Medication Administration

Question 1

Subjective assessment

Answer 1

PMH
Medication history
At home/OTC
Allergies
Current condition
Diet

Question 2

Objective assessment

Answer 2

Mental status
Fine motor skills
Swallowing ability
Vitals
Other meds
Labs

Question 3

Renal and liver labs

Answer 3

UOP
BUN
Creatinine
SGOT

Question 4

SGOT

Answer 4

Serum glutamate oxoloacetate transaminase

Question 5

Medication info

Answer 5

Name (generic, trade)
Classification
Mechanism
Therapeutic effect
Side effect
Adverse reaction
Allergic reaction
Route
Dosage

Question 6

Onset

Answer 6

Time interval between when Rx is given and first sign of its effect

Question 7

Peak action

Answer 7

Time it takes for Rx to reach its highest effective concentration

Question 8

Duration of action

Answer 8

Time period from onset of action to time when response is no longer seen

Question 9

Plateau

Answer 9

Blood serum concentration reached and maintained after repeated fixed doses

Question 10

Therapeutic range

Answer 10

Range of plasma concentration that produces the desired effect without toxicity

Question 11

Peak

Answer 11

Highest serum concentration

Question 12

Trough

Answer 12

Lowest serum concentration

Question 13

Factors affecting safe dosage range

Answer 13

Age
Body weight
Current condition

Question 14

A medication order includes

Answer 14

Name
Date and time of order
Medication
Dosage
Route
Time or frequency of administration
Signature of provider

Question 15

AC

Answer 15

Before meals

Question 16

PC

Answer 16

After meals

Question 17

Verify with another RN before giving

Answer 17

Insulin
Digoxin
Heparin

Question 18

Aseptic technique

Answer 18

No bare hands
If pill falls on the floor, discard
Don’t talk over meds

Question 19

6 rights of medication administration

Answer 19

Patient
Medication
Dose
Route
Time/frequency
Documentation

Question 20

MAR

Answer 20

Medication administration record

Question 21

MAR information

Answer 21

Name
Birthdate
Medication
Dose
Route
Frequency
Time given
Location if injected
Initials
Signature

Question 22

Nursing interventions

Answer 22

Position patient appropriately
Assist patient with taking meds
One med at a time
Stay with patient until all are taken
Do not leave at bedside
Do not hurry

Question 23

PRN order must include

Answer 23

Reason for administration

Minimal intervals of administration

Question 24

Post-skill activities

Answer 24

Hand hygiene
Clean/dispose of equipment
Assess safety (side rails if sedative, bleeding if injection)

Question 25

What to do if there is a medication error

Answer 25

Report immediately
Notify provider
Complete incident report

Question 26

Medication error definition

Answer 26

A preventable event that may cause inappropriate medication use or jeopardize patient safety

Question 27

Medication errors include

Answer 27

Inaccurate prescribing
Administration of wrong Rx, dose, route, or time
Extra doses or failure to administer

Question 28

Patient education

Answer 28

Medication, dosage, action
Schedule
Side effects
Importance of finishing meds
Preparation and administration
Storage
Don't share
OTC medications
Labeling
How to discard
Cost considerations

Question 29

Assessment for patient education considerations

Answer 29

Cognitive or learning disability
Vision or perception difficulty
Coordination

Question 30

SGOT indicates

Answer 30

Liver or heart damage

Question 31

Unacceptable abbreviations

Answer 31

HS, BID, TID, QID, QD, QOD

Question 32

Standing order

Answer 32

Carried out until ordered is d/c or patient is transferred/discharged

Question 33

STAT order

Answer 33

Administer immediately and only once

Question 34

PRN charting

Answer 34

Why patient received medication

If it was effective (follow up assessment)

Question 35

Returning meds to contained depends on

Answer 35

Agency policy

Question 36

Typical policy for window of administration

Answer 36

60 minutes

Question 37

Assessment of patient refusal includes

Answer 37

Knowledge deficit
Understanding of therapy
Attitude about drug use

Question 38

JCAHO

Answer 38

Joint Commission on Accreditation of Healthcare Organizations

Question 39

Medication errors include

Answer 39

Inaccurate prescribing
Administration of wrong Rx, dose, route, time
Administering too much or too little/non

Question 40

Strategies to prevent medication errors

Answer 40

Prepare meds for one patient at a time
Follow 6 rights
Read label 3 times
Use 2 pt identifiers
No interruption
Verify calcs
Clarify illegible handwriting
Question unusual doses
Document ASAP

Question 41

3 times to read medication label

Answer 41

Removing from storage
Before going to patient room
Before giving