Medication Administration

Question 1

Types of orders

Answer 1

Routine order - continues until someone stops it
As needed order - PRN
One time orders (STAT & NOW)
-Stat - asap
- NOW ( within 90 mins)

Question 2

Parts of a medication order

Answer 2

client identifiers
date and time of order
name of med
dosage
route
frequency
signature of provider

Question 3

Medication Supply Systems Advantages

Answer 3

computerized automated dispensing cabinets
accessed by individual username & passwords
client specific medication displayed

Question 4

Medication Supply System Disadvantages

Answer 4

med restock error
removal of medication error
work arounds and overrides

Question 5

Barcode Medication Administration advantages

Answer 5

reduce medication errors
easier documentation

Question 6

Barcode Medication Administration Disadvantages

Answer 6

manually input administration
requires nurse compliance

Question 7

Rights of Medication Administration

Answer 7

right medication
right client
right dose
right route
right time
right assessment data
right documentation
right response
right to refuse
right reason
right education

Question 8

Routes of administration

Answer 8

oral
parenteral
topical
inhalant
instillation

Question 9

Oral route advantages

Answer 9

most convenient
most comfortable
easy to administer

Question 10

Oral route disadvantages

Answer 10

nausea/vomiting
unconscious clients
swallowing difficulty
slower onset

Question 11

Oral Medications
wheres the absorption
what kinds of routes

Answer 11

absorption is in stomach and small intestines
routes;
solid
liquids
enteral
sublingual/buccal

Question 12

solid oral medications

Answer 12

tablets
capsules

Question 13

liquid oral medications

Answer 13

elixirs
spirits
suspensions
syrups

Question 14

enteral medications
how to crush

Answer 14

used with GI tubes
preferred route; liquid and crushable meds
crush completely, mix in 15-30 mL, flush before and after each med with 30 mLs

Question 15

Sublingual and Buccal meds slower or faster than oral

Answer 15

faster

Question 16

Parenteral Route Advantages

Answer 16

used for drugs that are poorly absorbed orally
immediate onset of action
avoid compliance issues

Question 17

Parenteral Route Disadvantages

Answer 17

can be painful
aseptic technique
require additional equipment to administer
cause serious safety events

Question 18

Parenteral Medications
absorbed where
types

Answer 18

absorbed in circulatory system
types;
needleless syringe
ampule
vial
prefilled syringe
reconstituted powder medicines

Question 19

Parenteral Routes

Answer 19

Intradermal - 10-15°
Intravenous - 25°
Subcutaneous - 90°
Intramuscular - 90°

Question 20

IM Injection Sites

Answer 20

Deltoid
Ventral Gluteal
Vastus Lateralis

Question 21

Topical and Instillation Meds Places

Answer 21

Skin
ear
eye
nose
suppostiory

Question 22

Topical and Instillation Routes Advantages

Answer 22

painless
limited adverse effects

Question 23

Topical and Instillation Routes Disadvantages

Answer 23

messy/uncomfortable
time consuming
risk for skin irritation

Question 24

Topical Skin application rules

Answer 24

always wear gloves
rotate sites for adhesive patches if possible
massage thoroughly in skin

Question 25

Instillation Eardrops Takeaway

Answer 25

pull pinna up and back drop on side of ear pump inner cartilage lay down upward for 5 mins

Question 26

Instillation Eye drops takeaway

Answer 26

place in conjunctival sac only light pressure on inner eye

Question 27

Instillation Nasal Drops Takeaway

Answer 27

blow nose prior to administration do not sneeze after administration

Question 28

Instillation Suppository Postion

Answer 28

Rectal; sims Vaginal; dorsal recumbent

Question 29

Inhalant Medications

Answer 29

Metered Dose or dry powder

Question 30

Medication Documentation

Answer 30

Administered Medications Omitted Medications Refused Medications