Medication Administration Exam 2023 with 100% correct answers

Drug names Chemical name: precise description of drug chemical composition (N-acetyl-para-aminophenol) Generic name: identifies the drug's active ingredient (acetaminophen) Trade name: brand name (Tylenol) Pill Mixture of a powdered drug with a cohesive material; may be round or oval Tablet Small, solid dose of medication, compressed or molded Capsule powder or gel form active drug enclosed in gelatinous container Enteric coated pill or tablet coated to prevent stomach irritation. Don't crush! Extended release Allows for slow, continuous release over predetermined period. Other names: -CR (controlled release) -SR(sustained release) -LA(long lasting) Don't crush! Medication orders No medication may be given to a patient without a medication order from a licensed practitioner. Follow only written orders or orders entered in the computer system. Verbal orders From physician only given in emergency situations Medication reconciliation Process of specifying medications and maintaining a current, accurate list of medications the patient is receiving. What pt took at home vs new orders, vs orders after surgery vs orders in critical care area ettc. Routine order Carried out as specified until cancelled by another order. Ex: prednisone 60 mg p.o. once daily for 3 days Standing order Specified set of orders for particular situation. Ex: orthopedic surgeon has standing orders for all total hip replacement pts. PRN (As Needed) order pt receives med when requested or required. Ex: pain medications or nausea relief. Follow time limits (example: morphine 2 mg IV q 2 hours p.r.n. severe pain; give only if 2 hours after last dose). On-time order Only given once ex. a laxative suppository STAT order One-time order, but given immediately. Ex: a bronchodilator ordered stat for a patient having an asthma attack. Parts of medication order 1. Pt name. 2. Date and time order written. 3. Name of drug to be administered. 4. Dosage of drug. 5. Route by which drug to be administered. 6. Frequency of administration. 7. Signature of health care provider writing order. Parts of med order NAME: all order sheet labeled; careful if pt with same name on division. DATE/TIME: be clear asa to start/stop time; e.g., narcotic orders expire after 3 days DRUG NAME: generic most common DOSAGE: metric system; should be specific (furosemide 40 mg) ROUTE: must be clearly stated; some drugs can be given in more than one way; other may be used through only one route FREQUENCY: standardized times; military time; administer within 30 minutes before or after ordered time; preoperative meds must be given on time Legal issues arising from drug administration Nurses are LEGALLY responsible for the drugs they administer. You are the last safeguard protecting the patient from harm. "I am concerned about this order because..." 6 rights Right medication Right dose Right patient Right Route Right Time Right Documentation Right medication Compare drug label with medication administration record 3 times. 1. When removing drug from drawer. READ LABEL! 2. When placing drug next medication administration record (MAR) . READ LABEL! 3. When placing drug in medicine cup. READ LABEL! Right dose Is amount you are about to give correct? If you're not sure about a drug calculation, have someone double-check it for you. Must double check heparin and insulin with another RN.