Class 9 - Medication Administration

Question 1

7 rights

Answer 1

person, drug, dose, route, time, reason, documentation

Question 2

enteral

Answer 2

oral, nasogastric tube, gastrostomy tube

Question 3

topical

Answer 3

skin, eye, ear, nose, respiratory tract, urinary tract, vagina, rectum

Question 4

parenteral

Answer 4

intradermal, subcatenous, intramuscular, intravenous

Question 5

h

Answer 5

hours

Question 6

am

Answer 6

moring

Question 7

every day

Answer 7

daily

Question 8

every other day

Answer 8

every other day

Question 9

ad lib

Answer 9

as desired

Question 10

the three checks

Answer 10

• regardless of distribution system, always check the drug label against the MAR three times:
  1. before removing the medication from the shelf/cart
  2. Before preparing or pouring the medication
  3. Before replacing the medication on the shelf/cart (just before administering the medication)

Question 11

order for giving medication

Answer 11

• hand hygiene
• prepare meds
• hand hygiene
• identify client
• client teaching
• administer medication
• sign MAR
• observe reception/reactions
• dispose of garbage appropriately
• hand hygiene
• document observations

Question 12

eye drops/eye ointment

Answer 12

tilt head and put in lower lid pocket

Question 13

ear drops

Answer 13

• without touching the skin surface, hold bottle tip or dropper above ear canal and have client tilt head toward unaffected side.
• infants/children under 3 years: pull pinna down and back
• adults and children over 3 years: pull pinna up and back to straighten ear canal
• client should remain side-lying 5 min, gentle pressure to tragus

Question 14

nasal spray

Answer 14

• client in high fowler position
• client tilts head back
• place tip of the bottle just inside the nares, aimed toward midline of nose
• squeeze bottle for correct dose while patient inhales
• ask them to maintain position for 1-2 mins

Question 15

transdermal meds and creams and ointments

Answer 15

• good idea to use gloves, but not policy

- only use black/blue ball point pen for documenting on a patch (write date, write month a word, time and initial)

Question 16

inhalent medication

Answer 16

need to prime it if it hasn’t been used in a while or new. some you need to shake (hold top). 30 sec-1min before another puff, 5 mins if getting another medication