What do you do if medicine is left lying on table and not given to patient
(for 2 hours)? ✔️Ans -Document medication hasnt been given. Unknown
reason
Patient receiving antibiotics and rash forms? ✔️Ans -Stop, give benadryl
and call the doctor
Pt receiving meds through NG tube ✔️Ans -Make sure they're going by
gravity, NEVER PUSH/FORCE
What solution do you flush an IV with? ✔️Ans -0.9% NS
When do you do med reconciliation? ✔️Ans -Admission, transfer and
discharge
What needle size/angle for Intradermal injections? ✔️Ans -TB
Given in the dermis, 25-27 gauge. 1/4-5/8ths. 5-15 degrees. 1mL syringe
Pt has a fever on tylenol and now has a headache. What should the nurse
do? ✔️Ans -Call the doctor to obtain an order for a stronger dose
When taking med cart room to room what should you always make sure of ?
✔️Ans -It is always locked
What should you do if a powder medication needs to be mixed? ✔️Ans -
Reconstitute with whatever it calls for. Usually water/saline
What should you do before administering meds? ✔️Ans -Explain each
med and procedure
When to use Z- track method? ✔️Ans -IM injections, pull skin over, inject,
allow skin to go back in place. This ensures no comes out
What degree do you give an IM injection? ✔️Ans -90 degrees
, How to give a sub Q injection ✔️Ans -45-90 degrees, 20-30 gauge
(5/8ths- 3/8ths needle, no more than 1 mL
What angle do you give a sub Q injection? ✔️Ans -45-90
WHat angle do you give an inradermal injection? ✔️Ans -5-15
What is the preferred site for IM injections? ✔️Ans -Ventrogluteal
What do you ask if doctor tells you to give ibuprofen? ✔️Ans -How much
to administer
What is the max amount to give in the deltoid/Gluteal ✔️Ans -Deltoid-
1mL
Gluteal-3-mL
What do you do before injecting IM? ✔️Ans -Aspirate
Why do we keep medical recs? ✔️Ans -Creates the most accurate list of
all medications. Follows them through admission, transfer and discharge
How many pt identifiers? ✔️Ans -At least 2.
What should you do before giving a BP medication? ✔️Ans -ALWAYS
check BP
What are the 3 med checks? ✔️Ans -At the med room, when preparing
medication (usually at the door), at the bedside before giving
What should you do if you go into patients room and they're asleep?
✔️Ans -Always wake them up and give med.
What do pt's need to do after a metered dose inhaler? ✔️Ans -Rinse
mouth to avoid candida, thrush etc.
Where is a buccal med given? ✔️Ans -The cheek
What should you do when giving a trasdermal patch? ✔️Ans -Remove old
patch, clean area, Give in different spot each time
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