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RLE NCMA 219 QUESTIONS WITH CORRECT ANSWERS.
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RLE NCMA 219 QUESTIONS WITH CORRECT ANSWERS.
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RLE NCMA 219 QUESTIONS WITHCORRECT ANSWERS
MAGNESIUM wwSULFATE wwADMINISTRATION
Principle wwof wwMedication wwAdministration ww- wwAnswer ww- wwAlways wwassess wwa
wwclient's wwhealth wwstatus wwand wwobtain wwa wwmedication
history wwprior wwto wwgiving wwany wwmedication. wwThe wwextent wwof wwthe
assessment wwdepends wwon wwthe wwclient's wwillness wwor wwcurrent wwcondition,
the wwintended wwdrug, wwand wwthe wwroute wwof wwadministration.
Right wwMedication ww- wwAnswer ww- wwThe wwmedication wwgiven wwwas wwthe
wwmedication wwordered.
- ww3 wwtimes wwof wwreading wwthe wwmedication
- wwThe wwfirst wwtime wwyou wwcheck wwthe wwdrug wwis wwwhen wwyou wwreceived wwit
from wwpharmacy
- wwThe wwsecond wwtime wwyou wwcheck wwthe wwdrug wwis wwbefore wwopening wwthe
drug wwor wwaspirate wwthe wwactual wwmedication
- wwThe wwlast wwtime wwyou wwread wwthe wwmedication wwis wwbefore wwgiving wwit
to wwthe wwpatient
Right wwDose ww- wwAnswer ww- wwThe wwdose wwordered wwis wwappropriate wwfor wwthe
wwclient. wwKnow wwthe
usual wwdosage wwrange wwof wwthe wwmedication.
- wwGive wwspecial wwattention wwif wwthe wwcalculation wwindicates wwmultiple
pills/ wwtablets wwor wwa wwlarge wwquantity wwof wwa wwliquid wwmedication.
This wwcan wwbe wwan wwindication wwthat wwthe wwmath wwcalculation wwmay wwbe
incorrect.
- wwDouble-check wwcalculations wwthat wwappear wwquestionable.
Question wwa wwdose wwoutside wwof wwthe wwusual wwdosage wwrange.
Right wwTime ww- wwAnswer ww- wwGive wwthe wwmedication wwat wwthe wwright wwfrequency
wwand wwat wwthe wwtime
ordered wwaccording wwto wwagency wwpolicy.
- wwMedications wwshould wwbe wwgiven wwwithin wwthe wwagency
guidelines.
Right wwRoute ww- wwAnswer ww- wwGive wwthe wwmedication wwby wwthe wwordered wwroute.
- wwMake wwcertain wwthat wwthe wwroute wwis wwsafe wwand wwappropriate wwfor wwthe
client.
Right wwClient ww- wwAnswer ww- wwMedication wwis wwgiven wwto wwthe wwintended wwclient.
,- wwCheck wwthe wwclient's wwidentification wwband wwwith wweach
administration wwof wwa wwmedication.
- wwKnow wwthe wwagency's wwname wwalert wwprocedure wwwhen wwclients
with wwthe wwsame wwor wwsimilar wwlast wwnames wware wwon wwthe wwnursing
unit.
Right wwClient wwEducation ww- wwAnswer ww- wwExplain wwinformation wwabout wwthe
wwmedication wwto wwthe wwclient
(purpose, wwpossible wwside wweffects, wwany wwprecautions).
- wwNo wwneed wwto wwmemorize wwall wwthe wwfactors wwof wwthe wwmedication,
alamin wwlang wwyung wwmga wwside wweffects wwna wwpwedeng
maramdaman wwng wwpatient wwpara wwkapag wwnag wwtanong wwang
family wwmay wwmaibibigay wwkang wwexplanation. ww- wwHal. wwlaging wwnatutulog wwyung
wwpt. wwand wwnagsasabi wwang wwfamily
na wwlagi wwnalang wwsyang wwtulog wwpero wwdi wwnila wwalam wwdahil wwsa
gamot wwyun wwand wwnag wwtanong wwsayo, wwyou wwcan wwanswer wwthem
why.
Right wwDocumentation ww- wwAnswer ww- wwDocument wwmedication wwadministration
wwafter wwgiving wwit, wwnot
before.
- wwIf wwtime wwof wwadministration wwdiffers wwfrom wwprescribed wwtime,
note wwthe wwtime wwon wwthe wwMAR wwand wwexplain wwthe wwreason wwand
follow-through wwactivities ww(e.g., wwpharmacy wwstates
medication wwwill wwbe wwavailable wwin ww2 wwhours) wwin wwnursing wwnotes.
- wwIf wwa wwmedication wwis wwnot wwgiven, wwfollow wwthe wwagency's wwpolicy
for wwdocumenting wwthe wwreason wwwhy.
- wwKailangan wwma wwdocument wwafter wwma wwadminister wwyung wwgamot.
If wwever wwna wwwala wwyung wwpatient wwkase wwneed wwmag wwpa wwx- wwray
(example) wwneed wwpa wwdin wwma wwdocument wwbakit wwlate wwnaibigay
yung wwgamot
- wwMinsan wwout wwof wwstock wwang wwmedication wwyun wwlang wwilagay wwyung
sa wwchart wwng wwpatient wwhanggang wwsa wwmagkaroon wwna wwmismo wwng
med wwor wwsometimes wwnagbibigay wwng wwprescription wwsi wwDoc wwpara
pamalit wwsa wwout wwof wwstock wwna wwmed.
Right wwto wwRefuse ww- wwAnswer ww- wwAdult wwclients wwhave wwthe wwright wwto wwrefuse
wwany wwmedication.
- wwThe wwnurse's wwrole wwis wwto wwensure wwthat wwthe wwclient wwis wwfully
informed wwof wwthe wwpotential wwconsequences wwof wwrefusal wwand wwto
communicate wwthe wwclient's wwrefusal wwto wwthe wwhealth wwcare
provider
- wwAfter wwexplaining wwall wwto wwthe wwpatient wwand wwhe wwunderstood wwheads
up wwthe wwDoctor wwpara wwsya wwna wwmismo wwang wwmakikipag wwusap
- wwWhen wwthe wwDoctor wwtalked wwto wwthe wwpatient wwand wwhe wwstill wwrefuse
you wwwill wwgive wwwaiver wwpara wwwalang wwpananagutan wwang
, hospital wwkapag wwmay wwnangyari wwsa wwpatient.
Right wwAssessment ww- wwAnswer ww- wwSome wwmedications wwrequire wwspecific
wwassessments wwprior wwto
administration ww(e.g., wwapical wwpulse, wwblood wwpressure, wwlab
results)
- wwMedication wworders wwmay wwinclude wwspecific wwparameters wwfor
administration ww(e.g., wwdo wwnot wwgive wwif wwpulse wwless wwthan ww60 wwor
systolic wwblood wwpressure wwless wwthan ww100).
- wwHal. wwgiving wwparacetamol, wwyou wwneed wwto wwcheck wwthe
temperature wwof wwpatient wwfirst, wwkahit wwmag wwsabi wwang wwfamily wwna
mainit wwang wwpt. wwyou wwneed wwto wwcheck wwpa wwdin
- wwDo wwnursing wwintervention ww(TSB) wwor wwsometimes wwobserve wwthe
patient/client wwhal. wwyung wwbaby wwmataas wwang wwtempt wwat wwNakita
mo wwdahil wwbalot wwna wwbalot wwsya wwso wwyou wwassess.
Right wwEvaluation ww- wwAnswer ww- wwConduct wwappropriate wwfollow-up ww(e.g., wwwas
wwthe wwdesired
effect wwachieved wwor wwnot? wwDid wwthe wwclient wwexperience wwany wwside
effects wwor wwadverse wwreactions?).
- wwResponse wwof wwthe wwpt wwin wwadministering wwmedication
Magnesium wwSulfate
Indications ww- wwAnswer ww• wwConvulsions ww- wwIntravenous wwMagnesium wwsulfate
ww(MgSO4) wwis
indicated wwfor wwimmediate wwcontrol wwof wwlife-threatening wwconvulsions
in wwthe wwtreatment wwof wwsevere wwtoxemias ww(pre-eclampsia wwand
eclampsia) wwof wwpregnancy wwand wwin wwthe wwtreatment wwof wwacute wwnephritis
in wwchildren.
• wwHypomagnesemia ww(prophylaxis wwand wwtreatment) ww- wwreplacement
therapy wwin wwmagnesium wwdeficiency, wwespecially wwin wwacute wwhypomagnesemia
wwaccompanied wwby wwsigns wwof wwtetany wwsimilar wwto
those wwof wwhypocalcemia.
• wwUsed wwto wwprevent wwor wwtreat wwmagnesium wwdeficiency wwin wwpatients
receiving wwtotal wwparenteral wwnutrition.
• wwTetany, wwuterine ww(treatment) ww- wwindicated wwas wwa wwmyometrial
relaxant.
- wwthis wwis wwto wwrelax wwthe wwsmooth wwmuscle ww(e.g., wwuterus wwand wwlungs)
Route wwof wwMgSO4 ww- wwAnswer ww• wwIntramuscular wwRoute ww- ww1 wwto ww5 wwg ww(2
wwto ww10 wwmL wwof ww50% wwsolution)
daily wwin wwdivided wwdoses ww(mabagal wwang wwpag wwadminister wwdapat)
• wwIntravenous ww(IV) wwRoute ww- ww1 wwto ww4 wwg wwmagnesium wwsulfate wwmay wwbe
given wwin ww10% wwto ww20% wwsolution, wwbut wwonly wwwith wwgreat wwcaution; wwthe
rate wwshould wwnot wwexceed ww1.5 wwmL wwof ww10% wwsolution wwor wwequivalent
per wwminute wwuntil wwrelaxation wwis wwobtained.
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