Medication Administration
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| show | Right Client. Right Medication. Right Time. Right Route. Right Dose. Right Documentation.
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| show | *Obtain report on client. *Verify physician's orders. *Check for a presence of allergies.
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| What is the 3-way check? | show 🗑
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| show | medication administration record (MAR)
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| What the nurse must know for every drug prior to administration: | show 🗑
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| show | Medications should be administered within 30 minutes before or after the scheduled time.
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| show | No. Never give any medication that you have not prepared yourself.
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| When can you touch capsules or tablets with your bare hands? | show 🗑
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| What is the Safest and most economical route of medication? | show 🗑
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| Technical term for topical medications | show 🗑
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| Routes of instillation medications | show 🗑
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| show | Sublingual.
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| show | Ophthalmic.
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| This form of instillation medication route is used for irrigation to remove foreign bodies and to soften cerumen for removal and administer antibiotics. | show 🗑
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| show | Nasal.
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| How easy is the drug dosage to establish via the inhalation route? | show 🗑
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| What medication route is used when digestive juices would counteract the effects of the drug? | show 🗑
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| Which method of medication administration provides the fastest action? | show 🗑
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| After admistering oral medication, how do you verify the patient taking it? | show 🗑
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| When is the administration of liquid medication contraindicated? | show 🗑
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| show | Graduated medicine cup on a flat surface at eye level while pouring and reading dosage.
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| Where specifically should the volume be read in the graduated cup? | show 🗑
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| show | NG tubes.
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| show | Tablets will need to be crushed. Capsules will need to be opened. -->Call pharmacist prior to crushing any tablet or opening any capsule.<--
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| How should the opened contents of a capsule or crushed tablet be prepared prior to administration via NG tube? | show 🗑
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| show | Sitting up if possible.
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| show | Place client in high fowler's position and place towel over chest to protect clothing and bedding.
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| show | Flush tube with 30 to 50 ml of water.
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| show | Follow medication with 30 to 50 ml of water to flush the medication into the stomach.
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| How should medication be poured into the NG tube? | show 🗑
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| show | In the refrigerator.
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| show | In a medicine cup.
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| show | Apply lubricant such as KY jelly to tapered end of suppository.
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| How far should suppository be inserted? | show 🗑
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| show | Oral.
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| One of your client's medications is in a liquid form. You pour the medication with the container at eye level and read the meniscus at what point? | show 🗑
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| show | Protecting your own skin.
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| show | False. Do not "double dip". Gloves and applicators that come in contact with the client should not be reinserted into the container.
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| Assessments should be done before or after applying topical drugs? | show 🗑
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| show | Document and return to assess the clients response to the medication (further documentation may be applicable).
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| show | True.
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| How should the patient be positioned for administration of ophthalmic medication? | show 🗑
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| show | Remove exudates.
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| show | Eye drops.
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| How will containers of solutions to be used as eardrops be labeled? | show 🗑
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| show | Room temperature.
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| show | Removal of external exudates from the ear.
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| show | 1)Turn head with affected side up. 2)Pull earlobe UPWARD and back to straighten external auditory canal. 3)Give drops without touching ear with dropper.
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| How are ear drops (otic medications) administered to adults and children of less than 3 years? | show 🗑
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| What should be done with the nose prior to medication administration? | show 🗑
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| How should patient be positioned for administration of nasal drops? | show 🗑
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| How should the inhaler be positioned if a aerochamber is not being used? | show 🗑
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| show | False.
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| show | True. Proper usage of the aerochamber requires it to be grasped in the lips and teeth after exhalation.
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| How long should the client hold their breath after inhaling from the inhaler? | show 🗑
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| show | 2-3 seconds.
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| How long will the client have to wait between puffs on the inhaler? | show 🗑
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| show | 5 to 10 minutes between inhalations or as ordered by physician.
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| show | the client may feel gagging sensation in throat caused by droplets of medication on pharynx or tongue.
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| How much fluid does a tuberculin syringe hold? | show 🗑
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| What is a tuberculin syringe used for? | show 🗑
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| show | All insulin doses should be checked with another nurse prior to administration. Both nurses must document that the insulin dose was checked.
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| What is used for most intramuscular injections. | show 🗑
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| show | Lumen
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| Length of intradermal needles | show 🗑
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| Length of subcutaneous needles | show 🗑
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| show | 1/2 - 5/16 inch.
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| show | 1 - 1 1/2 inch.
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| After a possible exposure to tuberculosis, a 25 year old health worker receives a TB skin test. The skin test will be given by what type of injection? | show 🗑
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| show | *Type of medication to be administered. *Size of the individual's muscle mass. *The integrity of the individual's tissue.
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| show | Vastus Lateralis.
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| show | Vastus Lateralis.
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| show | Ventrogluteal.
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| show | Dorsogluteal.
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| How much medication can be administered to the deltoid? | show 🗑
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| What age groups is the deltoid site contraindicated in? | show 🗑
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| True or False: You can use any type of needle for ampule medications. | show 🗑
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| True or False: You can place two medications in the same syringe. | show 🗑
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| show | 20-22 gauge.
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| show | Used for injecting medications that is irritating to the tissues. Seals the medication deep within muscle tissue. It prevents staining or tracking of medication into tissue as the needle is withdrawn.
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| How should the medication be drawn using the Z-track method? | show 🗑
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| What volume of medication is administered via the intradermal route? | show 🗑
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| What gauge of needle is used for intradermal medication administration? | show 🗑
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| At what angle should a intradermal needle be inserted? | show 🗑
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| What Injections are made into the loose connective tissue between the dermis and the muscle layer? | show 🗑
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| show | No more than 1ml.
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| What gauge nedle is used for subcutaneous injections? | show 🗑
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| At what angle will the needle be inserted in subcutaneous injections? | show 🗑
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| Which IM site is a patient most at risk for obtaining an injury, if incorrect technique is used is: ______________. | show 🗑
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| Why must air be injected into vial prior to removal of desired medication amount? | show 🗑
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| True or False: The LPN can administer medication via IV push. | show 🗑
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| show | Must be flushed with 3 ml of saline before and after use and/or every shift to ensure patency.
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| show | Patient Controlled Analgesia pump
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| How is the PCA pump verified? | show 🗑
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| show | PCA pump
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| Parenteral nutrition is also known as _________ | show 🗑
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| show | Indicated for clients with nonfunctioning or dysfunctions GI tracts.
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| show | Glucose, amino acids, vitamins, minerals, and electrolytes
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| How often should Total Perenteral Nutrition be assessed? | show 🗑
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| show | Hyperglycemia or intolerance to TPN
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| show | monitor q4 hrs for redness, swelling, or drainage from site. Blood glucose: every 6-8 hours. Report abnormal values immediately. Vital signs: every 4-8 hours. Abnormal vital signs may indicate complications.
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| show | To dilute the solution rapidly.
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| show | Signs of systemic infections Signs of fluid overload Allergic reactions
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| show | Anxiousness, dyspnea, weak and rapid pulse.
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| show | *Damaged nerves *Abscesses *Necrosis *Sloughing of skin *Lingering pain *Periostitis: Inflammation of the lining covering the bone
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| What IM site should you NOT use with infants or children under age of 3 years old due to underdeveloped muscle | show 🗑
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| show | Vastus Lateralis
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