NCLEX-PN

Controlled Medication Storage ●​ Medication Carts : Medication carts offer mobility, but maintaining a controlled environment for medication storage is crucial. Most carts feature individual drawers for each client's medications. When not in use, carts should be stored in designated secure areas. ●​ Controlled Substances : Controlled substances require heightened security. They should never be placed in regular medicine drawers. Instead, they should be stored in medication carts equipped with double-locking drawers, designed specifically for controlled substances. ●​ Automated Drug Dispensing Systems : Many healthcare facilities use automated drug dispensing systems. These systems provide enhanced security through usernames, passwords, and barcodes for access. Records are automatically kept, contributing to medication accountability. ●​ Unused Medication Disposal : Disposing of unused medications varies by facility. Follow your organization's policies and procedures for proper disposal of unused medications. Parenteral and Intravenous Therapies ●​ Basics of Intravenous Therapy : Understand the fundamentals of intravenous therapy, including its indicators, types of fluids used (isotonic, hypertonic, and hypotonic solutions), and equipment involved (catheters, needles, infusion pumps, electronic delivery devices, regulators, controllers, mechanical infusion devices, and tubing). ●​ Types of Infusion Therapy : There are four types of infusion therapy: peripheral, central, continuous, and intermittent. Familiarize yourself with when each should be utilized. ●​ Mathematical Calculation : Apply mathematical concepts for administering intravenous and parenteral therapy. To calculate an IV drip rate, use the formula: (Total milliliters + total minutes) X drip factor = drops per minute. The drip factor will be provided in the question on the exam. ●​ Vein Selection and Catheter Insertion : Know which veins are suitable for different therapies. You should be proficient in preparing clients for intravenous catheter insertion, inserting and removing peripheral intravenous lines, and monitoring intravenous or client-controlled analgesia (PCA) infusion. ●​ Intermittent Parenteral Fluid Therapy : For clients requiring intermittent parenteral fluid therapy for nutritional purposes, provide education, evaluate client response, and maintain infusion sites. Track infusion rates to ensure accuracy.

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