Medication Safety and Calculations
What is the numeric value of the metric prefix "centi"?
0.01
What is the numeric value of the metric prefix "deci"?
0.1
15mL = _tbsp
1 tbsp
what are the three checks before administering medication
1. Compare meds to the MAR, calculate dosage and check the expiration date 2. prepare medication make sure matches mar 3. at the bedside make sure medication matches MAR
What are the six rights of medication administration? Hint 3D's PTR
1. Drug 2. Dose 3. Patient 4. Time 5. Route 6. Documentation
What is the numeric value of the metric prefix "hecto"?
100
What is the numeric value of the metric prefix "kilo"?
1000
30ml=____oz
1oz
5mL=____tsp
1tsp
The healthcare provider orders: Amoxicillin Oral Suspension 200 mg q.AM. The pharmacy sends a bottle labeled: Amoxicillin Oral Suspension 250 mg/5 mL. How many milliliters of medication will the nurse administer?
200/250 * 5 4ml
1L/min = ___% oxygen
24
During a shift, the patient consumed 3 oz ice cream, 8 oz of milk, and one 6 oz glass of ice chips. Calculate the total intake for the shift (in mL).
420 ml
The patient drank 180 mL of coffee, 6 oz of orange juice, and 180 mL water during the nurse's shift. What was the total intake (in milliliters) for the shift?
540ml
The patient has formula feedings through a feeding tube. She is given 300 mL every 4 hours (0400, 0800, 1200, 1600, 2000, 2400) around the clock. The nurse gives 100 mL of water after each feeding. What is the patient's intake in the 2300 to 0700 (11:00 PM to 7:00 AM) shift?
800 ml
What is a black box warning?
A label that is required when a drug may lead to death or serious injury, always says warning
The nurse has an order to administer Fluconazole for Oral Suspension 30 mg PO q.12h to a 2-year-old child. After calculating the ordered dose, the nurse will administer 3 mL of the drug. Which of the following delivery devices should the nurse choose?
Calibrated dropper
removal of PPE is done in the order of most contaminated to least contaminated what is that order?
Gloves, goggles, gown, mask mask is always last in removal due to particles in the air
The number 6/4 is an example of a(n): Whole number Mixed number Proper fraction Improper fraction
Improper fraction
You can wait until pharmacy has the drug,
NOW
as needed Or scheduled
PRN
Which of the following medications can be broken in half?
SCORED
give drug immediately is known as, can't wait at all, EMERGENCY
STAT
Which of the following medication forms is a liquid that contains small particles of the drug that cannot be dissolved?
Suspension
The prescriber orders Glucotrol XL 3.75 mg PO q.AM. The pharmacy supplies the following medication. The nurse calculates that the patient should receive 1.5 tablets. What is the appropriate action by the nurse?
call pharmacy, should not be broken unless scored
atelectasis is also known as
collapsed lung, pneumonia
if a patient has diabetes or peripher....sease what are you not supposed to do during hand and foot care
do not soak the hands and feet as this may e dryness skin breakdown or infection do not cut the toenails
delivers humidify oxygen at Varied flow rates
face tent
What are examples of fluid intake
fluids, food, metabolism
_______________ breaks the chain of infection by interrupting the mode of transmission
hand washing
The Institute of Medicine identified abbreviations and symbols that should not be used in writing and transcribing medication orders due to the
high risk for error
In the administration of enteral medications, the nurse recalls that these medications:
include the oral, feeding tube, and rectal routes of administration.
you have to have another RN sign off on critical medications, give an example
insulin, too much can cause harm
What does IM stand for?
intramuscular
What does IV stand for
intravenous, in the vein
A _________ _______ should be placed in front of the decimal point to avoid medication errors
leading zero
what are the three basic units of measurements
liter, gram, meter (LGM)
fluid intake is recorded in ______ and output is measured in
mL
if a patient requires more oxygen is 6 liters a ______ may be needed
mask
less than 6L of O2 you can use a
nasal cannula
the outer _________ inch edge of the sterile field is contaminated
one
what are the routes of administration
oral, sublingual, buccal, topical, parenteral, inhalation
What is "Tall Man Lettering"?
practice of writing part of a drug's name in upper case letters to help distinguish sound-alike, look-alike drugs from one another in order to AVOID MEDICATION ERRORS.
how are you supposed to wash the patients eyes
starting at the inner canthus and wiping outward
parenteral means by injection or infusion. What are 4 examples
subcutaneous (subcut) intradermal (ID) intramuscular (IM) intravenous (IV)
topical means on the skin or mucous membranes list 6 topical routes
transdermal (on the skin) (TD) rectal (pr) otic (in the ear) ophthalmic in the eye vaginal nasal
what are examples of fluid output
urine, feces, skin including perspiration, lungs
which mask delivers the most accurate concentration of oxygen
venturi mask
