NU 311 (medication administration) Questions With
Complete Solutions
describe the 7 rights of administration. Correct Answers right
patient:
right medication:
right route:
right dose:
right time:
right indication:
right documentation:
how do nurses prevent infection during an injection? Correct
Answers -prevent contamination of solution: ampules should
not sit open-- remove meds quickly
-prevent needle contamination: avoid letting needle touch
contaminated surface (outer edges of ampule or vial, outer
surface of needle cap, your hands, countertop, table surface;
avoid touching length of plunger or inner part of barrel. keep the
tip of the syringe covered with cap or needle)
-prepare the skin: wash skin soiled with dirt, drainage, or feces
with soap and water; use friction and circular motion while
cleaning with antiseptic swab; swab from center of site and
move outwards in a 2 inch radius
-reduce the transfer of microorganisms: perform hand hygiene
for a minimum of 20 seconds
,how do nurses prevent needlestick injuries? Correct Answers
NEVER recap a needle
- IMMEDIATELY put the used needle into the sharps bin
-use plastic guard to prevent needle sticks
how do you administer enoxaparin and heparin? Correct
Answers
how do you administer insulin? Correct Answers
how do you give liquid medications? Correct Answers - gently
shake the container, hold bottle with label against palm of hand
while pouring, hold medication at eye level and fill to desired
level on scale, discard any excess liquid into sink
- for doses less than 10 mL -> draw liquid into calibrated oral
syringe
how do you give medications through a feeding tube? Correct
Answers - do not administer medications if the tube is used for
gastric decompression
- ALWAYS verify placement of the tubing first!
- use liquid medications if possible
- elevate HOB 30-45 degrees
-check gastric residual volume (return unless GRV exceeds 250
mL)
- flush with 30-60 mL of water
- if multiple medications- flush between each medication (15-30
mL of water)
, how do you mix cloudy and clear insulin? Correct Answers -
take insulin syringe and pull back air in the amount needed from
cloudy insulin
- inject air into cloudy solution, do NOT contact the solution
with the needle
- remove syringe from vial without pulling medication
- with the same syringe, inject equal air to clear insulin into vial
and draw correct dose
- VERIFY short acting insulin with MAR and verify combined
dosage to be pulled
- place needle into cloudy insulin and pull up desired amount
how do you prevent complication from insulin injections?
Correct Answers
how does the nurse select equipment (syringe size, needle length
and gauge) for each type of injection? Correct Answers length:
depends on patient size, gender, condition, and weight, type of
tissue to be injected and route
gauge: depends on the viscosity and volume of medication to be
injected
how does TJC require a nurse to take a verbal order? Correct
Answers -only should be given in an emergent situation
-clearly ID patient name, room number, and diagnosis to HCP
-write the entire order and then read it back
-use VO for verbal order and TO for telephone order
-document the reach back and the name of the HCP
-HCP will countersign (usually within 24 hours)
-know policies of institution
Complete Solutions
describe the 7 rights of administration. Correct Answers right
patient:
right medication:
right route:
right dose:
right time:
right indication:
right documentation:
how do nurses prevent infection during an injection? Correct
Answers -prevent contamination of solution: ampules should
not sit open-- remove meds quickly
-prevent needle contamination: avoid letting needle touch
contaminated surface (outer edges of ampule or vial, outer
surface of needle cap, your hands, countertop, table surface;
avoid touching length of plunger or inner part of barrel. keep the
tip of the syringe covered with cap or needle)
-prepare the skin: wash skin soiled with dirt, drainage, or feces
with soap and water; use friction and circular motion while
cleaning with antiseptic swab; swab from center of site and
move outwards in a 2 inch radius
-reduce the transfer of microorganisms: perform hand hygiene
for a minimum of 20 seconds
,how do nurses prevent needlestick injuries? Correct Answers
NEVER recap a needle
- IMMEDIATELY put the used needle into the sharps bin
-use plastic guard to prevent needle sticks
how do you administer enoxaparin and heparin? Correct
Answers
how do you administer insulin? Correct Answers
how do you give liquid medications? Correct Answers - gently
shake the container, hold bottle with label against palm of hand
while pouring, hold medication at eye level and fill to desired
level on scale, discard any excess liquid into sink
- for doses less than 10 mL -> draw liquid into calibrated oral
syringe
how do you give medications through a feeding tube? Correct
Answers - do not administer medications if the tube is used for
gastric decompression
- ALWAYS verify placement of the tubing first!
- use liquid medications if possible
- elevate HOB 30-45 degrees
-check gastric residual volume (return unless GRV exceeds 250
mL)
- flush with 30-60 mL of water
- if multiple medications- flush between each medication (15-30
mL of water)
, how do you mix cloudy and clear insulin? Correct Answers -
take insulin syringe and pull back air in the amount needed from
cloudy insulin
- inject air into cloudy solution, do NOT contact the solution
with the needle
- remove syringe from vial without pulling medication
- with the same syringe, inject equal air to clear insulin into vial
and draw correct dose
- VERIFY short acting insulin with MAR and verify combined
dosage to be pulled
- place needle into cloudy insulin and pull up desired amount
how do you prevent complication from insulin injections?
Correct Answers
how does the nurse select equipment (syringe size, needle length
and gauge) for each type of injection? Correct Answers length:
depends on patient size, gender, condition, and weight, type of
tissue to be injected and route
gauge: depends on the viscosity and volume of medication to be
injected
how does TJC require a nurse to take a verbal order? Correct
Answers -only should be given in an emergent situation
-clearly ID patient name, room number, and diagnosis to HCP
-write the entire order and then read it back
-use VO for verbal order and TO for telephone order
-document the reach back and the name of the HCP
-HCP will countersign (usually within 24 hours)
-know policies of institution
