Lesson 10: Medication Administration
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2016).
Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier Mosby.
• Medication Administration
Patients:
• Piya Jordan, Medical-Surgical Floor, Room 403
• Kathryn Doyle, Skilled Nursing Floor, Room 503
Objectives:
• Discuss the rationale for the medications ordered for two patients.
• Explain the six rights of medication administration.
• Perform medication dosage calculations.
• Identify potential sources of medication errors.
• Describe the steps required for medication administration.
Exercise 1
Writing
This exercise will take approximately 30 minutes to complete.
1. The Chemical name of a medication is an exact description of it's
composition and molecular structure. Pg. 608
2. The trade name, brand name, or Proprietary name is the official name
under which a manufacturer markets a medication. Pg. 608
3. After taking a prescribed medication, a patient reports feeling very tired. The
nurse caring for the patient consults a drug handbook and determines that the
medication is not associated with drowsiness. What term is used to refer to
this type of patient reaction?
A. Side effect
B. Adverse effect
C. Toxic effect
D. Allergic reaction
Ans: B (pg.613)
4. The physician has ordered laboratory studies to evaluate the peak and trough
of a medication. Which of the following statements concerning these terms is
correct? Select all that apply.
a. Peak refers to the time it takes for a medication to produce a response
after it is administered.
, Lesson 10: Medication Administration
b. Peak refers to the time it takes for a medication to reach its
highest effective concentration.
c. Trough refers to the length of time of the therapeutic response
produced by a medication.
d. Trough refers to the smallest serum concentration of medication
present before the next scheduled dosage.
e. Trough refers to the amount of medication needed to produce a
therapeutic response.
Ans: B &D (pg.614)
5. When two medications have a(n) Synergistic effect , their combined effect
is greater than the effect of the medications given separately. (pg.613)
Indicate whether the following statement in true or false.
6. Medications intended for sublingual administration may not have the desired
effect if swallowed.
Ans:_TRUE (pg.608)
7. Which of the following statements describe activities for correctly following
the six rights of medication administration? Select all that apply.
a. Compare the MAR with the physician's written order for the
name of a medication.
b. Review the patient's record for allergies.
c. Review the supply cart for available sizes of syringes.
d. Check the MAR against the physician's written order for the route
of administration.
e. Compare the physician's written order for a medication with the
times selected on the MAR for scheduled administration.
Ans:_A, D, & E
8. Which of the following sites is preferred for administering an intramuscular
(IM) injection to an adult?
a. Vastus lateralis
b. Ventrogluteal
c. Deltoid
d. Dorsogluteal
Ans:_B (pg.649)
9. What is the Z-track method? What is the benefit of using this method?
It is recommended that, when administering IM injections, the Z-track method be used to
minimize local skin irritation by sealing the medication in muscle tissue. To use the Z-
track method, put a new needle on the syringe after preparing the medication so no
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2016).
Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier Mosby.
• Medication Administration
Patients:
• Piya Jordan, Medical-Surgical Floor, Room 403
• Kathryn Doyle, Skilled Nursing Floor, Room 503
Objectives:
• Discuss the rationale for the medications ordered for two patients.
• Explain the six rights of medication administration.
• Perform medication dosage calculations.
• Identify potential sources of medication errors.
• Describe the steps required for medication administration.
Exercise 1
Writing
This exercise will take approximately 30 minutes to complete.
1. The Chemical name of a medication is an exact description of it's
composition and molecular structure. Pg. 608
2. The trade name, brand name, or Proprietary name is the official name
under which a manufacturer markets a medication. Pg. 608
3. After taking a prescribed medication, a patient reports feeling very tired. The
nurse caring for the patient consults a drug handbook and determines that the
medication is not associated with drowsiness. What term is used to refer to
this type of patient reaction?
A. Side effect
B. Adverse effect
C. Toxic effect
D. Allergic reaction
Ans: B (pg.613)
4. The physician has ordered laboratory studies to evaluate the peak and trough
of a medication. Which of the following statements concerning these terms is
correct? Select all that apply.
a. Peak refers to the time it takes for a medication to produce a response
after it is administered.
, Lesson 10: Medication Administration
b. Peak refers to the time it takes for a medication to reach its
highest effective concentration.
c. Trough refers to the length of time of the therapeutic response
produced by a medication.
d. Trough refers to the smallest serum concentration of medication
present before the next scheduled dosage.
e. Trough refers to the amount of medication needed to produce a
therapeutic response.
Ans: B &D (pg.614)
5. When two medications have a(n) Synergistic effect , their combined effect
is greater than the effect of the medications given separately. (pg.613)
Indicate whether the following statement in true or false.
6. Medications intended for sublingual administration may not have the desired
effect if swallowed.
Ans:_TRUE (pg.608)
7. Which of the following statements describe activities for correctly following
the six rights of medication administration? Select all that apply.
a. Compare the MAR with the physician's written order for the
name of a medication.
b. Review the patient's record for allergies.
c. Review the supply cart for available sizes of syringes.
d. Check the MAR against the physician's written order for the route
of administration.
e. Compare the physician's written order for a medication with the
times selected on the MAR for scheduled administration.
Ans:_A, D, & E
8. Which of the following sites is preferred for administering an intramuscular
(IM) injection to an adult?
a. Vastus lateralis
b. Ventrogluteal
c. Deltoid
d. Dorsogluteal
Ans:_B (pg.649)
9. What is the Z-track method? What is the benefit of using this method?
It is recommended that, when administering IM injections, the Z-track method be used to
minimize local skin irritation by sealing the medication in muscle tissue. To use the Z-
track method, put a new needle on the syringe after preparing the medication so no
