I did my HOMEWORK! | I was awake during the POWERPOINT! | I practiced my MED MATH SKILLS? | I feel like a SUPERSTAR! |
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Dispensing by nurses occurs when a nurse gives a medication to a client or their delegate for administration at a later time vs medication administration when the nurse administers medications directly to the patient at a designated time.
How is dispensing different than administering medication?
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Nurses are mandated to document:
The medications after administration
Nurses are legally required to document medications that are administered to patients. What, specifically, are they are mandated to document?
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2.2ml
The strength available is 2 g in 4.8 ml. Prepare a 900 mg dose. Express your answer to the nearest tenth.
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a. Monitor the client’s response to the medication, and
b. Recognize and manage intended and adverse outcomes of the medication.
Before administering a medication, nurses ensure they have the competence to: (Hint - 2 items)
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What are physicians, nurse practitioners, certified practice registered nurses, dentists, midwives, naturopaths, podiatrists, and pharmacists.
Identify 8 professional groups authorized to prescribe medications in BC
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PROVIDERS ORDER to MAR
MAR to Med Med & MAR to Pt.
What are the 3 Checks when administering medications?
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0.2ml
Prepare a 0.4 mg dose from a supply of 2 mg per mL. Express your answer to the nearest tenth.
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a. Appropriate, because the client’s condition, needs, or wishes have changed,
b. Evidence-informed, or c. Reflective of the client’s individual needs, characteristics, values/beliefs, or personal preferences.
Nurses take action when a medication does not seem: (Hint - 3 items)
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What is...
The right medication The right dose The right patient The right route The right time and frequency The right documentation The right reason The right to refuse The right patient education The right evaluation
What are the 10 Rights of Medication Administration
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What is Excretion
The nurse caring for a patient who has kidney disease secondary to diabetes needs to make a detailed assessment when administering medications. This is because of a potential for problems with which medication process?
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NO
You gave your patient 3 tab labeled 0.75 mg each, and he was to receive a total of 2.75mg. Did he receive the correct dosage?
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a. Relevant provincial or federal legislation or regulations,
b. BCCNM standards, limits, and conditions, c. Organizational/employer policies and processes, and d. The nurse’s individual competence.
1. Nurses perform only those medication-related activities as allowed by: (hint - 4 items)
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What is...
1. The Nurses (Registered) and Nurse Practitioners Regulation 2. BCCNM standards of practice 3. Organizational/employer policies, processes, and restrictions 4. The nurse’s individual competence.
Identify 4 controls over RN practice in in BC in relation to medication administration.
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What is...
A) Call the prescriber to verify the order.
If a nurse experiences a problem reading a prescriber’s medication order, what would be the most appropriate action?
A) Call the prescriber to verify the order. B) Call the pharmacist to verify the order. C) Consult with other nursing staff to verify the order. D) Withhold the medication until the prescriber makes rounds. |
2 tablets
Calculate the following dosages and determine how many tablets should be given. Prescribed is 2.4 milligrams. Tablets are labeled 1.2 milligrams. _______________
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a. The reason the client is receiving the medication,
b. The expected action of the medication, c. The duration of the medication therapy, d. Specific precautions or instructions for the medication, e. Potential side-effects and adverse effects (e.g. allergic reactions) and action to take if they occur, f. Potential interactions between the medication and certain foods, other medications, or substances, g. Handling and storage requirements, h. Recommended follow-up.
Nurses educate the client about the medication they are receiving, including: (Hint - 8 items)
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• be documented in the client’s permanent record by the regulated health professional giving the client-specific order
• include all the information needed for the ordered activity to be carried out safely (e.g., time, frequency, dosage) • include a written/electronic signature.
A client - specific order must include...
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Toxic
A postoperative patient is receiving morphine sulphate via a patient-controlled analgesia system. The nurse determines that the patient’s respirations are depressed. How would this result of the effects of the morphine sulphate be classified?
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Report the error
What is the first step of action to take when a medication error has occurred?
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Therapeutic use/indications
Expected effects Dosage(s) Precautions Contraindications route for administration Interactions Side effects Adverse effects
Before performing any medication-related activity, nurses know the medication’s (HINT - 9 items)
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