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questions
| Question | Answer |
|---|---|
| what should the qma do if a medicaiton falls out of its packeging | dispose of w a licensed nurse |
| what are some reasons for medicaiton errors | lack of concentration, lack of knowledge, failure to follow correct procedure, poor communication, preforming a job beyond our scope of practice, usually when habits replace caution and care |
| medication carts should always be | closed and locked |
| how many times do you check medicaitons for accuracy before administration to the resident | three times |
| what are the 6 routes of medicaiton administration | right route, right time, right dose, right resident, right documentation, right medicaiotn |
| what should be included in a medical chart | history of exams, labs, assessments, evaluations. identification of signs related to aging, limitations behavioral problems social issues. care plan physician orders physicians notes dietary activities |
| what is included when charting medicaiaton administration | name and strength of medication, time of administration, dosage administration, route of administration |
| what is the correct way the qma should chart in a patients medical record | legible, use ink, never erase, chart in time sequence, be accurate and conscise, use med terminology, chart what you see, hear and smell, chart response to medication, sign your entry and title. |
| what does the qma do if they make an error when documenting | draw a single line through the incorrect words, write "error" above and initial the entry |
| what should the qma do if there is an omission of a dose | report to the lpn and chart omission |
| what should the qma do before administering a prn medication | get authorization by a lpm |
| what shoudl the qma do before administering medicaiton | assemble all necessary equipment to administratio meds, get necessary vitals if needed |
| alzheimers disease is caused by | noone knows the cause |
| what are the symptoms of alzheimers disease | memory loss, problems with reason and judgement, disoorientation, difficulty in learning, loss of language skills, decline in preforming tastks |
| what medication is used to treat alzheimers disease | donepezil (Aricept) rivastigmine ( Exelon) galantamine ( Reminyl) no cure just symptom relief |
| administering medicaiton appropriately requires | knowledge of expected medication actions, knowledge of possible adverse effects, knowledge of facilities policy for charting, charting accurately and legibly |
| type 1 diabetes occurs at what age | 20 and under |
| why is the test that checkks ketones in the urine done | to give proper adjustment of insulin test for acetone which is present when fats arent being oxidized |
| medications are excreted by the | kidneys |
| medications are absorbed by the | stomach |
| medications are metabolized by the | liver |
| P.O | by mouth |
| b.i.d | twice a day |
| t.i.d | three times |
| prn | as needed |
| q.i.d | four times a day |
| ac | before meals |
| gastro | stomach |
| cardio | heart |
| tachy | rapid |
| brady | slow |
| emesis | vomit |
| endo | internal |
| nuero | nerve |
| renal | kidney |
| hs | bedtime |
| d/c | discontinue |
| what routes can the qma administer medication | oral, sublingual, transdernal, enternal, inhilation, insertion |
| before administration of medication through a g tube what should the qma do | crush and dilute meds |
| where should the qma administer ophthalmic ointment(eyedrops) | lower eye lid 5 minutes inbetween each drop |
| what is the best position when administering an enema | sims position |
| when doing wound care for a minor skin tear. what should the qma do if the wound has skin attached to one end but not the other | replace the skin over the wound. cover as much of original surface as possible |
| what should the qma do before administering bactrim suspension | give with plenty of fluids, clean surface |
| what sould the qma do before administering a controlled substance | check mar to verify order, check date the order began and **read label*** |
| how many classifications are listed under controlled substances | five |
| give examples of each | 1 heroin 2 morphine 3 palegoris 4 phenobarbitual 5 antitussives |
| verbal orders are taken by | lpn or licensed nurse |
| telephone orders should be taken by | lpn |
| when should the physician sign the orders | on their next visit |
| if there is a medicatioun error what should the qma do | report to the lpn immediately documentation of observed condition must be thorough and changes reported to lpn |
| there is a discrepency between the mar and the medication label what shoud the qma do | notify the nurse |