 3
days. What instruction could have prevented the irritation?
an inadequate blood supply to an organ or part of the body, especially the heart muscles. -
ANS-Ischemia
Anaphylactic: Severe allergic reaction - ANS-Patient develops sudden onset of bronchiolar
constriction, edema of pharynx and larynx, and shortness of breath following admin of med.
What allergic reaction is patient experiencing?
any preventable event that may cause inappropriate medication use or jeopardize patient safety
- ANS-What is a medication error
Assess for adverse effects - ANS-Nurse gives patient the med at the wrong time. What is first
priority
at risk of blood, bodily fluids ,mucous membranes ,non intact skin cleansing - ANS-When do we
use gloves
Balance; steadiness - ANS-Equilibrium
before meals - ANS-Abbreviation "ac" means
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