75 Questions
Which unit of measurement is equivalent to 1mL?
5 units
Which measuring device should be used when the amount being ordered is visually clearer?
Oral syringe
Which type of drug form cannot be broken in half?
Capsule
What is the purpose of a drug that must be absorbed outside the stomach?
To have slower absorption rate
Which type of liquid drug form requires shaking before use?
Suspension
Which type of liquid drug form is used when the drug is not soluble in water and oil?
Emulsion
What is added to elixirs to make the medicine taste better?
Sugar
What type of drug preparation is a syrup?
Concentrated sugar solution
What are the components of a prescriber's order?
Date and Time, Patient's Name, Drug Name
What type of prescriber's order is given when a medication is required indefinitely?
Routine
Which of the following is NOT one of the seven rights of patient medication administration?
Amount
Which of the following is NOT a recommended step for ensuring the right patient identification during medication administration?
Checking the patient's blood pressure
Which of the following is NOT a recommended step for ensuring the right drug during medication administration?
Returning liquids to the drug bottle
Which of the following is NOT a recommended step for ensuring the right route during medication administration?
Administering the medication intravenously
Which of the following is NOT a recommended step for ensuring the right dose during medication administration?
Measuring the dose with an uncalibrated device
Which of the following is NOT a recommended step for ensuring the right time during medication administration?
Administering the medication whenever convenient
Which of the following is NOT a recommended step for ensuring the right allergies during medication administration?
Using medications that are known to cause allergies
Which of the following is NOT a recommended step for ensuring the right documentation during medication administration?
Returning liquids to the drug bottle
Which of the following is NOT a recommended step for ensuring the right medication amount during medication administration?
Using an uncalibrated measuring device
Which of the following is NOT a recommended step for ensuring the right medication route during medication administration?
Administering the medication intravenously
Which organization is responsible for monitoring medication errors in the United States?
ISMP (Institute for Safe Medication Practices)
What is the purpose of sublingual administration of medication?
To administer medications directly through the bloodstream via blood vessels on the oral cavity
Which route of medication administration has the fastest onset of action?
Intravenous (IV)
What is the purpose of intravenous piggyback (IVPB) administration?
To administer a secondary medication or fluid simultaneously with the primary medication or fluid
What is the main issue with using an infusion pump to administer medication?
It can cause infiltration, leading to excessive pumping
What are the signs and symptoms of infiltration during intravenous (IV) administration?
Swelling, warmth, and tenderness at the IV site
What is the purpose of an infusion pump in medication administration?
To infuse medications/fluids into the vein throughout the patient
What does the presence of a streak indicate during IV administration?
Infection
What is the purpose of a syringe with units indicated on it?
To administer insulin
What is the purpose of a gastrostomy tube?
To provide nutrition and administer medications to individuals who are unable to eat or swallow food and medications orally
Which measuring device should be used when the amount being ordered is visually clearer?
Oral syringes
What are the three different ways to measure in a measuring cup?
Metric - cc, Household - Teaspoon and Fluid Ounces, Apothecary - Drams
Which type of drug form should be scoreable, meaning it can be broken in half?
Solid drug forms
What does 'SLR' stand for in the context of solid drug forms?
Sustained Release
What is the purpose of a lozenge medication?
To be dissolved and swallowed
What is the purpose of a suppository medication?
To be injected into the rectum, vagina, or septum
Which type of liquid drug form requires shaking before use?
Suspensions
What is the purpose of an elixir medication?
To make the medicine taste better
What is the purpose of an extract medication?
To be mixed with oil and water
What is the purpose of a syrup medication?
To be dissolved and swallowed
What is the purpose of the DA TRAMP acronym mentioned in the text?
To help healthcare professionals remember the seven rights of patient medication administration
Which of the following is NOT a recommended step for ensuring the right patient identification during medication administration?
Asking the patient's age
What is the most common route of medication administration mentioned in the text?
Oral
Which of the following is NOT a recommended step for ensuring the right drug during medication administration?
Pouring the medication without double-checking the packet
What is the purpose of labeling mentioned in the text?
To avoid medication errors caused by look-alike or sound-alike drugs
Which of the following is NOT a recommended step for ensuring the right route during medication administration?
Following oral medications with water or liquid
Which of the following is NOT a recommended step for ensuring the right dose during medication administration?
Using measuring devices
Which of the following is NOT a recommended step for ensuring the right time during medication administration?
Administering medication 1 hour before or after the scheduled time for long-term medications
Which of the following is NOT a recommended step for ensuring the right documentation during medication administration?
Opening unit dose packages at the bedside
Which of the following is NOT a recommended step for ensuring the right allergies during medication administration?
Ensuring medications are not left at the bedside without a doctor's order
Which of the following is a route of medication administration that bypasses the GI tract?
Subcutaneous
What is the purpose of intramuscular (IM) injection?
To inject medication into a muscle
What is the location of intravenous (IV) administration?
A vein
What is the purpose of intravenous push (IV Push) administration?
To give a medication as a single injection directly into a vein
What is the purpose of intravenous piggyback (IVPB) administration?
To administer a second medication or fluid simultaneously with the primary medication or fluid
What is the purpose of sublingual administration of medication?
To administer medication under the tongue
What is the purpose of subcutaneous (SC) injection?
To inject medication into the fatty tissue just beneath the skin
What is the purpose of intravenous (IV) infusion?
To deliver medication or fluid directly into a vein throughout the patient
What is the purpose of an infusion pump in medication administration?
To infuse medication or fluids into the vein throughout the patient
What are the signs and symptoms of infiltration during intravenous (IV) administration?
Swelling, warmth, and pain at the infiltration site
Which organization is responsible for monitoring medication errors in the United States?
ISMP (Institute for Safe Medication Practices)
What is the purpose of a syringe with units indicated on it?
To indicate that the syringe is for insulin administration
What is the purpose of an infusion pump in medication administration?
To control the flow rate of medication into the vein
What is the purpose of a streak during intravenous (IV) administration?
To indicate the presence of infection
What is the purpose of sublingual administration of medication?
To provide a rapid onset of action
What is the purpose of an elixir medication?
To make the medicine taste better
What is the purpose of a suppository medication?
To be inserted into rectum, vagina or septum
Which of the following is NOT a recommended step for ensuring the right dose during medication administration?
Ensure the medication route
Which type of liquid drug form is used when the drug is not soluble in water and oil?
Emulsions
What is the purpose of an extract medication?
To extract active constituents of a drug
Which of the following is NOT one of the seven rights of patient medication administration?
Right Documentation
Which of the following is NOT a recommended step for ensuring the right medication route during medication administration?
Assess the patient's developmental level
Which of the following is NOT a recommended step for ensuring the right dose during medication administration?
Measure the dosage in grams
Which of the following is NOT a recommended step for ensuring the right time during medication administration?
Administer the medication 1 hour before or 1 hour after the specified time
Which of the following is NOT a recommended step for ensuring the right documentation during medication administration?
Leave medications at bedside without a doctor's order
Study Notes
The Seven Rights of Medication Administration
- The seven rights of medication administration are: Patient, Medication (Drug), Amount (Dose), Route, Time, Allergies, and Documentation.
- Patient identification is crucial, and can be done through scanning wrist IDs and asking the patient to self-identify.
- Medications must be ordered correctly and undergo three label checks. Blister packs should have the name, name of the medication, and expiration date.
- Medications should be dispensed or poured, and the packet should be double-checked to ensure it is correct.
- Look-alike or sound-alike drugs should be avoided, and brand names should be written in capital letters while generic names start with lowercase letters.
- Proper labeling is important, and medications should not be returned to the drug bottle or left at the bedside without a doctor's order.
- The route of administration must be specified in the doctor's order, and the most common route is oral. Other routes include Gtube, transdermal, inhalation, nasal, eye, ear, rectal.
- Dosage calculations are vital, and measuring devices such as cups, droppers, oral syringes, and dosing spoons should be used.
- Medications should be administered at the specified time/frequency as ordered by the doctor, and abbreviations and standard times should be understood.
- Documentation is important and should include patient information, drug details, route, dose, date and time, site of injection, and patient's response.
- Medication errors are reportable and can result in termination. They are monitored by organizations such as USP, FDA, and ISMP and can lead to malpractice.
- Different routes of administration include gastrostomy tube, nasogastric tube, oral, ear, eye, nose, vaginal, rectal, inhalation, sublingual, parenteral, and enteral.
- There are different types of drug dispensing systems, such as computerized systems, unit dose, blister pack, floor stock, and individual prescription. Drug names can be chemical, trade, brand, proprietary, generic, USP, or NF.
Test your knowledge on the seven rights of patient medication administration, including patient identification, drug verification, and proper documentation. Learn about important steps such as scanning wrist IDs, checking blister packs, and ensuring accurate dosing.
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