Medication Administration Rights Quiz
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Questions and Answers

What are the seven rights of medication administration? (Select all that apply)

  • Right time (correct)
  • Right client (correct)
  • Right medication (correct)
  • Right documentation (correct)
  • Right color

What are the four routes of medication administration? (Select all that apply)

  • Insertion (correct)
  • Application (correct)
  • Intravenous
  • Inhalation (correct)
  • Ingestion (correct)

What is involved in preparing medications?

Gather meds from storage, check expiration, gather MAR and physician's order, cross-check labels, gather necessary equipment, ensure a clean area, identify client, explain procedure, wash hands, and put on gloves.

What is the procedure for ingesting oral tablets?

<p>Pour medication into a cup, make sure the patient is sitting up, administer one at a time with water, and remain with the patient until swallowed.</p> Signup and view all the answers

How should a client take sublingual tablets?

<p>Instruct client to place tablets under the tongue and not swallow until dissolved completely.</p> Signup and view all the answers

What are the steps to ingest liquid medications?

<p>Ensure the cap is secured, pour dose at eye level, clean the lip of the bottle, and administer gargles without swallowing.</p> Signup and view all the answers

What is the procedure for applying ointments?

<p>Wash hands, use gloves, follow physician directions, and apply ointment with a tongue blade or swab.</p> Signup and view all the answers

What should be checked before using inhalers?

<p>Read instructions for use, make sure to shake if necessary, and instruct the client on proper inhalation technique.</p> Signup and view all the answers

How should rectal suppositories be administered?

<p>Position the client on the left side, wash hands, insert the suppository just beyond the internal sphincter, and instruct client to hold it.</p> Signup and view all the answers

How are vaginal creams administered?

<p>Insert the applicator 2-3 inches into the vagina and instruct the client to remain lying down for 15-30 minutes after administration.</p> Signup and view all the answers

What should be done after administering medications?

<p>Dispose of materials properly, document on MAR, store medications correctly, and do not return any unused medications to the original container.</p> Signup and view all the answers

What are the six components of a physician's order?

<p>Client's full name, date of order, name of med, dosage and administration information, route of administration, physician's signature.</p> Signup and view all the answers

What is the measurement equivalent of 1 teaspoon?

<p>5 ml or 5 cc.</p> Signup and view all the answers

What does 'ac' mean?

<p>Before meals.</p> Signup and view all the answers

What is the meaning of 'pc'?

<p>After meals.</p> Signup and view all the answers

What does 'bid' denote?

<p>Twice a day.</p> Signup and view all the answers

How often does 'qid' indicate medications should be given?

<p>Four times a day.</p> Signup and view all the answers

What does 'HS' signify?

<p>Bedtime, hour of sleep.</p> Signup and view all the answers

What does 'po' mean?

<p>By mouth.</p> Signup and view all the answers

What does 'q' stand for?

<p>Every.</p> Signup and view all the answers

What is the meaning of 'qd'?

<p>Every day.</p> Signup and view all the answers

What does 'qh' indicate?

<p>Every hour.</p> Signup and view all the answers

How often should medications be given if indicated as 'q6h'?

<p>Every 6 hours.</p> Signup and view all the answers

What does 'qod' represent?

<p>Every other day.</p> Signup and view all the answers

What does 'DC' mean?

<p>Discontinue.</p> Signup and view all the answers

What does 'mg' stand for?

<p>Milligram.</p> Signup and view all the answers

What does 'cc' refer to in medication?

<p>Cubic centimeter.</p> Signup and view all the answers

What does 'ml' stand for?

<p>Milliliter.</p> Signup and view all the answers

What does 'Gm' or 'g' represent?

<p>Gram.</p> Signup and view all the answers

What does 'kg' signify?

<p>Kilogram (1000 grams).</p> Signup and view all the answers

What is the abbreviation for teaspoon?

<p>tsp.</p> Signup and view all the answers

What is the abbreviation for tablespoon?

<p>Tbsp.</p> Signup and view all the answers

What does 'oz' stand for?

<p>Ounce.</p> Signup and view all the answers

What does 'mEq' represent?

<p>Milliequivalent.</p> Signup and view all the answers

What is the abbreviation for ophthalmic?

<p>ophth.</p> Signup and view all the answers

What does 'otic' refer to?

<p>Ear.</p> Signup and view all the answers

What does 'OU' mean?

<p>Both eyes.</p> Signup and view all the answers

What does 'OS' indicate?

<p>Left eye.</p> Signup and view all the answers

What does 'OD' signify?

<p>Right eye.</p> Signup and view all the answers

What does 'pro' mean?

<p>As needed.</p> Signup and view all the answers

What is the abbreviation for tablet?

<p>tab.</p> Signup and view all the answers

What does 'cap' stand for?

<p>Capsule.</p> Signup and view all the answers

What does 'SL' mean?

<p>Sublingual.</p> Signup and view all the answers

What does 'Buccal' refer to?

<p>Between the cheek and gum.</p> Signup and view all the answers

What does 'EC' mean?

<p>Enteric coated.</p> Signup and view all the answers

What does 'oint or ung' stand for?

<p>Ointment.</p> Signup and view all the answers

What does 'supp' refer to?

<p>Suppository.</p> Signup and view all the answers

What does 'sol' mean?

<p>Solution.</p> Signup and view all the answers

What does 'c' signify?

<p>With.</p> Signup and view all the answers

What does 's' mean?

<p>Without.</p> Signup and view all the answers

What does 'x' represent?

<p>Times.</p> Signup and view all the answers

What does 'gtts' stand for?

<p>Drops.</p> Signup and view all the answers

What does 'R' represent?

<p>Right.</p> Signup and view all the answers

What does 'L' signify?

<p>Left.</p> Signup and view all the answers

What does 'XL/XR' indicate?

<p>Extended release.</p> Signup and view all the answers

Study Notes

Medication Administration Rights

  • Seven rights include: Right client, Right medication, Right dose, Right time, Right route, Right to refuse, Right documentation.

Routes of Medication Administration

  • Ingestion: Oral tablets, lozenges, sublingual tablets.
  • Application: Skin ointments, sprays, throat gargles, transdermal patches, eye, nose, or ear drops.
  • Inhalation: Medications administered through respiratory inhalation.
  • Insertion: Rectal or vaginal suppositories.

Medication Preparation Steps

  • Gather medications from storage, ensuring they are not expired.
  • Collect client's Medication Administration Record (MAR) and physician's order.
  • Cross-check medication order label with MAR three times.
  • Assemble necessary equipment based on medication type.
  • Bring medications to client in a private, clean area.
  • Identify client by confirming name and checking photograph.
  • Explain procedure and obtain consent; wash hands and wear gloves before proceeding.

Ingesting Oral Tablets

  • Use tweezers or lid to pour medication into a medication cup.
  • Ensure patient is seated upright, administer one at a time, accompanied by water.
  • Supervise until all tablets are swallowed; lozenges are taken last as they dissolve in the mouth.

Sublingual Tablets Administration

  • Instruct client to place tablet under the tongue and not swallow until dissolved.
  • For Nitroglycerin SL tablets, clients should sit down upon feeling chest pain, notify supervisor after administration, and document.
  • Call 911 if no relief after one dose.

Liquid Medication Administration

  • Confirm that the bottle cap is secured and check if it requires shaking.
  • Pour medication with the label facing the palm; measure at eye level on a flat surface.
  • For gargles, instruct client to exhale while tilting head back and avoid swallowing.

Application of Ointments

  • Wash hands and wear gloves; follow physician's directions for application.
  • Apply ointments directly to the skin or on a dressing.
  • Aerosols should be sprayed on the skin with the client directed to look away.

Transdermal Patch Application

  • Wear gloves and remove old patches; cleanse skin of old site with soap and water.
  • Rotate the application site to avoid irritation; document site and date on the MAR.

Eye Drop Administration

  • Cleanse the eye with a wet washcloth; instruct client to lie back and look up.
  • Administer drops into the center of the lower eyelid; wait a few minutes for multiple medications.

Inhaler Usage

  • Assist client in sitting up and ensure proper medication dispenser handling.
  • Instruct on breathing techniques: exhale, inhale deeply, hold, and rinse mouth afterward to prevent thrush.

Rectal Suppositories Preparation

  • Position client in left lateral and apply gloves; visualize the anal opening.
  • Insert suppository just beyond the internal sphincter and instruct client to hold it in.

Vaginal Creams and Suppositories

  • Instruct client to assume a comfortable position; insert suppositories 2-3 inches into the vaginal orifice.
  • For creams, direct the applicator slightly downwards and instruct the client to remain lying down for absorption.

Post-Administration Procedures

  • Dispose of all medication cups and gloves properly; wash hands immediately after.
  • Document accurately on the MAR, including any PRNs administered and reasons.
  • Store medication containers appropriately; dispose of any removed medications properly.

Components of a Physician's Order

  • Includes client's full name, order date, medication name, dosage, route of administration, and physician's signature.

Medication Conversion Key Facts

  • Common conversions: 1 tsp = 5 ml = 5 cc; 1 Tbsp = 15 ml; 1 oz = 30 ml; 1 g = 1000 mg.

Common Medical Abbreviations

  • ac: before meals; pc: after meals; bid: twice a day; tid: three times a day; qid: four times a day; HS: bedtime; po: by mouth.

Dosage Timing Abbreviations

  • q: every; qd: every day; qh: every hour; q6h: every 6 hours; qod: every other day; DC: discontinue.

Measurement Units

  • mg: milligram; cc: cubic centimeter; ml: milliliter; g: gram; kg: kilogram.

Other Important Abbreviations

  • SL: sublingual; BUCCAL: between cheek and gum; EC: enteric coated; oint/ung: ointment; supp: suppository; sol: solution; gtts: drops; XL/XR: extended release.

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Description

Test your knowledge on the seven rights of medication administration and the various routes and preparation steps involved. This quiz covers essential principles that ensure safe and effective medication delivery to clients. Perfect for healthcare professionals looking to refresh their skills.

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