Medication Administration

Question 1

potentiating effect

Answer 1

One or both drugs increased

Question 2

additive drugs

Answer 2

two of same types of drugs increase action of each other

Question 3

synergistic drugs

Answer 3

two different drugs increase action of one or the other

Question 4

parts of a prescription (8)

Answer 4

• client info
• date
• “Rx”
• medication name, dosage, strength, route
• dispensing instructions for pharmacist
• directions for admin for patient
• refill/special labeling
• prescriber’s signature

Question 5

8 rights of drug admin

Answer 5

• patient
• drug
• dose
• route
• time
• preparation
• storage
• documentation

Question 6

medication reconciliation

Answer 6

involves comparing an accurate list of all a patient’s drugs against the PCP’s orders

Question 7

3x checks

Answer 7

drug, dose, pt

Question 8

5 high alert meds

Answer 8

• Insulin
• Opiates & narcotics
• Injectable potassium
• IV anticoagulants
• Sodium chloride >0.9%

Question 9

6 steps of med admin

Answer 9

1. ID pt - name and date of birth
2. Inform pt
3. Admin drug (including 3x checks)
4. Provide adjunctive interventions as indicated - anything extra
5. Record drug administered
6. Evaluate pt response to drug

Question 10

best option for NG tube meds

Answer 10

liquid

Question 11

always check before admin NG tube med

Answer 11

tube placement

residual

Question 12

enfit function

Answer 12

prevents NG tube errors

Question 13

infection prevention technique for parenteral meds

Answer 13

aseptic

Question 14

parts of a syringe

Answer 14

tip

barrel

plunger

Question 15

rules about insulin pens

Answer 15

do not use with multiple pts

can reuse needles at home, but not recommended

Question 16

TB syringe volume

Answer 16

1 mL

Question 17

luer-lock syringe

Answer 17

needle must be twisted on

Question 18

parts of a needle

Answer 18

hub

cannula/shaft

bevel

Question 19

needle length measured in…

Answer 19

inches

Question 20

gauge measures

Answer 20

needle diameter

Question 21

large gauge = ____ needle

and vice versa

Answer 21

small

Question 22

passive parenteral devices vs active

Answer 22

passive retract immediately

active require nurse to activate safety feature

Question 23

how to recap needle

never recap a ______ needle

Answer 23

scoop method

used/dirty

Question 24

ampules

how to open

single or multi dose

how to draw

Answer 24

break glass

single dose

filter tube/needle - don’t put air in

Question 25

**vial** how to open single or multi dose how to draw

Answer 25

pierce with needle single or multi dose insert amt of air = to dose you are drawing

Question 26

how to draw mixed insulin

Answer 26

Draw up all air needed insert cloudy air insert clear air draw clear fluid draw cloudy fluid CLEAR FLUID BEFORE CLOUDY FLUID

Question 27

**ID** location injected sites on body needle size needle length degree angle fluid volume examples

Answer 27

just beneath epidermis forearms - chest - back #25-#27g ¼ to 5/8 inch 15 degrees 0.1 mL allergy testing - TB test

Question 28

**SQ** location injected sites on body needle size needle length degree angle fluid volume examples

Answer 28

subcutaneous fat back of arms - abdomen - top of thighs - fatty parts of back #25g or #30g for insulin 5/8 to 3/8 inch 45 or 90 degrees 0.5 to 1 mL insulin - heparin - some vaccines

Question 29

**IM** location injected sites on body needle size needle length degree angle fluid volume examples

Answer 29

muscle ventrogluteal - vastus lateralis - deltoid - dorsogluteal - rectus femoris #21 to #25g 1 to 1.5 inch 90 degrees volume depends on location vaccines - other meds

Question 30

sites should be rotated for __ injections

Answer 30

SQ

Question 31

which injection can you aspirate with, but it is not really necessary?

Answer 31

IM

Question 32

leave SQ needle in for __ seconds

Answer 32

5

Question 33

aspirate IM injections ___ seconds, hold needle in ___ seconds

Answer 33

5 5

Question 34

method for giving IM injections to make sure medication stays in place

Answer 34

Ztrack - move flesh away, then replace after giving shot

Question 35

preferred IM site in adults

Answer 35

ventrogluteal

Question 36

preferred IM site in children

Answer 36

vastus lateralis (side of thigh)

Question 37

IM site to avoid due to sciatic nerve

Answer 37

dorsogluteal

Question 38

best IM injection for a pt to give themself

Answer 38

rectus femoris

Question 39

most convenient IM site

Answer 39

deltoid

Question 40

how many mL can the ventrogluteal site hold? Deltoid?

Answer 40

VG: 3-5 mL D: 1 mL

Question 41

you should especially use Ztrack for ___ injections

Answer 41

iron