Medication Administration

Question 1

What are the 7 things that must be included in a med order?

Answer 1

Date, client’s name, route of administration, time, dose, medication, signature of physician

Question 2

6 rights of Medication Administration

Answer 2

Patient, time, medication, dose/amount, route, reason

Question 3

What are 2 additional things to do when administering meds?

Answer 3

Check the expiration of the meds and document in patient’s chart

Question 4

How many identifiers do we use to verify a patient’s identity?

Answer 4

3

Question 5

What are the identifiers used to identify patients prior to med administration?

Answer 5

Name, DOB, MRN number

Question 6

What should be checked on the patient prior to the administration of drugs? (Not the identifiers)

Answer 6

Vitals

Question 7

What are common med errors?

Answer 7

Administering PRN medication too early, giving full pill instead of half, omission of 6 rights and 3 checks, talking at the Pyxis

Question 8

What is the window for scheduled meds?

Answer 8

1 hour before and one hour after scheduled time. PRN MEDS CANNOT BE GIVEN EARLY!

Question 9

How many nurses need to witness a narcotic disposal?

Answer 9

2

Question 10

What are risk factors for medication problems involving geriatric patients?

Answer 10

Age > 85, 6+ comorbidities, low weight, renal insufficiencies, 12+ medications per day, previous adverse drug reactions

Question 11

Which medication route is the most addictive?

Answer 11

Inhalation

Question 12

What does ac mean?

Answer 12

Before meals

Question 13

What does HC mean?

Answer 13

At bedtime

Question 14

Where is the best location to administer insulin?

Answer 14

Abdomen

Question 15

What is important to remember when administering insulin?

Answer 15

Make sure to rotate site of insulin injection

Question 16

What color are insulin syringes?

Answer 16

Orange

Question 17

What are insulin injections measured in?

Answer 17

Units not CCs

Question 18

What type of syringes are used for injections?

Answer 18

Leur-lok

Question 19

What can happen if too much insulin is administered?

Answer 19

Hypoglycemia

Question 20

As the gauge of needle increases, the diameter of the needle __________?

Answer 20

Decreases

Question 21

What are the 3 main sites that should be used for Parenteral injections?

Answer 21

Vastuslateralis, deltoid, ventrogluteal

Question 22

Where is it no longer recommended to do IM injections?

Answer 22

Dorsal gluteal

Question 23

What type of needle can be recapped?

Answer 23

Clean needles

Question 24

What are the 3 types of injections?

Answer 24

Intramuscular, subcutaneous, intradermal

Question 25

Where can a subcutaneous injection be administered?

Answer 25

Abdomen, back of arm

Question 26

What factors influence the choice for which injection site to use? (There are 6)

Answer 26

Age, size, medication, volume, frequency, ability to position a patient for injection

Question 27

What angle is used for IM injections?

Answer 27

90°

Question 28

If a medication needs to be absorbed rapidly, what type of injection should be used?

Answer 28

IM

Question 29

How many units of insulin equals 1ml?

Answer 29

100 units

Question 30

Which injection uses aspiration?

Answer 30

IM injections

Question 31

What should the rate of injection be in an IM injection?

Answer 31

1ml/10 sec

Question 32

When is aspiration not necessary for an IM injection?

Answer 32

Vaccines (immunizations)

Question 33

What is the safest and least painful site for IM injections?

Answer 33

Ventrogluteal

Question 34

When would a ventrogluteal injection be recommended?

Answer 34

Large volumes or irritating solutions

Question 35

Which gauge needle is usually used for adults?

Answer 35

20-23 gauge

Question 36

Which gauge needle is utilized for infants and children?

Answer 36

22-25 gauge

Question 37

What length of needle should be used for infants and children?

Answer 37

1/2 to 1 inch

Question 38

What length of needle should be used for adults?

Answer 38

1-1 1/2 inch

Question 39

What length of needle is used for obese patients?

Answer 39

Up to 3 inches

Question 40

Maximum volume for ventroglutealinjections? (Adults, adolescents, smaller children, infants)

Answer 40

Adults:2.5ml, adolescents:2ml, smaller children: 1-1.5ml infants: 0.5ml

Question 41

What is the preferred and most used sites for infants and toddlers?

Answer 41

Vastus lateralis

Question 42

Volume that can be injected into the vastus lateralis

Answer 42

Adults: 2-3ml, adolescents: 2ml, children: 1ml, infants: 0.5ml

Question 43

What is the age range for a deltoid injection?

Answer 43

Anyone 3 and older

Question 44

What types of solutions can be injected into the deltoid?

Answer 44

Must be nonirritating usually immunizations and biologics)

Question 45

What volume can be injected in to the deltoid?

Answer 45

Children: 0.5ml-1ml Adult:max 2ml

Question 46

What gauge needles should be used in the deltoid?

Answer 46

22-25 gauge

Question 47

Where is a subcutaneous injection administered? Which layer of skin?

Answer 47

Into adipose tissue, between dermis and muscle

Question 48

Gauge of needle for subcutaneous injection

Answer 48

25-30

Question 49

Length of needle for a subcutaneous injection

Answer 49

5/8 inch

Question 50

Volume injected with subcutaneous injections

Answer 50

Children: max 0.5 mL adults: 0.5ml-1ml

Question 51

What are the primary sites of subcutaneous injections?

Answer 51

Adolescents & adults: dorsal of upper arm, abdomen; infants: anterior thigh

Question 52

Angle of an intradermal injection

Answer 52

5-15°

Question 53

When should allergies be checked for patients?

Answer 53

When preparing the medication as well as at bedside

Question 54

Which needle is the most universal?

Answer 54

23 gauge and 1 inch