Nebraska Medication Aide State Certification Testing | Questions & Answers, Exams of Nursing

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Nebraska Medication Aide State

Certification Testing | Questions &

Answers

Five Rights - ANSWER - 1. right patient

2. right drug
3. right dose
4. right route
5. right time Licensed Healthcare Professional - ANSWER - A licensed individual for whom administration of medication is included in his/her scope of practice. Medication Aide - ANSWER - A person who received specialized training in the process of assisting with administering medications. Neglect - ANSWER - Not providing goods or services needed by a person to prevent injury, emotional pain, mental distress or physical illness. Medication Action - ANSWER - Anticipated or desired effect of the medication Side Effect - ANSWER - Any unintended reaction to a medication. Four basic routes of medication provision - ANSWER - Oral, inhalation, topical, and installation What is the most important thing a medication aide can do to stop the spread of infections? - ANSWER - Practice proper hand hygiene How are medications stored in the work setting? - ANSWER - They should be kept in a locked, box, container, cart, drawer, or cabinet If a resident refuses medication what should the medication aides response be? - ANSWER - The aide should try 3 times to give the resident medications, and try about five minutes apart. If the resident does not wish to comply then mark it as refused and let the person providing directing and monitoring know. Inhale - ANSWER - To breathe in Exhale - ANSWER - To breathe out Meniscus - ANSWER - Interface between air and water

Ophthalmic - ANSWER - Eye Otic - ANSWER - Ear Sublingual - ANSWER - Under the tongue Oral - ANSWER - Mouth When are the three safety checks performed during medication set up? - ANSWER - 1. When medication is taken out of the drawer

2. The preparation of the medication occurs
3. Right before the medications are given Do not touch medications with your blank hands - ANSWER - bare Always blank the medication room or cart when leaving the area - ANSWER - lock Do not give a drug if a resident is blank to it - ANSWER - allergic Do not give a drug if you are not positive of the residents blank - ANSWER - identification Do not _____ sustained release, enteric coated, buccal, or sublingual medications - ANSWER - crush or chew Report and record any possible blank to a drug - ANSWER - reactions wash hands as needed blank residents - ANSWER - between Report blank controlled drugs immediately - ANSWER - missing What is a cold compress used to treat? - ANSWER - Pain, prevent swelling, and stop bleeding Could you apply medication during the clean, dry dressing procedure? When? - ANSWER - You can, and they would be applied before you put the gauze on temperature, pulse, respiration, blood pressure are all? - ANSWER - vital signs Why should you not tell a resident you are counting their respirations? - ANSWER - People are able to control their respirations and if they know you are counting they may throw off the count Why would you need to count apical pulse instead of radial pulse? - ANSWER - Apical pulse is more accurate

Oral Temperature - ANSWER - 97.6-99. Rectal Temperature - ANSWER - 98.6-100. Axillary Temperature - ANSWER - 96.6-98. Tympanic Temperature - ANSWER - 98.6-100. Pulse Range - ANSWER - 60- 100 bpm Respirations - ANSWER - 12 - 20 bpm Blood Pressure - ANSWER - 60 - 90 and 90 - 140 Allergic reaction - ANSWER - body's immune systems over response to a foreign substance such as a food or drug Generic name - ANSWER - Non-proprietary name for a drug Trade name - ANSWER - Brand name of drug Dependence - ANSWER - Acquired need for a drug that may produce substances by the body Metabolism - ANSWER - The chemical change in living cells by which energy is provided for vital processes, and activities and new material is created Excretion - ANSWER - The process of eliminating or getting rid of substances by the body Absorption - ANSWER - Passage of substances across and into tissues Distribution - ANSWER - Location of medications in various organs or tissues after administration If medication is topical how will it be absorbed? - ANSWER - through the skin If the medication is oral how will is be absorbed? - ANSWER - Through the digestive tract- small intestine What is the most common way of distributing or transporting meditation to the site of action? - ANSWER - Blood stream Which organ is most responsible for drug metabolism? - ANSWER - liver

Which organ is most responsible for the excretion of drugs? - ANSWER - kidneys List five factors that affect how a drug works in the body - ANSWER - 1. size

2. family traits
3. psychological issues
4. gender and bmr
5. disease Signs and symptoms of and allergic reaction include - ANSWER - mild; sweating, skin rash, fever Sever; anaphylactic shock, hive, swelling, difficulty breathing, low bp or fast hr How does age affect a person's response to drugs? - ANSWER - greater variations in absorption, distribution, metabolism, and elimination Opioid - ANSWER - chemicals that have opium like effects Pain - ANSWER - Unpleasant sensations that is subjective feeling in response to a stimulus Fracture - ANSWER - A traumatic injury to a bone in which a break occurs Osteoporosis - ANSWER - A disorder of the bone involving abnormal loss of bone density and deterioration of the bone tissue Ligaments - ANSWER - Fibrous bands that attach bone to bone across joints Joints - ANSWER - Areas where two or more bones meet Functions of bones include - ANSWER - framework and support protection storage blood cell production Age related changes of the musculoskeletal system - ANSWER - bones become thinner and weaker skeleton begin to deteriorate 3 to 8% every decade after 40 some ligaments shorten and decrease in flexibility along with decrease in range of motion List 3 to 5 descriptors or signs of pain - ANSWER - facial expression guarding of body part agitation decreased appetite What drug classification is considered a controlled substance? - ANSWER - Narcotics

Which drug classification acts by suppressing muscle movement? - ANSWER - Skeletal muscle relaxants What are three primary elements of pain assessment? - ANSWER - amount, description, location Benign - ANSWER - mild, not cancerous Malignant - ANSWER - cancerous Topical - ANSWER - Pertaining to the surface of the body Pruritus - ANSWER - itching Dermis - ANSWER - Inner layer of skin Melanin - ANSWER - a dark brown to black pigment occurring in the hair, and skin Three functions of skin - ANSWER - protection, temperature regulation, sense organ activity where is the mucous membrane located? - ANSWER - in the inner linings of the mouth nose eye lids vagina and rectum skin becomes more fragile - ANSWER - epidermis is more prone to injury vitamin d production decreases - ANSWER - the result is diminished calcium storage less sweat is produced - ANSWER - over heating increase blood supply to skin decreases - ANSWER - prolongs healing of injury hair follicles stop functioning - ANSWER - loss excellerates blood vessels break more easily - ANSWER - bruising is more common subcutaneous layer thins - ANSWER - loss of installation results in fragile skin local anesthetics - ANSWER - has numbing effect on skin and mucous membranes antihistamines - ANSWER - controls body's response to a substance that causes itching anti-inflammatory - ANSWER - reduces allergic reactions, itching, swelling and redness Antibotics - ANSWER - prevent or treat infections

Scabicides - ANSWER - Kill the mites that cause scabies, head and body lice Dehydration - ANSWER - An abnormally low amount of water in the body. edema - ANSWER - expansion of fluids between cells incontinence - ANSWER - inability to control bladder and/or bowels nocturia - ANSWER - excessive urination at night Filtration - ANSWER - movement from a high concentration area to a low concentration area with force pushing it nephron - ANSWER - tiny units in the kidneys that filter waste of out the blood identify three to five functions of the urinary system - ANSWER - to clean blood and filter out waste products maintain optimal fluid balance in the body regulate blood pressure reabsorption - ANSWER - process by which water and dissolved substances are taken back into the blood. 97 to 99% reabsorbed antispasmodic - ANSWER - administered to suppress smooth muscle contractions of the stomach, intestine, or bladder. While increasing bladder capacity Diuretics - ANSWER - medications administered to increase urine secretion in order to rid the body of excess water and salt Cholinergic - ANSWER - causes contractions in the bladder to relieve urinary tension four common side effects of antibiotics - ANSWER - nausea,vomiting, diarrhea, bloating and indigestion why is potassium depletion a concern with certain diuretic groups? - ANSWER - it can cause heart irregularities which can cause death Signs of dehydration - ANSWER - Poor skin turgor, absence of tears, dry mucous membranes, weight loss, sunken eyes, dark urine Aorta - ANSWER - Largest artery in the body necrosis - ANSWER - death of tissue cardiac - ANSWER - pertaining to the heart

diastole - ANSWER - relaxation phase of the heartbeat Plasma - ANSWER - Liquid part of blood/ straw colored pulse - ANSWER - The number of times the heart beats per minute Systole - ANSWER - Contraction of the heart myocardial infarction - ANSWER - Heart attack; Death of cardiac muscle