Medication Administration

Question 1

What are the nine rights of medication administration?

Answer 1

Documentation
Dose
Medication
Patient
Route
Reason
Response
Right to refuse
Time

D-D-M-P-R-R-R-R-T

Question 2

What are the 4 parenteral routes of medication administration?

Answer 2

IV (intravenous)
IM (intramuscular)
SC (subcutaneous)
TD (Transdermal)

(Parenteral just means it works faster than non parenteral)

Question 3

What are 7 types of non-parenteral routes of medication administration?

Answer 3

PO (by mouth)
TD (transdermal)
SL (sublingual)
Instillation (like eyedrops)
Inhalation (breathing in)
Buccal (in the cheek)
Topical (on top of the skin)

Question 4

Does a routine medication order mean?

Answer 4

on a regular schedule (daily, at bedtime, BID, etc.)

Question 5

What does a PRN order mean?

Answer 5

as needed based on symptoms and prescriber directions

Question 6

What does a now or once order mean?

Answer 6

One time only dose

Question 7

The stat order mean?

Answer 7

Immediately

Question 8

The standing order mean?

Answer 8

routine set of orders for a specific setting (OR, PACU, etc.)

(Essentially, they are premade templates of orders ready to go for an admission or discharge)

Question 9

What different ways can an order be given to you?

Answer 9

Electronic, which is most common

Written, which is more common in nonhospital settings

Verbal, which is during emergencies or over the phone

Question 10

What is important about verbal orders?

Answer 10

That you read it back to the doctor or provider for accuracy and clarification

Question 11

Find the first things you do when preparing medication’s

Answer 11

Wash your hands

Question 12

Where should you prepare medication’s?

Answer 12

In a quiet well-lit area where you will not be disturbed

Question 13

One medication’s are not in use they should be

Answer 13

Secured, and either a locked cart, or locked medroom, or Pyxis

Question 14

Three checks you should take for accurate medication and dosing while preparing?

Answer 14

Check when removing from storage, when removing from package or bottle, and when returning to bottle or disposing a wrapper

Question 15

When preparing a medication do not

Answer 15

Turn your back

Question 16

When measuring liquid medication’s in a cup, you should

Answer 16

Set it on a level surface and bring your eyes down to cup level

Question 17

I’m preparing medication’s should you touch the pills?

Answer 17

No

Question 18

When administering medication’s such as eyedrops or an inhaler, you need to consider

Answer 18

That you have all your supplies present, such as tissues for the eyedrops and spacer for the inhaler

Question 19

If a medication has the letters “ER, CR, XR, XL) do not

Answer 19

Crush or split the pills or tablets before clarifying.

These mean extended release, I need to be clarified with pharmacy before crushing them, because it does affect their efficiency and time they’re released in the body.

Question 20

When preparing parenteral medications you must follow

Answer 20

Aseptic technique

Question 21

Before giving medication’s, what are things that you need to consider?

Answer 21

Why are you giving this medication?

What is it supposed to do for the patient?

How do you know Orr work?

You need to complete your assessment, such as vital signs in pain

Question 23

A medication order must contain this information prior to giving it to a patient

Answer 23

Medication name, dose, units, route, frequency.

(don’t forget your nine rights of medication administration)

Question 24

What do you need to assess for when you believe that there’s a reason you would not give medication to a patient?

Answer 24

Assess for allergies, side effects, or contraindications

(I don’t know if this is the correct answer, but it was blank and I just guessed)

Question 25

Check patient identity with

Answer 25

Two identifiers

Question 26

If a patient questions a medication you should

Answer 26

Stop and double check, what concerns might they have?

Question 27

When giving an oral medication what do you need to check?

Answer 27

That it was actually swallowed

Question 28

Which medication’s are generally kept under a double lock?

Answer 28

Controlled substances. Example would be narcotics such as Percocet.

Question 29

What do you need to check after giving him medication?

Answer 29

The effectiveness of the medication, and if there are any adverse or side effects

Question 30

When do you document a medication after it was given?

Answer 30

Immediately. not before not after

Question 31

If a patient’s blood pressure is below the parameters and you are to give a blood pressure medication, what should you do?

Answer 31

Hold the medication, tell the prescriber, and question the order, also, make sure you document it

Question 32

What should you do if you dropped a medication onto the floor or a patient spit it out?

Answer 32

It should be disposed of securely in a new dose obtained

Question 33

What happens if a patient brings her home medication’s?

Answer 33

They will generally be sent home with a patient or put in the safe storage. It can only be given with the approval of the prescriber.