Medication Administration

Question 1

should be checked 3 times (preparing, after preparing and before replacing the container or giving the medication

Answer 1

The right Medication

Question 2

Checking calculation and abbreviation

Answer 2

Right Dose

Question 3

Identify client using two identifiers (name, DOB) or (SSN, or Med rec. number) use armband to compare to EHR

Answer 3

Right Client

Question 4

How medication is administered. Make sure label match how ordered to give. (some meds cannot be crushed)

Answer 4

Right Route

Question 5

Give at the correct time of day/frequency

Answer 5

Right time

Question 6

If not documented it was not given

Answer 6

Documentation

Question 7

True or False

The client has the right to refuse meds?

Answer 7

True

Except; mental health, danger to self/others

Question 8

Nurses responsibility when assessing medication

Answer 8

1. Check the diagnosis and age of patient
2. check order of meds
3. check diet and fluid order (to avoid medication if the patient is kept NPO -nothing by mouth) in preparation for surgery

Question 9

monitor serum drug levels medication effects and side effects

Answer 9

Laboratory values

Question 10

check the ablilties and limitations swallowing the medications, check the vital signs

Answer 10

Physical assessment

Question 11

medication introduced in liquid/ointment form in a cavity

Answer 11

Instillation

Question 12

administered via the resp. tract

Answer 12

Inhalation

Question 13

Given via the nostril

Answer 13

intranasal

Question 14

applied to the skin

Answer 14

topical

Question 15

Types of orders

It should be carried out for a specific number of days or until another order cancels it or its discontinued by the MD.

Answer 15

Standing Orders

Question 16

Types of orders

When needed (good judgment needed) e.g. Pain killer / Laxatives

Answer 16

PRN orders

Question 17

Types of orders

Administered immediately and only one time

Answer 17

stat order

Question 18

Types of orders

Only one time

Answer 18

One-time order/ single order

Question 19

when receiving orders you should?

Answer 19

write it down, read it back and receive confirmation

Question 20

Writing medication orders

7 essential components

Answer 20

1 clients full name
2 date and time written
3 name of medication
4 dosage
5 route
6 time and frequency
7 signature of prescriber or proxy 

(if anything is missing the order is not legal)

Question 21

Types of Routes

Answer 21

Enteral, Parenteral, Skin, Lungs, Vaginal, Eye