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Medication Administration
Pediatric Medication Administration
P.O. Medication Administration
Insulin Administration
SubQ, IM, ID Medication Administration
100
What is the best way to administer medication for a patient who has been vomiting?
Rectal Supository
100
What unit of measurment is used for the weight of children for medication administration purposes?
Kilograms
100
What must you never do with enteric or time release p.o. medications?
Cut or crush
100
What type of injection is insulin called? Where is the perferred site of administration?
Sub-cutaneous and abdomen and back of arm
100
The Mantoux tuberculin skin test is administered in the _____________ method?
Intradermal
200
What is a Metered-dose inhaler (MDI) used for?
inhalation of pulmonary site drugs
200
True or False, children should be given as many choices as possible when it comes to taking medications?
True
200
What is the onset of p.o. administered medications?
20-30 mins.
200
What is the onset, peak, and duration of regular (Humalog, Novalog) insulin?
Onset - 15 mins Peak - 1 hour Duration - 2-3 hours
200
What degree of entry or angle of entry is used for a intramuscular injection?
90 degrees! SubQ is 45 or 90 degrees, and intradermal is 15 degrees.
300
The physician has ordered 6mg or morphine sulfate i.v. eery 4 to 6 hours prn for pain. The unit dose in the medication dispenser has 15mg in 1 mL. How much volume should the nurse administer?
0.4mL
300

What are the 'rights' of medication administration?

Right medication, Right dose, Right client, Right route, Right time, Right documentation, Right Indication

300
How do you help prevent aspiration when administering p.o. medications?
Patient should be in a 90-degree seated position.
300
What is the onset, peak, and duration of long-acting insulin (Lantus)?
Onset - 2-5 hours Peak - 18-24 hours Duration - 24-36 hours
300
What is the muscle of choice to administer the tetnus vacine?
The deltoid muscle
400
What is the name of the reaction when a patient becomes hypotensive after the administration of a medication like morphine sulfate?
Synergistic effect
400
What is the name of the muscle that most I.M. injections are administered to in Children?
Vastis lateralus
400
What is the difference between bucccal and sublingual?
Sublingual is under the tongue and buccal is in the back of the mouth between the cheek and the back of the tongue (behind the last molar).
400
What do you have to do before you administer insulin to the patient?
Check the dosage with another RN and document who that nurse was!
400
Why is it important to Z-track iron dextran?
It prevents the drug from irritating or necrosing the adipose tissue.
500
What kind of needle is used to draw up medications from a ampule?
Filtered needle.
500
What is the name of the device that is the 'second safety guard' to help prevent accidental volume overload in a pediation patient who is receiving i.v. fluids?
Butatrol, Volutrol or Volume-control administration set.
500
P.O. administered medications duration of lasting effect is ________________ in length of time than other routes of administration.
longer!
500
How do you prepare 10 units of regular insulin and 5 units of NPH insulin for injection?
Inject air into both vials and withdraw the regular insulin first.
500
What size of needle is used to administer subcutaneous insulin to a adult diabetic patient?
25-guage, 1/2 to 5/8 inch needle