Medication Administration – Exam.Final Test 2026\2027.
10 rights in medication administration
1. right medication
2. right dose
3. right time
4. right route
5. right client
6. right assessment
7. right client education
8. right documentation
9. right to refuse
10. right evaluation
Purpose of 10 rights
Prevent medication errors and maintain patient safety
Administering medications using ENTERAL ROUTE
(enteral- inserted in GI tract)
Nasogastric tube
Gastrostomy tube
Jejunostomy tube
Small-bore feeding tube
rectal
still considered enteral because it's part of GI tract
insert 1", with water-based lubricant; but the action of rectal is considered percutaneous.
What comes to mind when you see a patient with NGT, PEG or J-Tube
patient is unable to swallow
PARENTERAL ROUTE
IM
ID
SQ
IV
IM
, Medication Administration – Exam.Final Test 2026\2027.
Length: 1- 1 ½ inches
Gauge: 20- 22
Angle: 90 degrees
Sites: deltoid, ventrogluteal, vastus lateralis
Amount: 2 - 5mL in larger muscle
Immunizations: 23-25 gauge 5/8"
ID
Length: 5/8 inches
Gauge: 23-25
Angle: 5-15 degrees (bevel up)
Sites: inner aspect of forearm, upper back
bleb/wheal
U-500: 1mL tuberculin 25 - 27 gauge, 1/2 - 5/8"
SQ
Length: 5/8 inches or 1/2 inches (3/8 to 5/8)
Gauge: 23-25 (25-27)
Angle: 45 degrees or 90 degrees
Amount: 1 - 3 mL
Sites: Abdomen from below the costal margins to the iliac crests, outer posterior aspect of the upper
arms, anterior aspects of the thighs
Amount: 0.5 to 1.5mL (irritating)
U-100: 1mL insulin 28 - 31 gauge, 5/16 - 1/2"
PERCUTANEOUS ROUTE
(through the skin)
ophthalmic
otic
transdermal
nasal
inhalers
vaginal
Steps to take to prevent medication errors
1. prepare medications for only one patient at a time
2. follow the six rights of medication administration
3. be sure to read labels at least 3 times (comparing MAR with label) before administering the medication
4. use at least two patient identifiers and review the patient's allergies whenever administering a
10 rights in medication administration
1. right medication
2. right dose
3. right time
4. right route
5. right client
6. right assessment
7. right client education
8. right documentation
9. right to refuse
10. right evaluation
Purpose of 10 rights
Prevent medication errors and maintain patient safety
Administering medications using ENTERAL ROUTE
(enteral- inserted in GI tract)
Nasogastric tube
Gastrostomy tube
Jejunostomy tube
Small-bore feeding tube
rectal
still considered enteral because it's part of GI tract
insert 1", with water-based lubricant; but the action of rectal is considered percutaneous.
What comes to mind when you see a patient with NGT, PEG or J-Tube
patient is unable to swallow
PARENTERAL ROUTE
IM
ID
SQ
IV
IM
, Medication Administration – Exam.Final Test 2026\2027.
Length: 1- 1 ½ inches
Gauge: 20- 22
Angle: 90 degrees
Sites: deltoid, ventrogluteal, vastus lateralis
Amount: 2 - 5mL in larger muscle
Immunizations: 23-25 gauge 5/8"
ID
Length: 5/8 inches
Gauge: 23-25
Angle: 5-15 degrees (bevel up)
Sites: inner aspect of forearm, upper back
bleb/wheal
U-500: 1mL tuberculin 25 - 27 gauge, 1/2 - 5/8"
SQ
Length: 5/8 inches or 1/2 inches (3/8 to 5/8)
Gauge: 23-25 (25-27)
Angle: 45 degrees or 90 degrees
Amount: 1 - 3 mL
Sites: Abdomen from below the costal margins to the iliac crests, outer posterior aspect of the upper
arms, anterior aspects of the thighs
Amount: 0.5 to 1.5mL (irritating)
U-100: 1mL insulin 28 - 31 gauge, 5/16 - 1/2"
PERCUTANEOUS ROUTE
(through the skin)
ophthalmic
otic
transdermal
nasal
inhalers
vaginal
Steps to take to prevent medication errors
1. prepare medications for only one patient at a time
2. follow the six rights of medication administration
3. be sure to read labels at least 3 times (comparing MAR with label) before administering the medication
4. use at least two patient identifiers and review the patient's allergies whenever administering a
