🧙Witch Way Does It Go?
(Routes)
(Routes)
Frankenstein needs to take his nightly medication. What route of medication administration involves swallowing a medication by mouth?
Oral (PO).
At the Haunted Hospital, a nurse checks a patient's name and date of birth against their wristband before giving medication. Which medication right is being followed?
Right patient.
Trick-or-treating begins at 6:00 PM. What is this time in military time?
1800.
A vampire needs an injection that goes directly into a muscle. What route of medication administration should the nurse use?
Intramuscular (IM).
A trick-or-treater finds a bottle labeled Tylenol. Is Tylenol the brand name or generic name of the medication?
Brand/Trade Name.
A nurse administers a cream directly to a Zombie's rash to treat the affected area. What route is being used?
Topical.
A witch's prescription calls for 500 mg of medication, but the nurse accidentally prepares only 250 mg. Which medication right is being violated?
Right dose.
A witch's potion must be taken at 0730. What time is this in standard time?
7:30 AM.
A gremlin discovers a small medication container with a rubber stopper that can be punctured with a needle to withdraw medication. What type of container is this?
Vial.
A mysterious note is found inside a jack-o'-lantern with the abbreviation PRN written on it. What does PRN mean in medication administration?
As needed.
Dracula has been prescribed a medication that must dissolve underneath his tongue. What route of medication administration is this?
Sublingual (SL).
A vampire wakes up in the hospital and says, "I'd rather drink garlic juice than take that medication!" The nurse respects the patient's decision. Which medication right is being followed?
Right to Refuse.
A Halloween party begins at 1900 and ends at 0100 the following morning. How many hours did the party last?
6 hours.
A bat finds a sealed glass medication container that must have its neck snapped off before the medication can be withdrawn. What type of container is this?
Ampule.
A Ghost visits the pharmacy on his spooky day off. The doctor orders 875 mg of medication, but each tablet contains 250 mg. How many tablets should the vampire receive?
3.5 Tablets.
A werewolf is prescribed a medication patch that slowly releases medication into his bloodstream through his skin. What route is being used?
Transdermal.
During a spooky night shift, a nurse prepares to give a patient their blood pressure medication. However, the nurse administers it without checking the patient's blood pressure first.
Which medication right was overlooked?
Right Assessment.
A zombie receives medication at 1430. The next dose is scheduled 6 hours later. What time should the next dose be given in military time?
2030.
A mummy finds a medication package containing one individually wrapped tablet, labeled with the medication name, strength, and expiration date. What type of packaging is this?
Unit-dose packaging.
A mysterious medication order is discovered in a haunted hospital:
“1 tab PO BID, first dose at 1900.”
Translate the entire order, including the military time.
Take 1 tablet by mouth twice daily, with the first dose at 7:00 PM.
A witch has been vomiting repeatedly after drinking a mysterious potion and cannot keep oral medications down. Name two alternative routes that could be used for medication administration.
Rectal, IV, IM, Topical, Transdermal.
(1 correct answer: 250 points.)
(2 correct answers: total 500 points.)
During a chaotic Halloween night shift, a nurse administers medication but forgets to write it into the chart. Later, another nurse sees that the medication hasn't been recorded and prepares to give it again.
Which medication right was originally violated, and what potential error could result?
Right documentation. (400 points)
The patient could receive an accidental second dose. (100 points)
A skeleton receives medication at 2230. The medication is ordered every 8 hours. What are the next TWO administration times in military time?
0630 and 1430.
The Headless Horseman is preparing to take a new medication. Before administering the medication, they carefully examine the medication bottle.
Name 4 important pieces of information that can be found on a medication label.
NDC number, drug quantity, trade name, generic name, drug strength, drug form, use, usual dosage, administration, storage information, expiration date, lot number, warnings.
(125 points rewarded for each correct answer.)
A werewolf arrives at the Halloween clinic after running very fast through the woods without stopping for a break. His vital signs are:
BP: 120/78 | HR: 120 | RR: 26
Identify the TWO abnormal vital signs, give their medical terms, and explain one possible reason they are elevated.
HR 112: Tachycardia (200 points)
RR 24: Tachypnea (200 points)
Possible reason: Recent physical activity, fear, or anxiety. (100 points)