EXAM STUDY GUIDE WITH 100%
CORRECT ANSWERS GRADED A+
Six Rights of Medication Administration: - answer-Right Patient
RIght Drug
Right Dose/Amount
Right Route
Right Time
Right Documentation
Check the Six Rights at 3 Different Points During Med Administration: - answer-1. Check
meds against MAR before/during administration and also check for med allergies
2. Check meds AFTER preparation
3. Check meds at the bedside: also check blood pressure and/or pulse or blood sugars
if needed BEFORE giving meds that affect the BP, pulse, or blood sugars. AND always
check allergy band.
***You will check patient name and DOB as well as check MR # on armband against
MAR before giving meds at bedside as well***
Oral meds come in 3 forms: - answer-1. tablets
2. capsules
3. liquids
tabs and capsules are supplied in - answer-strengths or dosages in which they are
commonly prescribed
only _________ tabs are intended to be divided - answer-scored
,_____ tabs cannot be crushed - answer-enteric-coated
_____ capsules cannot be opened and mixed with food or fluid - answer-sustained-
release
Never use sustained-release or enteric-coated oral medications in a..... - answer-
Nasogastric/NG or G-tube!
it is safest & most accurate to give the ______ number of whole, undivided tabs possible
- answer-fewest
Three step approach: - answer-1. convert
2. think
3. calculate
Convert: - answer-- all units of measurement must be in same system and all units must
be in same size
-if not, convert before proceeding
Think: - answer-estimate reasonable amount of drug to administer
Calculate: - answer-dosage on hand = dosage desired
amount on hand = X amount desired
If dosage is not in same size unit of measurement - answer-convert to same system or
same size units
dosages for oral liquids: - answer-calculated in mL
, question giving more than ___ tabs or capsules per dose - answer-3
route of administration other than gi - answer-1. intramuscular (IM)
2. subcutaneous (SC)
3. intradermal (ID)
4. IV
Subcutaneous Injections - answer-Injected into fatty tissue
Angle of injection= 45 degrees, depending on patient size
Areas appropriate for injection= abdomen, fatty back part of upper arm, some fatty
tissue in lumbar area, fatty tissue on thighs
Needle Length: 3/8th to 5/8th inches
Needle Gauge: 25-27 gauge typically
1 mL syringe!
Subcutaneous (SC) Injections - answer-
Intradermal Injections: - answer-Usually used for TB skin tests and allergy tests
Injected into the dermal layer, under epidermis
Use tuberculin or 1 mL syringe
Angle of injection= 10-15 degress