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Carrington College
[Pheonix]
MAPE101 Medication Administration
Proficiency
MAPE101 Exam
Course Title and Number: MAPE101 Exam Exam Title: MAPE101 Exam Exam Date: Exam 2024- 2025 Instructor: [Insert Instructor’s Name] Student Name: [Insert Student’s Name] Student ID: [Insert Student ID]
Examination
180 minutes
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MAPE101 Medication Administration
Proficiency 2024-
MAPE101 Exam 1 Study Guide Questions
with Correct Answers | 100% Pass
Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck:
- drug names: chemical name- describes the drug composition and molecular structure generic name- is the name that is listed in official publications such as the United States Pharmacopeia (USP). A manufacturer who first develops a medication pro- vides the generic name trade name or brand name- is used to market the medication. The trade name has the symbol at the upper right of the name, indicating a manufacturer trademark of the name
- Elixir: Clear fluid containing water and alcohol; often sweetened May be contraindicated in diabetic/alcoholic patient
- Extract: Concentrated medication form made by removing the active part of the medication from its components. Extracts are prepared as a syrup or dried form of pharmacologically active medication, usually made by evaporating solution Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Intraocular disk: Small, flexible oval (similar to a contact lens) consisting of two soft outer layers and a middle layer containing medication; slowly releases medication when moistened by ocular fluid.
- Troche (lozenge): Flat, round tablet that dissolves in mouth to release medica- tion; not meant for ingestion
- Aerosol: Aqueous medication sprayed and absorbed in mouth and upper air- way; not meant for ingestion
- Sustained release: Tablet or capsule that contains small particles of a medica- tion coated with material that requires a varying amount of time to dissolve
- Adverse drug events or effects (ADEs): are unintended, undesirable, and often unpredictable
- Side effects: are predictable and often unavoidable secondary effects produced at a usual therapeutic drug dose.
- idiosyncratic reaction: is an unpredictable effect in which a patient overreacts or underreacts to a medication or has a reaction different from normal.
- Allergic reactions: also are adverse unpredictable responses to a medication. RXNS Urticaria (hives)- Raised, irregularly shaped skin eruptions with varying sizes and shapes; reddened margins and pale centers Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Rash -Small, raised vesicles that are usually reddened; often distributed over the entire body Pruritus- Itching of the skin; accompanies most rashes Rhinitis- Inflammation of mucous membranes lining the nose, causing swelling and a clear watery discharge
- Medications known to produce tolerance: opium alkaloids (e.g., morphine), nitrates, and ethyl alcohol.
- Two types of medication dependence exist:: psychological dependence: a patient desires the medication for benefit other than the intended effect. Physical dependence: is a physiological adaptation to a medication that manifests itself by intense physical disturbance when the medication is withdrawn.
- medication action times: • Onset of medication action: Time it takes after a medication is administered for it to produce a response
- Peak action: Time it takes for a medication to reach its highest effective peak concentration
- Trough: Minimum blood serum concentration of medication reached just before the Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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(3) Finally, the nurse verifies the drug before administration with the three checks for accuracy to be sure that it is appropriate and ordered correctly.
- Guidelines for Safe Opioid Administration and Control: • All controlled sub- stances are stored in a securely locked, substantially constructed cabinet (i.e., automated medication dispensing system [AMDS]) or a locked room.
- Authorized nurses carry a set of keys or an individual computer entry code for the AMDS.
- An inventory record is used each time a controlled substance is dispensed. Records are often kept electronically and provide an accurate ongoing account of the medications used, wasted, and remaining. If you find a discrepancy, correct and report it immediately.
- Use a special inventory record to document a patient's name, date, name of med- ication, dose, time of medication administration, and signature of nurse dispensing the medication.
- A second nurse witnesses disposal of the unused part if a nurse gives only part of a dose of a controlled substance. Computerized systems record the nurses' names electronically. If paper records are kept, both Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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nurses sign their names on the form. Follow agency policy for appropriate waste of opioids. Do not place wasted part of medications in sharps containers.
- Bar-code labels: are required on all medications, vaccines, and over-the-counter (OTC) drugs used in health care agencies
- the metric system: is the most logically organized of the measurement systems. Metric units are easy to convert and compute through simple multiplication and division. Each basic unit of measure is organized into units of 10. Multiplying or dividing by 10 forms secondary units.
- 1 tsp: 5ml
- 1 tbsp: 15ml
- 1 cup: 8 oz 240 ml
- 1 pint: 480 ml
- 1 quart: 960 mL
- 1 gallon: 3840 ml
- 1 oz: 30 ml
- 2.2 lbs: 1 kg 46. 1 in: 2.54 cm
- always leading zero: never trailing zero
- medication adherence: A patient's level of education, prior experience with medication therapy, and the family's influence on actions significantly influ- ence
- Culturally: a patient's values and beliefs affect medication response.
- 6 rights of medication administration: 1. Right medication Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Improve the safety of using medications.
- Identify and at a minimum annually review a list of look-alike/sound-alike drugs used by the organization.
- Before a procedure, label all medications and medication containers (e.g., sy- ringes) that are not labeled. Do this in areas where medicines and supplies are set up, such as on and off the sterile field in perioperative and other procedural settings. Labels include drug name, strength, amount, expiration date when not used within 24 hours, and expiration time when expiration occurs in less than 24 hours.
- Take extra care with patients who take anticoagulants. Use only oral unit-dose products and premixed infusions. When heparin is administered intravenously and continuously, use programmable infusion pumps.
- Maintain and communicate accurate patient medication information.
- Accurately and completely reconcile medications across the continuum of care.
- There is a process for comparing the patient's current medications with those ordered for the patient while under the care of the health care organization. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Communicate a complete list of the patient's medications to the next provider of service when a patient is referred or transferred to another setting, service, or level of care. Also provide the complete list to the patient on discharge from the agency.
- Encourage patients' active involvement in their own care as a patient safety strategy. 53. AD AS AU: Right ear left ear each ear 54. OD OS OU: Right eye left eye each eye
- HS: Half-strength
- hs: At bedtime, hour of sleep
- The Three Checks( GPA): Check 1: Gathering/Collecting medications. Verify against order/MAR. Check 2: Preparing medications. Check 3: Administration at the client's bedside.
- 6 rights: 1.The right Client/Person-the nurse must identify the client by checking the medication order Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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dose given, and the route it was given in. Then the nurse will follow up and record the client's response to the medication given.
- other 4 rights: 7.The right Assessment-the nurse will assess client for specific needs prior to administration (heart rate, blood pressure, blood glucose, pain, and agitation/anxiety).
- The right to Education-the nurse will provide patient education concerning med- ications given.
- The right Evaluation-the nurse will evaluate for effectiveness of medication, as well as any side or adverse effects, both objectively and per client report.
- The right of Refusal-the nurse will listen to client concerns regarding receiving any medications. Education as to the importance of prescribed medications should be provided, and physician notification must be made to alert him/her to client request of refusal. Documentation of refusal must also be made.
- UD: As directed ("ut dictum")
- Verbal/telephone orders: • Only authorized staff receive and record verbal or telephone orders. Agency identifies in writing the staff who are authorized.
- Clearly identify patient's name, room number, and diagnosis. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Read back all orders to health care provider (TJC, 2015).
- Use clarification questions to avoid misunderstandings.
- Write "VO" (verbal order) or "TO" (telephone order), including date and time, name of patient, and complete order; sign the name of the health care provider and nurse.
- Follow agency policies; some agencies require documentation of the "read-back" or two nurses to review and sign telephone or verbal orders.
- Health care provider co-signs the order within the time frame required by the agency (usually 24 hours; verify agency policy).
- Medication labels include:: the trade name of the drug in large letters, the generic name in smaller letters, the form of the drug, the dosage, the expiration date, the lot number, and the name of the manufacturer.
- peds: Evidence shows that children are at risk for experiencing an ADE as a result of their metabolic rate. Factors contributing to errors include workload, distractions, and lack of knowledge. The child's age, weight, and maturity of body systems all affect the ability to metabolize and excrete medication. Other factors that influence medication dosages in children include the difficulty in evaluating the desired effect and the hydration status of the child.
- safe med admin in older adults: • Consult with the health care provider to keep the medication plan as simple as possible Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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-current medication regimen (including OTC drugs and herbal products), -the reason for existing and proposed medications -any environmental factors that influence accurate and safe medication administra- tion by the patient and family caregiver(s).
- systems in place to avoid distractions: • Wearing a medication safety vest, sash or red apron.
- Using visible medication preparation signs.
- Medication administration checklists.
- Staff and patient education.
- Establishing no-interruption zones
- pre admin safety: Read the label on the medication container and compare it with the MAR at least 3 times: before removing the container from the supply drawer when placing the medication in an administration syringe just before administering the medication to the patient.
- hand hygiene: Use good hand-hygiene technique. Avoid touching tablets and capsules. Use sterile technique for parenteral medications. Wear clean gloves when administering parenteral medications and certain topical medications. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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- Before direct contact with patients
- After contact with blood, body fluids, excretions, mucous membranes, wound dressings, or nonintact skin • After contact with a patient's skin
- After removing gloves
- check med: When preparing medications, be sure that the label is clear and legible and that the drug is mixed properly; has not changed in color, clarity, or consistency; and has not expired.
- labeling: labeling syringes, including before a procedure labeling all medicines that are not labeled
- admin: 1. Follow the six rights of medication administration. 2.Inform the patient of the name, purpose, action, and common side effects of each medication. Evaluate his or her knowledge of the medication and provide appropriate teaching using teach-back technique. 3.Stay with the patient until the medication is taken. Provide help as necessary. Do not leave medication at the bedside without a health care provider's order. For example, some patients may take their own vitamins while in the hospital. 4.Respect the patient's right to refuse a medication. If the medication wrapper remains intact, return the medication to the patient's unit-dose drawer. When Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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3.Observe injection sites for bruises, inflammation, localized pain, numbness, or bleeding. 4.Evaluate that patient and family caregiver understand purpose of medication ther- apy, dose regimens, and ability to self-administer medication by using teach- back techniques.
- med errors: Errors include: inaccurate prescribing administering the wrong medication the wrong route the wrong time interval administering extra doses failing to administer a medication. When an error occurs, the patient's safety and well- being become the top priority. A nurse assesses and examines the patient's condition and notifies the health care provider of the incident as soon as possible. Once the patient is stable, the nurse reports the incident to the appropriate person in the agency.
- preventing med errors: • Follow the six rights of medication administration.
- Only prepare medications for one patient at a time.
- Be sure to read labels at least 3 times (comparing MAR with label): When removing medication from storage, before taking to patient's room, before giving medication.
- Use at least two patient identifiers every time you administer medications (e.g., patient name, birthday, Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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hospital number) whenever administering a medication. • Do not allow any other activity to interrupt administration of medication to a patient.
- Double-check all calculations and other high-risk medication administration processes (e.g., patient- controlled analgesia) and verify with another nurse.
- Do not interpret illegible handwriting; clarify with the health care provider.
- Question unusually large or small doses.
- Document all medications as soon as they are given.
- When you have made or discovered an error, reflect on what went wrong and ask how you could have prevented it. Complete an occurrence report per agency policy.
- Evaluate the context or situation in which a medication error occurred. This helps to determine if nurses have the necessary resources for safe medication adminis- tration.
- When repeated medication errors occur within a work area, identify and analyze the factors that may have caused the errors and take corrective action.
- Attend in-service programs on the medications you commonly administer.
- Ensure that you are well rested when caring for patients. Nurses make more errors when they are tired. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
