Week 6_ Nursing Skill_ Medication Administration
The Three Checks -Right time
When performing the three checks for medication -Right dose
administration, the nurse compares the medication label to -Right patient
the medication administration record (MAR) and confirms -Right route
which at each check? Select all that apply. -Right drug
Insulin Syringes If more than one type of insulin is required for a client, it can be mixed in one syringe if
they are {compatible}. When mixing insulins, the clear {regular} insulin should be
withdrawn into the syringe first.
Oral Medications Oral medication administration is contraindicated when a client is unable to {swallow}
and/or when a client has {gastric suctioning}.
Reviewing the Electronic Health Record -Blood glucose 70 to 149 mg/dL: 0 units insulin lispro subcutaneous
Replay the verbal report (if needed) and review each tab of
the electronic health record (EHR) before answering the -Blood glucose 150 to 200 mg/dL: 2 units insulin lispro subcutaneous
question.
Carl Rogers -Blood glucose 301 to 350 mg/dL: 8 units insulin lispro subcutaneous
Based on the verbal report and medication administration
record (MAR) data, select the sliding scale dose of insulin -Blood glucose 351 to 400 mg/dL: 10 units insulin lispro subcutaneous
lispro that should have been administered and documented.
-Blood glucose greater than 401 mg/dL: Call physician
-Blood glucose 251 to 300 mg/dL: 6 units insulin lispro subcutaneous
Page 1 of 6
, Week 6_ Nursing Skill_ Medication Administration
Equipment, Supplies, Preparation Indicated
For each equipment/supply, specify whether the -Medication administration on record (MAR)
equipment/supply is indicated or not indicated for -Pill splitter
performing subcutaneous and oral medication -Alcohol prep pad/antiseptic pad or swab
administration. -Medicine cup
-Appropriate syringe with appropriate needle size
Not Indicated
-Betadine
-Intravenous (IV) tubing
Skill Video "I understand your concern. Tell me more information and I will verify the orders."
Reflect on the medication administration video you just
watched. Utilize your critical thinking and clinical judgment to
determine what you should do in the following situation.
The nurse is administering medications to a client. They have
performed the three checks, prepared the medications
properly, utilized the medication scanning system, and have
handed the medicine cup to the client. The client states,
"These don't look like my medications at home and there are
too many pills. I do not want to take these." What is the most
appropriate response by the nurse?
Documentation -intramuscularly
Reflect on the nurse in the skill video you just viewed. The -given per order
nurse in the skill video documented the following after -not notify nurse and/or provider
medication administration. Highlight the incorrect
information they documented.
Page 2 of 6
The Three Checks -Right time
When performing the three checks for medication -Right dose
administration, the nurse compares the medication label to -Right patient
the medication administration record (MAR) and confirms -Right route
which at each check? Select all that apply. -Right drug
Insulin Syringes If more than one type of insulin is required for a client, it can be mixed in one syringe if
they are {compatible}. When mixing insulins, the clear {regular} insulin should be
withdrawn into the syringe first.
Oral Medications Oral medication administration is contraindicated when a client is unable to {swallow}
and/or when a client has {gastric suctioning}.
Reviewing the Electronic Health Record -Blood glucose 70 to 149 mg/dL: 0 units insulin lispro subcutaneous
Replay the verbal report (if needed) and review each tab of
the electronic health record (EHR) before answering the -Blood glucose 150 to 200 mg/dL: 2 units insulin lispro subcutaneous
question.
Carl Rogers -Blood glucose 301 to 350 mg/dL: 8 units insulin lispro subcutaneous
Based on the verbal report and medication administration
record (MAR) data, select the sliding scale dose of insulin -Blood glucose 351 to 400 mg/dL: 10 units insulin lispro subcutaneous
lispro that should have been administered and documented.
-Blood glucose greater than 401 mg/dL: Call physician
-Blood glucose 251 to 300 mg/dL: 6 units insulin lispro subcutaneous
Page 1 of 6
, Week 6_ Nursing Skill_ Medication Administration
Equipment, Supplies, Preparation Indicated
For each equipment/supply, specify whether the -Medication administration on record (MAR)
equipment/supply is indicated or not indicated for -Pill splitter
performing subcutaneous and oral medication -Alcohol prep pad/antiseptic pad or swab
administration. -Medicine cup
-Appropriate syringe with appropriate needle size
Not Indicated
-Betadine
-Intravenous (IV) tubing
Skill Video "I understand your concern. Tell me more information and I will verify the orders."
Reflect on the medication administration video you just
watched. Utilize your critical thinking and clinical judgment to
determine what you should do in the following situation.
The nurse is administering medications to a client. They have
performed the three checks, prepared the medications
properly, utilized the medication scanning system, and have
handed the medicine cup to the client. The client states,
"These don't look like my medications at home and there are
too many pills. I do not want to take these." What is the most
appropriate response by the nurse?
Documentation -intramuscularly
Reflect on the nurse in the skill video you just viewed. The -given per order
nurse in the skill video documented the following after -not notify nurse and/or provider
medication administration. Highlight the incorrect
information they documented.
Page 2 of 6
