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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-
Medication Administration Proficiency
MAPE101 Exam 1 Review Questions and
Answers | 100% Pass Guaranteed | Graded
A+ |
Read All Instructions Carefully and Answer All the Questions Correctly Good Luck: - What does stat mean? - =Answer>> Medication needs to be given within 5 minutes What does ASAP mean? - =Answer>> Medication needs to be given within 30 minutes Pharmacist's Role - =Answer>> Maintain medication supply (pyxis & unit dose) Act as resource Unit Dose - =Answer>> 24 hour supply for each patient Pyxis - =Answer>> computer system that dispenses, tracks, bills, etc. Pharmacists as a resource - =Answer>> can ask about interactions or reactions Nurse's role in administering medications - =Answer>> *correct transcription and communication of orders *accurate calculation, measurement, and administration techniques *recording drug administration *patient and family teaching Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Right Route Right Time - 30 min hedge factor allowed Right Documentation Do Dragons Play Ring Toss Diligently? Right Drug - =Answer>> a challenge when there are ambiguous drug names. In order to administer the right drug the nurse must use the 3 check system, closely examine spelling, be knowledgeable about drugs administered, and examine the relationship between the drug ordered and the patient's condition. When in doubt, the nurse must consult drug resources such as textbooks, pharmacist, and the physician. Right Dose - =Answer>> Check product literature to make sure the drug dosage is ordered as indicated by the manufacturer. Evaluate serum drug levels and notify the physician when these may affect the patient's current condition. Drug calculations must be correct and when in doubt have another nurse recheck calculations. Right Patient - =Answer>> always check identification bands Right Route - =Answer>> Check product literature to make sure the drug may be given by the ordered route. If the route is ordered incorrectly hold the medication and notify the physician. Nurses must be knowledgeable of each medication they administer. Right Time - =Answer>> give medications on time and assess that the schedule for the drug is consistent with maintaining therapeutic levels for the drug. There is a 30-minute hedge factor that is allowed before or after the time frame ordered. Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Right Documentation - =Answer>> chart each medication thoroughly and correctly Primary focus of administering medications - =Answer>> SAFETY 2 times per day and 3 times per day - =Answer>> hospitals have set time frames for these medications Guidelines for administering medications - =Answer>> concentrate use appropriate measuring devices maintain asepsis avoid waste NEVER administer medication prepared by another NEVER leave medications unattended NEVER chart a med as given until given check for allergies on bracelet be aware of situations that contraindicate admin of meds listen to the patient If a patient vomits, - =Answer>> do not repeat medication as some begin absorption in the mouth. Notify the MD. Situations that contraindicate administration - =Answer>> condition change, allergy, diagnostic tests Most errors are from - =Answer>> distractions Asepsis - =Answer>> free from contaminates/bacteria enteral medications = clean/medical asepsis parenteral medications = surgical asepsis Medication Errors - =Answer>> wrong patient Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Written Orders - =Answer>> are a permanent legal record Who is accountable for mistakes? - =Answer>> It is a shared legal responsibility. Nurses still need to check before administering medications. Prescriber's Role - =Answer>> order medications Orders may be given - =Answer>> written verbal standing MD protocols Verbal orders need to be - =Answer>> repeated back to the physician Standing MD protocols - =Answer>> are standing orders that are given if a certain thing takes place. i.e. If K+ drops, do ___________. If K+ rises, do _____________. Ambiguous Orders - =Answer>> must be clarified Essential components of a medication order - =Answer>> Must be a part of every medication order patient name date and time order is written name of drug dosage of drug route of administration frequency of administration signature of person writing the order Please Do Not Drown Really Fresh Shrimp Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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If any part of the essential components is missing - =Answer>> drug should not be administered Types of medication orders - =Answer>> standing order PRN order single order stat order Standing Order - =Answer>> Everyday Give within 2 hours i.e. Lasix 40 mg every day PRN Order - =Answer>> as needed i.e. Demerol 50 mg IM q 4 hr PRN for pain Single Order - =Answer>> given one time at a specific time i.e. Atropine 1 mg IVP stat What to teach - =Answer>> *medication action - why they are on the drug *side effects *how to administer *when to notify the MD *take as prescribed *keep current list of medications *OTC interactions Tips on teaching - =Answer>> be as specific and simple as possible ask patient to review the steps in their words do verbal teaching and provide reading sheets have family present How to teach - =Answer>> assess learning need Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Liquid Medications - =Answer>> elixirs, spirits, suspensions, syrups measured at the base of the meniscus tip: patient can suck on ice cube first to help with the taste. Frequent oral hygiene is also important. Suspension - =Answer>> particles mixed with liquid base Spirits - =Answer>> prepared with distillation Powdered Medications - =Answer>> follow package directions i.e. potassium chloride (KCl), metamucil, miralax Nasogastric or PEG Tube Medications - =Answer>> *Assess tube placement to prevent aspiration. PEG (J) Tubes do not need to be checked because surgically inserted *Ascultate 15cc air and listen for sounds in abdomen or pull back on syringe to check for stomach contents *Dissolve crushed medications in warm water *PEG stands for Percutaneous Endoscopic Gastrostomy. *Irrigate tube before and after with 50-150cc room temperature water (30 for someone on fluid restrictions or with renal failure or congestive heart failure) *Count flush water and dissolve water as intake *Patient is in semi-fowler's position unless contraindicated by condition Tube feeding and medications - =Answer>> When medications are administered enterally and are incompatible with the prescribed tube feeding, it is best to stop the tube feeding for at least 30 minutes prior to and after the administration of the medication. A time period of thirty minutes allows for the tube feeding to Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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clear the GI tract and therefore not mix with the medication. Don't forget to turn the feeding back on! Topical or Transdermal Medications - =Answer>> Site: skin Formulation:creams, liquid suspensions, ointments, pastes, sprays, patches Skin needs to be clean and dry; no previous applications Start in center and come outwards can have local or systemic effects Instillations - =Answer>> Site: eyes, ears, nose, bladder, vagina, rectum Formulation: drop, ointment, spray, suppository, jelly, cream, foam, enema Nasal Instillations - =Answer>> Drops or sprays Works locally on nasal tissues Patient should blow nose first Tip of applicator is inserted 1/4 inch Avoid nasal septum (causes sneezing) Clean applicator tip with warm water before each use Patient should have head tilted back and remain that way Ophthalmic Medications - =Answer>> *Do not share!! *Treat eye diseases *drops or creams *can have systemic effects *Pt. head back *pull down conjunctiva *applicator 1/2-3/4 in away *eye is considered sterile Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Inhalation - =Answer>> Site: respiratory tract Inhalers for respiratory illness Mainly education and teaching MDI=metered dose inhaler Spacers make it easier to reach lungs Rinse mouth after inhaler Big breath in, out, then depress on next in breath Hold 10 seconds Wait 2 minutes before next inhaled medication Parenteral Administrations - =Answer>> Injections Outside GI system Do not originate in mouth or stomach Don't have to take 1st pass effect Advantages of Parenteral Administrations - =Answer>> rapid absorption rapid treatment route of choice for patients that can't swallow Disadvantages of Parenteral Administrations - =Answer>> Short duration Invasive = potential trauma Expensive Discomfort Irretrievable Anatomy of a Syringe/ Needle - =Answer>> Needle (.5- inches) Gauge (27g-14g) Bevel Hub Needle lengths - =Answer>> 1/2" - 3" average for IM = 1" Depends on size of patient and size of muscle Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Gauge - =Answer>> 27g-14g Greater the number = smaller the opening Depends on medication thickness Bevel - =Answer>> hole where the medication comes out Hub - =Answer>> place where the needle attaches to the syringe Types of Syringes - =Answer>> Insulin Tuberculin Luer-Lok Insulin Syringes - =Answer>> low dose syringe always use for insulin measured in units fused needle .5 in needle 26-29 gauge U100, U50, U Tuberculin Syringe - =Answer>> 0.5-1 mL total Minimims or 1/10 mL 5/8" needle Luer-Lok Syringe - =Answer>> has the threads for needle to be screwed on Parts of the Syringe - =Answer>> Plunger Barrel Tip Hub Shaft Bevel Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Recommended fluid and amount take cap off; push down prepared by nurses because of time sensitivity often corticosteroids Intramuscular Injections - =Answer>> 1-5mL syringe 20-23 gauge (ventrogluteal) 1-1.5 in needle 90 degree angle 1-3mL dorso(ventral) gluteal, vastus lateralis, deltoid Advantages: administration of irritating drugs, rapid absorption (bc of rich blood supply) is faster than subQ and ID , volume Always aspirate!! 3mL is max in a large, well developed, adult muscle Choosing IM site - =Answer>> Avoid tender/damaged tissue Avoid large nerves, bones, vessels Rotate injection site (abdomen is less painful and absorbed more quickly) Landmarks of Ventrogluteal - =Answer>> anterior superior Iliac spine greater trochanter of femur Angles - =Answer>> Intramuscular = 90 Subcutaneous = 45 Intradermal = 15 Dorsogluteal - =Answer>> NEVER USE Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Ventrogluteal - =Answer>> greater trochanter and anterosuperior iliac spine 19-22 gauge 1.5- 2" needle Large volume (2-3 mL) ASPIRATE Preferred site for anyone over 7 months Max you can give in any injection - =Answer>> 3 mL Vastus Lateralis - =Answer>> Just below greater trochanter and hand above patella 19-22 gauge (usually 20) 1-1.5" needle length 2mL or less ASPIRATE Deltoid - =Answer>> 1"-2" under acromion process 19-22 gauge about 1" needle 1mL ASPIRATE Potential danger to radial and ulnar nerves and brachial artery Air Lock Technique for IM injections - =Answer>> is used for administering drugs that are irritating to subcutaneous tissue. After the medication is prepared 0.2 mL of air is added to the syringe. When the medication is injected the air follows and traps the medication, preventing it from tracking back into subcutaneous tissue. Z track technique - =Answer>> used on the ventrogluteal muscle to administer irritating substances. Traction is Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Withdraw NPH must be done right before administration Regular is fast acting Regular insulin is the only insulin that may be given intravenously or intramuscularly and is given via these routes in emergency situations only Sliding Scale of Insulin - =Answer>> Dependent on patients patterned BS Fasting and 4 o'clock blood sugar Determines how much insulin to give based on blood sugar Subcutaneous Anticoagulants - =Answer>> Preventative or Post surgery TB Syringe 5/8" 25-27 gauge Belly injection (1" or more away from navel) No aspiration or massage Heparin, Fragmen, Lovenox Intradermal Injections - =Answer>> TB/1mL Syringe 26-27 gauge 2/8-5/8 needle 10-15 degree angle 0.1-0.2 mL back, scapula, chest, forearm used for TB Pull skin tight prior to injection to prevent painful insertion Few blood vessels so slow absorption Bevel up and just under skin Creates a wheal Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
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Documentation Responsibilities - =Answer>> *Administration details: time, drug, dose, route, site (IV administration - diluted, rate, IV port/site used) *Pertinent information associated with drug such as heart rate, BP, serum blood level *Recognizable signature with title *Follow up assessment data (pain scale, nausea) *Exact name and title of other nurses who implemented medication administration for patient you are charting on (when 2 nurses have to sign off on insulin) *Acceptable abbreviations *Military Time *Permanent ink. Correct errors with one line and initials *Write legibly *Clearly indicate that injection sites are rotated *Patient teaching: type and to whom it was delivered *Never document delivery until done so *Always include follow up assessments *If drug is held, document with reason and supporting data *If the patient is responsible for administering own medication, this should be documented. Drug Side Effect - =Answer>> an adverse event that is expected Adverse Drug Effect/Event - =Answer>> usually due to undesirable reactions of drug therapy although AEs do not have to be casually linked with a specific therapy. Usually described in terms of intensity (mild, moderate, severe, life-threatening). Can be described as expected or unexpected. Toxic Effect - =Answer>> the level of drug that will result in serious adverse effect ??? Need Writing 🤔Help? We've Got You Covered! ✍ 100% NO A I or Plagiarism Guaranteed🤔
