Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers), Exams of Nursing

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Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Ethical standards for Medication Aide - Correct Answer -guides to moral behavior (rights/wrong) -life valuable, every person deserve respect has own beliefs -personal information private Guiding principle ethics - Correct Answer if unable do good, do not harm Assisted Living Facilities of Virginia are re licensed to ____________________? - Correct Answer Department of Social Services Department of Social Services licenses ___________? - Correct Answer Assisted Living Facilities Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 4 functions for Medication Aides - Correct Answer -administer medications Assisted Living Facilities Department of Social Services -administer medications self-administer -give insulin -administer epi-pen allergies glucagon diuretics order emergency 7 functions for Medication Aides cannot do - Correct Answer - transmit verbal orders for new prescription drugs to pharmacy - administer intramuscular injections, intravenous medications -assess client -mix or dilute medication - change or label medication - prepour medication Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Neglect - Correct Answer failure provide food medication shelter or appropriate care or inappropriate care results injury or harm whether physical or emotional person. Uniform Assessment Instrument - Correct Answer document required by Department of Social Services identifies level of care required for each client. Blood pressure measurement - Correct Answer pressure exerted on walls of arteries Contradiction - Correct Answer use certain drug dangerous inadvisable contradicted Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Adult Protective Services - Correct Answer unit local Department Social Services which adult resides or in which abuse, neglect or exploitation occurred Individualized Service Plan - Correct Answer document required by DSS outlines plan of care for clients in assisted living facilities OSHA - Correct Answer government agency responsible for safety for workers Standard Precautions - Correct Answer Established by OSHA prevent contamination by blood-borne pathogens wear gloves when handle body fluids, wear personnel protective equipment and disposes biohazardous waste Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Bloodborne Pathogens - Correct Answer are microorganisms found human blood and cause disease 3 common bloodborne pathogens - Correct Answer Hepatitis B Hepatitis C HIV (human immunodefiency virus) Personal Protective Equipment - Correct Answer worn danger contact with blood or body fluids includes: masks, gloves, gowns, goggles Aseptic - Correct Answer free from disease-cauisng organisms Cleaning - Correct Answer removes germs dirt, and other impurities from surfaces or objects use soap or detergent and water physically remove germ from surfaces Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3 examples of communication - Correct Answer 1. message 2. sender 3. receiver Cognitive impairment - Correct Answer inability to think, reason, and /or remember 3 examples: Delirium, Depression, Dementia, other examples: physical conditions (head injuries), mental illness, mental retardation, substance abuse Delirium - Correct Answer temporary state of confusion cause disease substance or medications subsides cause removed Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Depression - Correct Answer prolonged sad mood state cause chemical imbalance in brain Dementia - Correct Answer impairment result from brain cell destruction cause strokes, Alzheimer disease(neuodegenerative disease) -usually not reversible physical conditions Cognitive impairment - Correct Answer CVA- cerebral vascular accident (brain stroke) brain injury closed head injuries Mental illness - Correct Answer Bi-polar disorder Obsessive-compulsive disorder Schizophrenia Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Mental Retardation - Correct Answer Down's syndrome Birth trauma injury Delusions - Correct Answer believe things are not true Hallucinations - Correct Answer seeing things are not there Manage challenge behavior (behavior management) - Correct Answer Antecedent is what happens before behavior, Behavior (what behavior (identify accurate), Consequence (what happens result behavior) Aphasia - Correct Answer inability to speak Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) -no gauge eye level, deflate cuff slowly -not wait sufficient time between reading Preservation - Correct Answer continuance of activity after the stimulus is removed International time - Correct Answer counting form the first hour of the day number 1 to the last hour of the day number 24 2100=9pm 6 Rights for client - Correct Answer 1. Right client, 2. Right Drug, 3. Right Dose, 4. Right Route 5. Right Time 6. Documentation Validation - Correct Answer not trying to reason with confused client go along with client Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Drug Enforcement Administration - Correct Answer federal agency regulates and enforces laws on drugs Schedule I-IV Food Drug Administration - Correct Answer federal agency which determines when manufacturer can market its drug based on safety and efficacy data, determines drug therapeutically equivalent brand name drug Route of Administration: Subcutaneous - Correct Answer Meaning: under skin Abbreviation: subcu., SQ. Route of Administration: Sublingual - Correct Answer Meaning: under the tongue Abbreviation: subling, SL. Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Tablespoon - Correct Answer Tbs Teaspoon - Correct Answer tsp Ad lib - Correct Answer As much as needed prn - Correct Answer As necessary q - Correct Answer every qod - Correct Answer every other day qam - Correct Answer every morning Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 2 examples of animal - Correct Answer -insulin: derived from pancreas of pigs and cattle -heparin: derived from intestinal lining of pigs and cattle 3 examples of minerals - Correct Answer -dietary supplements (iron, iodine, calcium) -Epsom salts: magnesium sulfate -milk of magnesia: magnesium hydrochloride 2 examples of Chemical sources - Correct Answer 1. chemical 2. Biotechnology 2 examples of Chemical drugs - Correct Answer (synthetic- create in laboratory; how many drugs are made today) -Bactrim: sulfamethoxazole trimethoprim Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) -Prozac-fluoxetine 1 example of biotechnology - Correct Answer Humulin: synthetic insulin (not from human pancreas) 2 drug names - Correct Answer 1. generic name 2. trade name Generic name - Correct Answer official name of active ingredient used all manufacturers ex: non-proprietary Non proprietary - Correct Answer no one manufacturer can own the name ex: ciprofloxacin generic name for Cipro Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Trade name - Correct Answer also called branded, or product name ex: proprietary Proprietary - Correct Answer -means name used by specific manufacturer -indicated symbol R Ex: Amoxil registered trade name amoxicillin -Tylenol registered trade name acetaminophen Cardiovascular system drugs - Correct Answer used treat conditions heart prevent heart attack potential Side effects: decreased heart rate, dizziness examples: Lanoxin (digoxin), Corgard (amiodarone) Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Anticoagulants - Correct Answer • used to treat or prevent thrombosis (blood clotting) • potential side effects: bleeding, nausea, itching, abdominal • examples: Coumadin (warfarin sodium) report any excessive bleeding Anti-hypertensives - Correct Answer • used to lower blood pressure reduces risk heart attack or stroke • potenial side effects: orthostatic hypertension (rise quickly from sit or lying position), dizziness, nausea, decreased heart rate • Lopressor, Prinivil, Calan,HCTZ • report clinet non-adherence, even he or she feels better Anti-hyperlipidemics - Correct Answer • used lower cholesterol reduces risks Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) • potential Side effects: flatulence (gas), diarrhea, headache, muscle ache •Example: Lipitor, Mevacor, Tricor report muscle aches/cramps Antibiotics - Correct Answer •used treat bacterial infections • important not to miss doses • administer on time and entire course •not-effective agaisnt viral infections such as common cold or flu •potential side effects: itch rash, anaphylaxis Examples: Bactrium DS, Zithromax, Levaquin •has severe high reaction Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Anti-convulsants - Correct Answer •used treat seizures, may used to treat seizures certain types of pain •used for bipolar disorder and behavioral management in dementia • cannot miss doses • potential side effects: slurred speech headaches, decrease coordination •examples: Ambien, Sonata, Lunesta report excessive drowsiness or dizziness during waking hours Anti-anxiety drugs - Correct Answer •used reduce anxiety, stress or agitation •potential side effects: drowsiness, dizziness, increased risk of falls •example: Ativan, Xanax Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) osteoporosis drugs - Correct Answer •used prevent and/or treat osteoporosis •commonly adminster to elderly •potential side effects: nausea, constipation •Fosamax, Miacalcin, Actonel, Tums, 1st thing morning, full glass water sit up, cannot drink/eat/lie down 30 min pain medications - Correct Answer •used treat moderate and severe pain or combination of both •used treat moderate to severe pain Schedule 2 to 4 drugs require special record keeping • many used treat mild pain are sold over-the counter •potential side effects allergic reactions, upset stomach, constipation Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) •Lotrab, Perocet, Roxanol, Ultram, Advil, Tylenol (acetaminophen) over counter drug, elerly issues NSAIDs (non-steriodal antiinflammatory drugs- Motrin, Advil) If client take acetaminophen (Tylenol) more 4,000 mg, what is cause - Correct Answer liver damage Dementia medications - Correct Answer •drugs which slow progression of memory loss •potential side effects: headache, nausea and vomit (especially during titration) dizziness, fatigue, itching, depression •example: Namenda, Reminyl, Aricept, Exelon Report any missed doses alter therapeutic effect and defeat purpose take medication Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Dispensing classifications: Prescription drugs Schedule II-V - Correct Answer • have high potential abuse, especially Schedule II drugs • require special storage and report procedures/documentation • cannot be dispensed without prescriber's prescription Dispensing classifications: Prescription drugs Schedule II examples - Correct Answer • Percocet, morphine, oxycontin Dispensing classifications: Prescription drugs Schedule VI Virginia - Correct Answer • have least potential for addictions and abuse • cannot be dispensed without prescriber's prescription Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) • act process discharge matter from tissues/organs 5 physical factors affect drug action - Correct Answer • age, weight, gender state and genetic factors Age - Correct Answer • liver and kidney decrease with age and alter body's ability metabolize and excrete drugs • very young and very old require age appropriate dosages Weight - Correct Answer • average adult dosage calculated produce certain effect in persons between ages 15-65 weight approximately 150 pounds • unusually large or small persons require different doses Gender - Correct Answer • women react differently to certain drugs than men Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) • all drugs administered with extreme caution in pregnant women Disease states - Correct Answer • disease impair organs necessary for metabolism and excretion • clients must take drug over long period of time develop tolerance requires increase dosage • example: severe cancer pain may require stronger dosage of narcotic pain medication achieve therapeutic effect genetic factors - Correct Answer •each person's individual makeup cause slight differences in basic processes like metabolism and excretion affect drugs action •some are more sensitive to drug because they lack naturally occur enzymes to metabolize drug Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 4 psychosocial factors affect drug action - Correct Answer 1. Diet 2. Exercise 3. Mental state 4. Past history of response to drugs Diet - Correct Answer -combine certain drugs with certain food alter drug's effects example: effects of tetracycline decreased when taken with milk products Exercise - Correct Answer -increases muscle mass and circulation which alter absorption -strengthens heart and improves circulation improve distribution or elimination of drugs Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. some drugs administered at certain times prevent unwanted 4. side effects that drug might cause example: Fosamax given in morning in upright position prevent acid reflux Client has right to know __________________, _______________, and _______________? (3 things) - Correct Answer 1. client must know their medication 2. Med aide impact client's attitude and behavior regard medication 3. Med aide should use every opportunity help client understand purpose and effects of their medications Purpose of medication - Correct Answer 1. prevent illness (vaccines) 2. eliminate illness (antibiotics) Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. Relieve symptoms related to illness (cough supressant, aspirin) 4. Alter behavior (tranquilizers, mood elevators) 3 examples of effects of medicaiton - Correct Answer 1. desired (therapeutic effect) 2. undesired (effect) 3. no effect desired (therapeutic effect) - Correct Answer -drug acts in manner for which it was prescribed -always observe closely when client start take new drug undesired (effect) - Correct Answer -side effect unwanted action does no harm to body by limit usefulness of drug Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) --usually not therapeutically desirable --can occasionally be useful (sedative effects of drug may help with sleep) --initial side effects may subside over time Drug interaction is - Correct Answer effect results from take 2 or more drugs at same time 3 interactions are potentiate, antagoinist, unwanted effect potentiate - Correct Answer one drug increase effect of another antagonist - Correct Answer one drug decreases effect of another Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) -sometimes delay and may occur over course of person's life Observe for allergic reactions - Correct Answer 1. hives or rash, 2. nausea and/or vomiting 3. itch 4. swelling especially around eyes Anaphylaxis - Correct Answer severe allergic reaction usually to substance which person become sentized symptoms of anaphylaxis - Correct Answer difficult breathing and swallowing, facial tongue and swelling Treatment of anaphylaxis - Correct Answer -emergency intervention 911 Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) - may be treated with injection of epinephrine See Epipen Observe and report allergic reactions - Correct Answer -record known allergies bold letters Medication Administration Record (MAR) -always provide any history of allergies to pharmacist and other health care providers Physician's Desk Reference - Correct Answer is commonly used in HCP's offices description - Correct Answer what drug is made of action - Correct Answer how drug works Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) indications - Correct Answer what conditions drug used for contraindications - Correct Answer conditions under which drug should not be used precautions - Correct Answer specific warning consider when administer drugs patients with specific conditions or diseases adverse reactions - Correct Answer unintended and undesirable effects dosage administration - Correct Answer correct dose for each possible route of administration Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. document administration MAR Administer oral solid medications - Correct Answer 1. client receive several medication, put in 1 cup (has difficult swallow, administer each pill) 2. do not crush or dissolve tablet, or capsule without order 3. document administration MAR What kind drugs you cannot crush? - Correct Answer 1. enteric coated drugs 2. drugs administered by dissolve in cheek (buccal) 3. drugs meant dissolve under tongue (sublingual) 4. sustained release drugs on list : DR, XR, CR, EC, ER LA, SA, etc. 5. do not mix medication with food or liquids (milk/juice) without request permission physician Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Give solid medication and liquid medication at same time, which should give first? - Correct Answer Solid medication first and liquid medication second oral liquid medication - Correct Answer -unless not instructed, shake bottle before pour medication -set cup on level surface eye level -document administration MAR Give 2 liquid medications at 1 time, and 1 liquids is cough syrup.. which is first liquid or cough syrup? - Correct Answer Give liquid first, then cough syrup b/c cough syrup intend coat and soothe throat Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Do not give medication if any labels missing: - Correct Answer 1. HCP order 2. Medication Administration Record (MAR) 3. Pharmacy label or illegible label 4. if client exhibits significant change in physical or mental status 5. any question any doubt 5 rights Administer eye drops - Correct Answer 1. privacy, verify medication accuracy MAR, perform hand hygiene 2. client lying back head tilt 3. pull lower lid down and drop out aspect eye 4. should squeeze 1/3 inch into pouch 5. document administration MAR Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 4. document accurately MAR For how long client should remain their position after med aide gave nasal drop? - Correct Answer Client should remain their position few minutes nasal sprays - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times 3. instruct client hold head upright and slightly tilt head forward 4. document accurately MAR For nasal sprays, med aide should insert client's nose about? - Correct Answer insert spray nozzle no more than 1/4 inch into nostril with tip pointed to back outer side of nose Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Administer creams, lotions and ointments - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times 3. apply thin cream, lotion, or ointment affected area use glove finger 4. document correctly MAR Purpose vaginal medications - Correct Answer 1. administered into vagina 2. administer treat infection, relieve itching, control vaginal dryness, for symptoms of menopause or for birth control examples: vaginal suppositories and vaginal creams Administer vaginal suppositories - Correct Answer 1. privacy and explain procedure Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 2. verify medication order accuracy with MAR and read label 3 times 3. position client her back with knees flexed and legs drawn toward chest 4. Lubricate tip of suppository with water-soluble gel (do not use petroleum gel) 5. spread labia and insert gently forward about 2 inches (do not force) 6. spread labia and insert suppository gently forward about 2 inches 7. document correctly MAR Administer vaginal creams - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) administer internal creams, ointments - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times 3. instruct client urinate or move bowels, if possible 4. insert applicator tip into rectum and gently squeeze tube to deliver medication 5. remove applicator tip from tube and wash hot soapy water, let air dry on clean dry paper towel 6. document correctly in MAR administer enemas - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. instruct client urinate or move bowels, if possible 4. insert enema tip run rectum 5. see HCP's order package driection 6. docuemtn correctl in MAR assist soaks - Correct Answer 1. to relieve pain 2. to cleanse 3. to speed healing 4. pharmaceutical solutions may be ordered When assist soaks - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. prepare soaking solution and check water temperature with thermometer or on your wrist Water temp. between 105 degrees to 110 degrees F 4. remove body part dry clean towel (soak feet diabetic client) 5. Document procedure facility guidelines How much minutes should med aides should check in soak bath? - Correct Answer Check water temperature every 5 minutes and add hot water as needed to maintain temperature. For how long client remain in soak or sitz bath? - Correct Answer -soak for prescribed time (usually no more than 20 minutes) assist sitz baths - Correct Answer 1. to relieve pain (often for hemorrhoid-related pain) Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) handheld (metered dose) inhalers - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times 3. have client drink water 4. position inhaler with mouth piece between lips and pursed make seal around mouth piece 5. document administration according to facility policy How long client should breathe in handheld (metered dose) inhalers - Correct Answer Instruct client breathe in slowly over 3 to 5 seconds as med aide press down on haler and spacer device if ordered by HCP How long client should hold their breathe after they breathe in handled (metered dose) inhalers? (note: Different question!) - Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) Correct Answer Instruct client hold his/her breath for 10 seconds, allow medication penetrate deeply into lungs, then slowly exhale through nose How long should you clean metered dose inhalers? - Correct Answer Metered dose inhalers should be cleaned at least weekly by remove metal canister, rinse holding device under warm running water and allow to air dry, thoroughly. nebulizer treatments - Correct Answer are used large amount of medication deliver to lungs come liquid form and measured into nebulizer machine mist heated or cooled and deliver through face mask or mouthpiece Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) procedure for inhalation therapy using nebulizer - Correct Answer 1. privacy and explain procedure 2. verify medication order accuracy with MAR and read label 3 times 3. Open vial contain medicine and squeeze contents in cup and position client upright 4. have client breath calmly deeply and no mist (5-15 minutes) 5. Document administration according facility policy How long client should remain breathe? - Correct Answer Instruct client breathe calmly, deeply, evenly possible until no mist formed in nebulizer chamber (about 5-15 minutes) Ask client hold each breathe second or two before breathing out Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) adminster EpiPen - Correct Answer 1. unscrew yellow or green cap off EpiPen or EpiPen Jr carry case and remove EpiPen from storage tube 2. grasp pen black tip point downward 3. swing and jab perpendicular 90 degree at thigh 4. Call 911, seek immediate medical attention 5. carefully used auto-injecter needle -end first For special instruction of EpiPen you should never ____________________? - Correct Answer put your thumb fingers or hand over black tip -accidental injection hadns or feet may loss of blood care and storage of EpiPen - Correct Answer 1. Keep EpiPen available and ready use at all times 2. Store dark place at room temperature Chapters 1-4 Medication Aide Final Review VA Exam Questions and Answers Updated (2023 / 2024) (Verified Answers) 3. Do not refrigerate 4. Note expiration date on unit. Always least 1 unexpired unit on hand