PTS: 1 DIF: Cognitive Level: Comprehension … Where would the procedures and treatments directed by the health care provider be found? A stylet is a sharp, ________-_______ metal guide that is used to pierce the ______ and _____. The nurse should follow the health care facility's policy when taking verbal or telephone orders. 1, less, epinephrine, intradermal, subcut. Because of its proximity to the ________ nerve and __________ __________ artery, this muscle is no longer recommended as a preferred injection site. Very young and very old people generally react more acutely to drugs than do other people. Drugs enter the body through three general routes: _________, ___________, and____________. Safety-Glide syringes are used to prevent ____________, Disposable, single-dose, prefilled syringes are available for some medications such as ________ _________ or enoxaparin sodium (Lovenox), The ________ and _________ injection systems include reusable plastic or metal syringes that hold prefilled, disposable, sterile cartridge-_________ units, The parts of a needle are the _______, the ________, and the ________ tip, The opening at the needle's beveled tip reveals the ________. The advantages of the ventrogluteal site are that. CHAPTER 21. The nurse should choose a clean, dry area of the body. The two most common names for medications are the _______ name and the ________name. When removed from the patient's vein, the stylet should be able to be _________ or manipulated in some way to make it safer, so as to reduce needlesticks during IV needle insertion. Medication administration is the final step in the medication delivery cycle before a prescribed drug reaches a patient. Vials are glass containers sealed with a metal cap, with a rubber diaphragm in the middle of the cap. a. dimensional analysis method, also called ________ ________ or the ________ ________ method. For sublingual administration of a drug (usually in tablet form), the tablet is placed _________ the tongue and held there until the tablet dissolves and is absorbed into the patient's ___________. Below is a Nur 101 medication administration test designed to help you prepare for the midterms From Foundations of Nursing by Christensen and Kockrow, Chapter 23, pages 681-736. The nurse should understand that some PO medications are ___________ to the patient's _____ _______. Irritating drugs are administered after or with meals so that they produce fewer GI side effects, such as nausea. Learn. The nurse administers insulin, heparin, enoxaparin (Lovenox), dalteparin (Fragmin), epoetin alfa (Epogen), and filgrastim (Neupogen) by the ________ route. The U50 syringe holds _____ units of insulin per _____ mL. It looks like your browser needs an update. Discuss the role of safety, accuracy, and Due to the potential danger of medication administration, it is Many medications come in liquid form; if they do not, solid tablets may be pulverized in a mortar and pestle, and capsules can be opened. The new medication comes as a combination of glyburide and metformin (2.5 mg/500 mg). The usual needle length is ______ to _____ inch, and a 25-gauge needle is the one of choice for subcut. The nurse should inspect the medication's label, Nasogastric (NG) tubes that are used to provide nutrition directly into the stomach are used to administer liquid medications to _____________ patients, ___________ patients (patients who have difficulty swallowing), and those who are too ill to eat, It is also possible to use a gastrostomy tube (placed through the abdominal wall and into the stomach) or jejunostomy tube (placed through the abdominal wall and into the jejunum) in the same manner as the ______ ________, Not all tablets, however, are safe to be crushed (e.g., __________ coated), and not all capsules are safe to be opened (e.g., medications that are _______ _________), how much water should you mix with a medication in powdered form. By following the six "rights," performing the three label checks (to be described), using standard precautions, practicing good hand hygiene, and using ________ technique, the nurse ensures excellent drug administration practice. The nurse can help increase the patient's compliance with the medication regimen with adequate education about the medication. prior to medication administration to ensure the patient is receiving the correct medication for the … After dissolution, the active ingredient, such as nitroglycerin, is rapidly absorbed into the bloodstream. Medication Administration & Nursing Chapter Exam Take this practice test to check your existing knowledge of the course material. So, if you are a nursing student or studying health care and want to test your knowledge on such topic then this quiz is at your service. Identify the eight medication rights and three patient checks. The physician states that you should give Mr. Smith the amount of glyburide that matches his 1 g of metformin per day. The nurse should check the patient's identification bracelet to validate his or her name and date of birth, and then the nurse should _____ the patient his or her name and date of birth. Medications produce two general types of actions in a patient's body: _________ and _________. They are to be completed before other orders. In the (MAR), whether a chart or in a computer, identify the drug ________, the _________, and the ________ the medication was actually given (not the time it is supposed to be given), It is not appropriate to document the administration of a medication until ________ the medication is given. There are factors that the health care provider should consider when ordering medication for a child: age, weight, body surface area, and the ability of the child to absorb, metabolize, and excrete medication. The nurse should use the upper _________, the inner aspect of the ______ _______, or the ___________ area for intradermal injections. 1. Chapter Objectives 1. IV piggybacks are drug infusions that are given at _________, such as every 6 hours (q 6 hr). Section: Title: 1 Basic Math Skills: 2 Organizing Mathematics for Medication Administration: 3 Medication Administration Safety: 4 Identifying Labels, Syringes, and Intravenous Drugs: 5 Executing Physician's Orders: Naloxone blocks the action of the ______. The body's _________ respond to the action of the drug and change as the drug is _____________. Oh no! The tuberculin syringe (Figure 21-6) holds a total volume of _____ mL. Learn vocabulary, terms, and more with flashcards, games, and other study tools. An intradermal injection is the introduction of a _________ needle into the ________ for the purpose of instilling a substance such as a serum, vaccine, or skin test agent. (also called factor labeling or the label factor method), dosages are calculated with the use of the following three factors: an apparatus that is used to deliver measured amounts of IV solutions of specific flow rates that are based on the size of drops of the solution, tablets are encased by a coated shell that keeps the tablet from being absorbed in the stomach; absorption takes place in the intestines. Adhesive-backed medicated patches are applied to the skin and provide sustained, ____________ release of medication over several hours or days. Legal/Ethical 2.1 Legal/Ethical Introduction 2.2 Ethical and Professional 2.3 Legal Remove Chapter 21 and replace with the revised Chapter 21. b. Learn vocabulary, terms, and more with flashcards, games, and other study tools. a. The nurse may ________ the orders without having to contact the health care provider to _______ orders. a. the relationship of one number or quantity to another number or quantity. This companion site is comprised of various exciting interactive features … 16: Mr. Smith's blood sugar has not stabilized, so the physician decides to add glyburide to his medication regimen to control the blood sugar. What is the correct conversion for the improper fraction ? Suppositories dissolve at ________ temperature and are absorbed directly into the _________. The suffixes provide information about the classification and uses of medications. Verbal orders should be transcribed or entered into a _________, per facility policy. pharmaceutical phase: from the manufacturing of the drug until the __________ of the drug in the patient's body. a substance produced by metabolic action, which results in the breakdown of the drug. Emani Mitchell Open Book Quiz Chapter 21: Mathematics Review and Medication Administration 10. Needle gauge selection is based on the ____________ (thickness) of the medication: The thicker the medication, the _________ the gauge (the larger the lumen) required. c. Work the problem by hand and then … A body systems approach to pharmacology with a basic math review and a focus on drug classifications prepare readers for the clinical situations in which specific drugs are used. This section does not apply to the reports required by 820.20(c) Management review, 820.22 Quality audits, and supplier audit reports used to meet the requirements of 820.50(a) Evaluation of suppliers, contractors, and City Colleges of Chicago, Wilbur Wright College, City Colleges of Chicago, Wilbur Wright College • NURS NUR 140. The eardrops should be at _______temperature when applied. The 3-mL syringe is chosen for giving volumes of medication of ____-_____ mL. Start studying EAQ - Chapter 21 Mathematics Review and Medication. The nurse should inject these types of medications (listed above) into the loose __________ tissue between the _________ and the _______ layer. Chapter 6: A Review of Arithmetic Test Bank MULTIPLE CHOICE 1. The patient's health care provider should also be notified. Completely revises Chapter 21, Pharmacy Operation and Drug Control. Drug tolerance either is acquired from taking ________ dosages of the drug over time or may result from________ factors that are unique to the individual. Drug information is presented in numerous tables for ready reference, including data on generic names, trade names, route(s) of administration, usual dosage(s), and adverse reactions. Some drugs can be absorbed through the mucous membranes of the ____________ tract. Disease processes may alter medication dosage requirements, particularly in patients with renal, hepatic, cardiovascular, and gastrointestinal (GI) disorders. __________ or ___________ changes that occur after administration of a medication probably represent an adverse drug reaction, drug hypersensitivity, or intolerance to the drug. With dimensional analysis, the conversion factor is built into the equation and is included when the units of measurement of the drug order and drug container differ. 35 120 milligrams rain I 1 tablet 1 _____ g 3. The medication cart holds the unit doses for each patient. Section I. Pharmacy Administration 21-1 . It is used to give volumes of medication of 1 mL or _______. Too much morphine sulfate may produce life-threatening depression of the _________ and ________. It is possible to give liquids PO or via a __________, __________, or __________ tube. The plastic catheter is left in the _______, and IV ________ or an IV ______ may be attached to the catheter. View Notes - Chapter 21 Mathematics Review and Medication Administration.rtf from NUB 101 at California Coast University. Computer-controlled dispensing systems are a combination of _______-________ and ________ _______ systems. The nurse usually must utilize a __________-_________ system with two separate keys, At the end of each shift, controlled drugs in the storage container are carefully __________ by a designated nurse from the outgoing shift and by a nurse from the incoming shift. Now orders are high in priority but should be completed after stat orders. the nurse places one hand above the patient's _______ and one hand below the greater __________. The tip of the barrel is either the plain ______ _______ or the ______-______ type. The unit-dose system is typically used with a portable medication ______ that contains drawers, A unit dose is the __________ amount of medication that the patient is supposed to receive at a prescribed _______. The nurse should make sure the drug to be given is the correct drug, and performs the three label checks: checking the label on the drug's container three times—_________,_________, and _______ preparation. The short lines represent_____ mL; the longer lines represent ______ mL. Today’s employers look for young people with The nurse should ensure that the health care provider's order includes the following: __________,__________, and other controlled medications that have a high possibility for abuse, addiction, or theft are kept in a secured area, In facilities where computerized systems are not used, special ______ must be used to obtain these types of medications for patients when they are ordered. The patient who cannot coordinate the medication with the inhalation cannot receive a ______ dose. Divide the numerator by … Clinical Medication Review – A Practice Guide Page 3 of 28 NHS Brent CCG, April 2014 Adapted from an original document by NHS Cumbria, Medicines Management Team Background Medication … The position or place of the decimal point indicates the denominator. The nurse may use it in pediatric cases, in which veins are sometimes hard to find except in the _______. The patient is permitted to request prn medication, or the nurse may offer a prn medication; it is necessary for prn medication orders to specify a definite time interval between permitted repeat administrations. Intramuscular injections for analgesia are given much ________ often than they used to be because of the more common use of ________ and patient-controlled __________ that are used to help control patients' pain. The plunger has a rubber stopper on the end that is ___________ the barrel. The needle slips directly onto the slip tip barrel tip, whereas it is necessary to turn the Luer-Lok needle to the _________ as the nurse attaches it onto the barrel. It is also used in ________. This title provides a solid understanding of pharmacology and how to administer medications safely. It has more than 50 important questions based on how, when, which and what of … BASIC MATHEMATICS. It is necessary to assess and consider each patient's _________ (liver) and _______ (kidney) functions because decreased hepatic or renal function has the potential to ________ the length of time a drug stays in the body and may continue to be active. A ________-point or ___________ hand position is effective in activating this type of canister. Older adults tend to have a higher ratio of fat tissue to muscle tissue, and the higher fat percentage typically affects how the fat-soluble medication is distributed and stored. Some patients need to use two hands to administer the medication, or they may use an __________ inhaler device. The nurse may wish to place the patient in a side-lying position, with muscle relaxation promoted by ________ of the upper leg. It is important for the nurse to be familiar with ________ (beneficial) dosages of frequently used drugs to competently administer doses of medication to patients. The nurse should select an IM site in ________ muscles, such as those in the ____________ site. The device is called a ________(AeroChamber). The nurse should never give any medication that he or she is not ________ with to a patient without first accessing ___________ about it from an approved facility resource (such as the pharmacy department, a current drug handbook, or an online resource). Check the label when taking the medication from where it has been stored. 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