Medication Administration Practices and Alternative Therapies, Exams of Nursing

Download Medication Administration Practices and Alternative Therapies and more Exams Nursing in PDF only on Docsity! NSG-300 Topic 8 Questions With Complete Solutions now order vs STAT order for medication now order - nurse has 90 minutes to administer STAT - nurse has to administer it immediately and only once doing what ensures safe medication administration? following the same procedure each time medications are administered how many time should you compare the label of the medication container with the MAR? when should you be checking? 3 times - check before removing the container from the drawer or shelf, as the amount of medication ordered is removed from the container (prepping meds), and at the client's bedside before administering the medication to the client what should you do right after administering a medication? document on the MAR What should be documented on the MAR after administering the medication? name of medication, dose, time, route also document site of any injections and the patient's responses to the medication (positive and/or negative) what option should you not give a child when it comes to medication? what options can you give the child? the option to not take it do you want to take it with water or juice? can a parent give medication to their child as long as the nurse is supervising them? yes how should you position the patient when trying to access the posterior pharynx when administering nasal drops help client to supine position and position head by tilting it back how should you position the patient when trying to access the ethmoid or sphenoid sinus when administering nasal drops tilt the head back over the edge of bed or place small pillow under client's shoulder and tilt head back how should you position the patient when trying to access the frontal and maxillary sinus when administering nasal drops tilt head back over the edge of bed or pillow with head turned towards side to be treated how long should the patient remain in supine position after nasal drops are administered? 5 minutes why should ear drops be administered at room temperature? is subcutaneous or IM injections absorbed faster? which one is usually more painful? IM is absorbed faster. Subcutaneous injections are more painful what is the angle of insertion for an IM injection? 90 degrees what method of injection is recommended for IM? Z-track method what angle of insertion should be used for a subcutaneous injection with a 5/8 inch (16 mm) and a 0.5 inch (12 mm) needle 5/8 inch (16 mm) - 45 degrees 0.5 inch (12 mm) - 90 degrees If you can grasp 2 inches of tissue, insert the needle at what angle? For subcutaneous injection. What about if you can grasp 1 inch of tissue? 2 inches - 90 degree 1 inch - 45 degrees when should you pinch the skin when giving a subcutaneous injection? when the patient is obese where should you administer a subcutaneous injection for a thin patient? upper abdomen what method is used to identify the ventrogluteal muscle? V method which muscle site should be used when administering a small volume of medication deltoid what angle of insertion should be used when doing intradermal injections? 5-15 degrees what is considered "alternative therapies"? when non pharmacological therapies such as exercise, chiropractic, and herbal supplements are used in place of conventional pharmacological or other medical procedures 3 examples of whole medical systems Traditional Chinese medicine, Ayurveda, naturopathy what does integrative health care implement? what do they emphasize? - implements biomedical and complementary therapy - they emphasize the importance of the relationship between practitioner and patient, focuses on the whole person active progressive relaxation is inappropriate for what type of patients? what is appropriate instead? patients with advanced disease (cancer or AIDS) or who have decreased energy reserves passive relaxation or guided imagery 4 components of meditation (1) a quiet space, (2) a comfortable position, (3) a receptive attitude, and (4) a focus of attention. what type of person should not use meditation? a person who has a strong fear of losing control will possibly perceive meditation as a form of mind control who should be cautioned when using biofeedback? People with psychological or neurological conditions. During biofeedback sessions the repressed emotions or feelings for which coping is difficult sometimes resurface. Possible effects of longterm biofeedback lowers BP and HR who should not receive acupuncture? people with bleeding disorders or skin infections who should not receive therapeutic touch?