PCHA test questions with Complete
Solutions
Lewy Body Dementia:Lewy bodies are abnormal protein deposits that can
develop in the
brain, leading to fluctuating cognitive impairments, visual hallucinations, and
motor
symptoms similar to Parkinson's disease. - -Lewy bodies are abnormal
protein deposits that can develop in the
brain, leading to fluctuating cognitive impairments, visual hallucinations, and
motor
symptoms similar to Parkinson's disease
-What is the difference between a drug and medication? - -A DRUG is
defined as a substance that is
considered a narcotic, hallucinogen or a
stimulant
Remember a MEDICINE is a preparation
used to treat or prevent a disease
-What are the three components of a doctors order? - -Medication, route,
and frequency
-What is the most common and cost effective route of medication
administration? - -The oral route
-Ophthalmic medication - --Drops, ointments, or creams placed on or
around the eye.
-tilt head back and towards eye getting gtts, prevents drops getting into the
tear duck
-pt to look up and away to prevent top of dropper touching eye.
-Otic medication - --Drops, ointments, or creams placed on or around the
ear.
-Tilt head to affected area and upward
-What are the routes of medication administration? - -Oral, Ophthalmic,
Otic, inhalation, nasal, topical, and injectable
-Trade vs Generic drug name? - --Trade: developed, tested, and accepted
by pharmaceutical company.
-Generic: Names assigned by the United States adopted names council.
, -The BIG name, most common name is printed on the bottle is considered
the trade name.
-Is Tylenol a trade or generic name? - -Trade name, acetaminophen is the
generic name.
-Is Atorvastatin a trade or generic? - -Generic name, Crestor is the trade
name
-What is the difference between labeled use and off-label use? - -Labeled
use- medications are being used for what the FDA approved it for. Ex: Tylenol
being used for pain.
Off-labeled use- medications are being used for what the FDA DID NOT
approve for. Ex: Antidepressant being used for pain.
-What are 4 documentation requirements of the PCH? - -1. Documentation
of receipt of controlled
substances and prescription medications
2. A process to investigate and account for missing medications and
medication errors
3. Limited access to medication storage areas (med carts)
4. Documentation of the administration of
prescription medications and OTC
medications (this does not apply to the
resident who self administers medications
and stores them in their room) (EMAR)
-What are 5 elements a label should include? - --The residents name
-The name of the medication
-The date the prescription was issued
-The dose and instructions for administration
-The name and title of the prescriber
-Hw should medications of different route be stored? - -In separate areas in
the medication cart
-What is the medication cycle? - --Observation
-Report changes
-Communication w/ HC givers
-RECORD AND STORE
MEDICATION
-ADMINISTRATION AND DOCUMENTATION
-Observation
-Name and describe the different precautions - --Standard/universal
precautions - assumes that all residents are infected whether they are or not.
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