Exam 12: Medication Administration Records and Medication Distribution Systems

Directions: Refer to the portion of the MAR provided below to answer the question. Name**, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain - What are the client's medication allergies? ______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -What dose of heparin is to be administered? _______________

A client has a gastrostomy tube (GT) in place. The health care provider ordered the medication p.o. What action would be appropriate for the nurse to take?

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain - If the client receives the Percocet at 10 PM on 5/2/2014, what date and time can the next dose be given? (State the time in traditional and international time.) _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2017 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/17 6/2/17 DG Heparin 5,000 0900 units subcut daily 5/2/17 6/2/17 DG Lasix 40 p.o. 0900 daily 5/2/17 6/2/17 DG K-Dur 10 0900 p.o.b.id 1700 5/2/17 5/5/17 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -You work from 3 PM to 11 PM on May 3, 2017. Which standing medication will you administer to the client? _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name**, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -Which medication is ordered to be administered "as needed"? _______________

What would be the appropriate interpretation for the following order? Demerol 50 mg IM stat? Administer _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -How many times in a 24-hour period will K-Dur be administered? _______________

The health care provider writes medication orders at 8 AM on March 10, 2014, for a client and signs the orders. Which order(s) should the nurse question? (Select all that apply.) _____________________________

A client refuses a p.o. medication and provides the nurse with a reason for refusing the medication. What should the nurse's action be?

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain - What are the scheduled times for administering K-Dur? (State in traditional times.) _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -K-Dur 10 mEq is ordered. What does mEq mean? _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain - By what route will the heparin be administered? _______________

Directions: Refer to the portion of the MAR provided below to answer the question. Name, MEDICATION ADMINISTRATION RECORD Room Number Date of Birth Medical Record Number Diagnosis: ALLERGES: Penicillin Codeine Date: 5/2/2014 Order Exp. RN Medication- Date 5/2 5/3 5/4 5/5 5/6 5/7 5/8 Date Date Initial Dosage, 2012 Frequency, Route Time Initial Initial Initial Initial Initial Initial Initial 5/2/14 6/2/14 DG Heparin 5,000 0900 units subcut daily 5/2/14 6/2/14 DG Lasix 40 p.o. 0900 daily 5/2/14 6/2/14 DG K-Dur 10 0900 p.o.b.id 1700 5/2/14 5/5/14 DG Percocet 2 tabs p.o. q6h p.r.n. for moderate pain -How many hours are between the scheduled times for K-Dur? _______________

A medicine ordered q6h would be given how many times a day? _____

The prescriber orders a medication q8h. The nurse enters the following times on the medication administration record (MAR): 12 AM-6 AM-12 PM-6 PM. What error has occurred?