Medication Administration Review

Question 1

Actions that ensure safe practice =

Answer 1

Standards

Question 2

To prevent medication errors, what should be followed every time you administer medication?

Answer 2

The seven rights of medication administration

Question 3

Ten rights of medication administration?

Answer 3

Right person, route, time, drug, dosage, right to refusal, documentation, client education, indication (assessments), evaluation

Question 4

How many times do you check the 5 traditional rights?

Answer 4

4 times

Question 5

How should you check the 5 traditional rights?

Answer 5

Compare the physician’s order to the MAR.
Compare meds when removed from the pyxis.
Compare when preparing medicine (med label against MAR).
Compare label to MAR to label again before administering.

Question 6

Before administering meds, what should be done for each PT to ensure that you make patient-centered clinical decisions?

Answer 6

A thorough assessment

Question 7

What are the types of orders?

Answer 7

STAT, Single, Standing, PRN

Question 8

Topical Meds are applied to-

Answer 8

The skin + mucous membranes

Question 9

The eyes, external ear, nose, vagina, and rectum are all classified as-

Answer 9

Mucous Membranes

Question 10

When applying a transdermal patch, what kind of areas should you avoid?

Answer 10

Areas of wrinkling, lacerations, burns, abrasions

Question 11

When applying a transdermal patch, what kind of areas should you be able to apply?

Answer 11

Clean, hairless areas

Question 12

Can topical meds enter through the bloodstream?

Answer 12

Yes

Question 13

What do you drop eye medication into?

Answer 13

The Conjunctival Sac

Question 14

How close should the eye dropper be to the eye when administering eye drops?

Answer 14

0.4 - 0.8 in

Question 15

How close should the ear dropper be when administering meds?

Answer 15

1/2 inch away from the ear canal

Question 16

You have a PT over 3 years old, how would you pull their ear when instilling ear drops?

Answer 16

Pull up and back

Question 17

You have a PT under 3 years old, how would you pull their ear when instilling ear drops?

Answer 17

Pull down and back

Question 18

After instilling eye drops, you should gently hold pressure on the nasolacrimal duct for how long to avoid a systemic effect?

Answer 18

30 Seconds

Question 19

After instilling ear drops, how long should a PT remain on their side for?

Answer 19

5 mins

Question 20

After instilling ear drops, a small piece of cotton be placed loosely for how long?

Answer 20

15-20 mins

Question 21

Are sterile solutions used for the ear? Why?

Answer 21

Yes, in case the eardrum is perforated

Question 22

Before administering nasal meds, should the med be gently shaken?

Answer 22

Yes

Question 23

How far should you hold the dropper above the nares when administering nasal meds?

Answer 23

1/2 inch

Question 24

How long should the PT maintain position after nasal med administration?

Answer 24

1 min

Question 25

Should you avoid blowing your nose for several minutes after being administered nasal medication?

Answer 25

Yes

Question 26

What are the advantages of suppositories?

Answer 26

Avoids GI upset Released slow and steady Avoids bad med taste Higher blood titers of medication

Question 27

What position should you be in when being administered a suppository?

Answer 27

Sims position, with upper leg flexed

Question 28

How many inches should a suppository be inserted?

Answer 28

About 4 inches

Question 29

After being administered a suppository, PT should remain in Sim’s Postion or Supine for how long to help retain the suppository?

Answer 29

5 mins

Question 30

How far should a suppository be inserted for an infant or child?

Answer 30

2 in

Question 31

You should shake an inhaler for how long before administering?

Answer 31

5 Seconds

Question 32

When administering an inhaler to a PT, their head should be tilted back and they should inhale slowly and deeply for how long while depressing the canister?

Answer 32

3 - 5 seconds

Question 33

How long should you hold your breath after breathing in the med from an inhaler?

Answer 33

10 seconds

Question 34

Sterile water, saline, or antiseptic solution are all commonly used to-

Answer 34

Irrigate/ wash out a body cavity

Question 35

Is it okay for you to be in a side-lying position while taking PO meds?

Answer 35

Yes

Question 36

Buccal =

Answer 36

Between check and gums

Question 37

Sublingual =

Answer 37

Under the tongue

Question 38

What’s a single order?

Answer 38

An order to be completed only one time

Question 39

What’s a standing order?

Answer 39

Signed instructions of a provider authorized by state law to prescribe how the PT is to be treated for

Question 40

PRN =

Answer 40

As Needed

Question 41

What is the tip of the needle called?

Answer 41

The Bevel

Question 42

Name off the parts of a syringe =

Answer 42

Plunger, barrel, needle adapter, needle hub

Question 43

Do you always have to clean the top of the vial with an alcohol prep pad?

Answer 43

Yes

Question 44

What should be used to break an ampule and how should it be broken?

Answer 44

A 4x4 gauze, ampule should be broken away from you

Question 45

What kind of needle should be used when getting medication out of an ampule?

Answer 45

A Filter Needle

Question 46

How much medication does an ampule contain?

Answer 46

1-10 mL

Question 47

What kind of vials must be labelled with the date it was opened?

Answer 47

Multi-Dose Vials

Question 48

What kind of syringes provide greater patient safety and reduce errors + waste?

Answer 48

Prefilled Syringes

Question 49

Always use what technique during the preparation and administration of injections?

Answer 49

Aseptic Technique

Question 50

Is it okay at times to administer meds from the same syringe to more than one patient?

Answer 50

No

Question 51

Intramuscular (IM) = how many degrees?

Answer 51

90

Question 52

Subcutaneous (SC) = how many degrees?

Answer 52

45

Question 53

Intravenous (IV) = how many degrees?

Answer 53

25

Question 54

Intradermal (ID) = how many degrees?

Answer 54

10-15

Question 55

Injection of medication into the correct location can prevent-

Answer 55

Risk of injury to the tissues, nerves, blood vessels, and nodes

Question 56

Parenteral =

Answer 56

Given via injection

Question 57

What muscle is easily accessible, but not well developed in many adults?

Answer 57

The deltoid muscle

Question 58

How many mls can the deltoid muscle take?

Answer 58

2 mLs or less

Question 59

Injecting the deltoid muscle has potential for injury due to-

Answer 59

Axillary, brachial, radial, and ulnar nerves

Question 60

The deltoid is used for-

Answer 60

Small volumes of medication + Routine immunization in adults

Question 61

In order to find the deltoid muscle, you must first-

Answer 61

Find the acromion process (at the top bony joint of the shoulder), the injection site should be about 2 inches below it

Question 62

What muscle is thick and well developed in adults?

Answer 62

The Vastus Lateralis Muscle

Question 63

What muscle extends from a handbreadth above the knee to a handbreadth below the greater trochanter of the femur?

Answer 63

The Vastus Lateralis Muscle

Question 64

What part of the Vastus Lateralis Muscle used for IM injections?

Answer 64

The Middle Third Part

Question 65

What muscle provides the greatest thickness of the gluteal muscle?

Answer 65

The Ventrogluteal Muscle

Question 66

The Ventrogluteal Muscle is free of-

Answer 66

Penetrating nerves + blood vessels

Question 67

The Ventrogluteal Muscle has a-

Answer 67

Narrower layer of fat

Question 68

What is the preferred and safest site for all adults, children, and infants for larger volumes of meds + meds that are more viscous and irritating?

Answer 68

The Ventrogluteal Muscle

Question 69

To locate the Ventrogluteal site, the heel of the hand is placed over-

Answer 69

The Greater Trochanter of the PT’s hip

Question 70

When finding the Ventrogluteal Muscle, what 3 things are supposed to form a V-shaped triangle shape?

Answer 70

The index finger, the middle finger, and the iliac crest

Question 71

What keeps meds from leaking out of the injection site?

Answer 71

The Z-Track Method

Question 72

Creates a zigzag like path through tissues =

Answer 72

The Z-Track Method

Question 73

Should the Z-Track Method be held until all medication has been administered?

Answer 73

Yeah

Question 74

For SC injections, what should be done to lower the risk of hypertrophy?

Answer 74

The injection sites should be rotated

Question 75

What are the best sites for SC injections?

Answer 75

The upper arms, anterior aspects of the thighs, and abdomen

Question 76

Should a SC injection be at a 90 degree angle or 45 degree angle?

Answer 76

Depends on amount of fatty tissue of injection site

Question 77

Bevel up or down?

Answer 77

Up

Question 78

Recap a used needle?

Answer 78

Never

Question 79

A TB skin test = what kind of injection?

Answer 79

Intradermal Injection

Question 80

The recommended site for TB testing for all ages =

Answer 80

The Forearm

Question 81

ID = total amount of injectable fluid?

Answer 81

0.1 mL

Question 82

SC = total amount of injectable fluid?

Answer 82

Up to 1 mL Up to 0.5 mL (infants + small children)

Question 83

IM = total amount of injectable fluid?

Answer 83

2-5 mL (Adults) 0.5-1 mL (Children/ infants)

Question 84

Allergy testing may be performed-

Answer 84

Between the scapulae

Question 85

When administering an Intradermal injection, older adults have decreased skin elasticity, so the skin should be-

Answer 85

Held taut to ensure the med is administered correctly

Question 86

ID = Needle Gauge + Length?

Answer 86

25-27 G 3/8” to 5/8”

Question 87

ID Locations?

Answer 87

Upper third of the forearm Outer aspects upper arms Between scapula

Question 88

SC = Needle Gauge + Length?

Answer 88

25-31 G 1/2” to 5/8”

Question 89

SC Locations?

Answer 89

Outer Upper Arms, Anterior Thighs, Upper Outer Gluteal Area, Upper Back, Abdomen

Question 90

What area should be used for PTs with less SC tissue?

Answer 90

The Upper Abdomen

Question 91

IM = Needle Gauge + Length?

Answer 91

18-25 G 1/2” to 1 1/2” (Based on age/size of PT + Site used)

Question 92

IM Locations?

Answer 92

Ventrogluteal, Vastus Lateralis, Deltoid

Question 93

Preferred site for infants because it’s the most developed muscle =

Answer 93

Vastus Lateralis

Question 94

What site is recommended adults for IM injections?

Answer 94

The Ventrogluteal Site

Question 95

What site is recommended for vaccinations in adults?

Answer 95

The Deltoid Muscle

Question 96

Should you ever pull back the plunger of a syringe (for 5–10 seconds) after inserting the needle, prior to injecting the medicine (Aspirate)?

Answer 96

Nope