STUDY GUIDE: TEST 5MED

Identify the steps in nursing for medication errors. What should you ensure before administering medication?

• Knowledge of medication to administer and why.

• Administer medication without checking patient identity.

• Ignore medication expiry date.

• Rely solely on patient's memory for medication history.

Identify the steps in nursing for medication errors. What information should you obtain about the client before administering medication?

• Allergies, ability to swallow, diet, contraindications, heart, liver, and kidney disorders; obtain vital signs and lab data; old meds if any indications are found.

• Only the client's age and gender are necessary before administering medication.

• Just check if the client is awake and alert before giving any medication.

• No information is needed; administer medication as per the doctor's order without assessment.

Identify the steps in nursing for medication errors. What should you determine about the medication prescription before administration?

• If the prescription is complete with client’s name, date, time, name of meds, dosage, route of administration, time & frequency, and signature of prescribing provider.

• If the prescription is written in blue ink only.

• If the prescription is verbally communicated by any staff member.

• If the prescription includes only the medication name and dosage.

Identify the steps in nursing for medication errors. What should you do if the medication prescription is unclear or seems inappropriate for the client’s condition?

• Question the doctor.

• Administer the medication as prescribed without hesitation.

• Ignore the prescription and proceed with your own judgment.

• Wait for the next shift to handle the situation.

Which of the following medications should NOT be crushed?

• Enteric-coated (EC) medications

• Extended-release (ER, XR, SR, CR, LA) medications

• Sublingual or buccal tablets

• Capsules with beads or delayed-release formulations

• All of the above

What is the purpose of enteric-coated (EC) medications?

• Protects the stomach lining.

• Increases absorption in the mouth.

• Reduces medication potency.

• Causes rapid release in the stomach.

What is the purpose of extended-release (ER, XR, SR, CR, LA) medications?

• Designed for gradual release.

• To increase the potency of the drug.

• To reduce the side effects to zero.

• To make the medication taste better.

What is the purpose of sublingual or buccal tablets?

• Intended for rapid absorption under the tongue.

• Used for slow release in the stomach.

• Designed for topical application on the skin.

• Meant to be dissolved in water before drinking.

When administering liquid medications to a client with an NG feeding tube with continuous enteral feedings, how should each medication be given?

• Administer each medication separately.

• Crush all medications together and mix with enteral feeding.

• Mix all medications together and administer at once.

• Add medications directly to the enteral feeding bag.

When administering liquid medications to a client with an NG feeding tube, how should the head of the bed be positioned?

• Elevated at least 30-45° for 1-hour post-administration.

• Flat for 30 minutes after administration.

• Lowered below 15° during administration.

• Turned to the side with no elevation.