Exam (elaborations)
Study guide for QMA Exam/58 Questions and Answers/A+ Scores
Study guide for QMA Exam/58 Questions and Answers/A+ Scores
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Study guide for QMA Exam/58 Questions andAnswers/A+ Scores
Tasks the QMA is PROHIBITED from performing. - -Assess a resident's
condition. Call a physician. Take a physician's written or verbal order.
Administer medication by injection. Administer any medication inhalation
treatment OTHER than a metered dose inhaler. Administer medication per
nasogastric tube. Instill irrigation fluids of any type including, but not limited
to, colostomy, catheter and enema, EXCEPT a commercially packed prepared
disposable enema. Administer a treatment that involves an advanced skin
condition, including Stage II, III, and IV decubitus ulcers.
-The QMA Scope of Practice - -Observe and report to licensed nurse.
Measure and document vital signs. Administer regularly prescribed meds
which the QMA has been trained to administer only after personally
preparing the meds to be administered. Initiate oxygen per nasal cannula or
non sealing mask only in an emergency. Obtain oxygen saturation using
oximeter. Administer, apply physician ordered oral, ophthalmic, otic, nasal,
vaginal and rectal meds. Crush and administer meds if such preparation is
appropriate per manufacturer or physicians order. Alter capsules if
prescribed to be administered in this altered manner by the physician.
Count, administer, and document controlled substances. Administer meds
per G-tube or J-tube. Administer previously ordered PRN meds only if
authorization is obtained, then the QMA must chart resident symptoms
indicating the need for the med and time symptoms occurred, Chart that the
facility nurse was notified the symptoms of the resident and that permission
was granted to administer med, obtain permission each time the resident
needs the med, ensure that the resident's record is soigné do by the LPN or
RN who gave the permission for the PRN meds. Apply topical meds to minor
skin conditions such as dermatitis, scabies, pediculosis, fungal infection,
psoriasis, eczema, first degree burn, stage I decubitus ulcer. Administer
meds via metered dose inhaler. Conduct hemoccult testing and report result
to licensed nurse. Provide site care and apply dressing to a healed G-tube or
J-tube site (ordered). Empty and change colostomy bag. Instill a
commercially disposable enema (120 ml or 4.5 ozs) after the resident has
been assessed by the nurse. Administer a sitz bath if ordered by a physician.
Apply cold, dry compress as directed by nurse or physician. Conduct diabetic
urine testing. Collect fecal or urine specimens as ordered
-Negligence - -The omission or neglect of any reasonable precaution, care
or action. Residents are protected from health care negligence or
malpractice by a law called Duty of Care.
-Malpractice - -Any improper or injurious practice, or any unskillful or faulty
medical or surgical treatment.
, -The Six Rights of Medication administration - -Right Medication. Right
Dose. Right Resident. Right Route. Right Time. (1hr before or 1 hr after).
Right documentation.
-Initial Steps - -Obtain info from licensed nurse about resident's needs
abilities, limitations, and known allergies. Gather supplies and equipment.
Knock on resident's door. Identify yourself. Explain procedure to the resident.
Wash your hands or use antiseptic foam or gel. Wear gloves to maintain
Standard Precautions as necessary.
-Final Steps - -Observe resident for any immediate reaction to med or
procedure. Assure the resident is in a comfortable position. Make sure call
light is within resident's reach. Remove supplies and discard of medication
cups/disposable supplies. Thank resident. Remove gloves. Wash hands.
Document meds administered or procedure preformed. Report any
abnormalities to the nurse.
-Sundowning - -Increased confusion and restlessness in late afternoon,
evening, and night.
-Hand washing - -Lather all areas of hands and wrists, rubbing vigorously
for at least 10 seconds.
-Putting on Gloves - -Remove one glove by grasping the outer surface just
below the cuff with the other gloved hand.
-Isolation Precautions - -Airborne-pathogens are transmitted on dust
particles in air currents examples are TB, chickenpox, measles.
Droplet-pathogens are transmitted in droplets when a person coughs,
sneezes or talks examples pneumonia, influenza, scarlet fever.
Contact-pathogens are transmitted by direct contact (skin-to-skin) with the
resident or indirect contact with surfaces or care items in the resident's
environment examples scabies, conjunctivitis, impetigo.
-Hepatitis - -Contagious disease of the liver caused by a virus and spread by
exposure to infected blood, sexual contact or fecal/oral contact. Symptoms
are flu like. Severe infection can cause permanent liver damage and death.
Types A, B, C, D, E
-Tuberculosis - -Chronic bacterial infection that usually affects the lung but
may affect other parts of the body such as the kidneys, bones, and the brain.
TB is spread through the air in droplets from sputum of persons with active
disease. Symptoms include fever, loss of appetite, fatigue, productive cough
and night sweats.
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