Med Admin
6 rights of Medication Administration
What is right patient, drug, dose, route, time, and documentation
The speed of absorption for oral drugs are considered
What is slow.
Your patient is awake, alert, and oriented. How should you confirm that you have the correct patient?
Patient should state their full name and DOB.
A person that can prescribe drugs.
What is a physician, dentist, osteopath, physician assistant, np, and adv. practice nurse.
The amount of medication in blood it takes to reach desired effect
Therapeutic level
The nurse is administering ear drops to a 10 year old. The nurse should pull the ear which way:
What is pull the pinna up and back.
Where the level of the liquid measuring cups should be read.
What is at eye level and the base of the meniscus.
The MAR should be checked how many times before administering medication
What is 3
This name of the drug assigned by the USAN and is the same no matter how many companies manufacture the medicine.
What is generic name
High alert medications should always:
What is be checked double with another nurse before administration.
When giving a med through a g-tube, you should flush with how many mL of water between medications?
What is 15-30ml
Caused by interactions with food which is why some medications should be taken on an empty stomach and some medications can interact with the ingredients in tube feeding formulas
Decreased absorption or a food-drug interaction.
You notice that the patient was given 50mg of metropolol instead of 25mg. You should:
What is report the error immediately and complete an incident report
A medication that should be given within 30 minutes of ordering
What is a stat medication.
This type of drug has a high potential for abuse and has accepted medical use
What is Schedule II controlled drug
Before giving a drug that the nurse believes the dosage is incorrect, she should do this?
What is question the order before giving
Medications that can not be crushed
What is sublingal, buccal, extended/sustained-release, enteric coated or possible carcinogenic (antineoplatic).
Two nurses from the morning shift are completing the narc count. Should the charge nurse intervene?
What is yes.
A consideration for nurses when administering medications to a child and older adult.
What is smaller doses
Liver and renal impairments can lead to?
What is increased risk of toxicity.
The nurse is administering PO medication to a 6 year old child. Intervention of the charge nurse would be required when the nurse states:
The nurse is administering medication. The patient expressed difficulty swallowing, the nurse should
Assess the patient's ability to swallow
You go into administer the patient's medications. The patient states that she will not be taking them today. The nurse should:
A medication oder should include
Name, Date &time of order, Drug, Dosage, Route, Frequency and prescriber’s signature
You go in to administer PO medication that is due at 9am. You see the patient is actively vomiting. You should:
What is see if physician can change medication to rectal or parenteral.