Qmap Competency Colorado
Questions and Actual Answers.
The seven rights of medication administration - Answer 1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right to refuse
7. Right documentation
The 4 routes of medication administration - Answer 1. ingestion: oral tablets, lozenges,
sublingual tablets
2. Application: skin ointments, skin sprays, throat gargles, transdermal skin patches, eye, nose
or ear drops
3.inhalation: respiratory= inhaling medications
4. insertion: rectal or vaginal suppositories
How to prepare medications - Answer 1. Gather the client's meds from storage and ensure
they have not expired
2. gather the client's MAR and the copy of the physician's order
3. cross-check the label on the medication order with the MAR and the physician order three
times. Once when med is taken off shelf, once when med is being poured and once when med is
being put back in storage
4. gather equipment needed:
oral meds tablets.: gloves, pill cutter, tweezers, med cup
oral meds liquids: gloves, medicine cup, and glass measuring cup
ear drops: gloves, cotton balls/ tissues
suppositories: gloves, medicine cup, lubricant: K-Y jelly
transdermal skin patch: gloves, soap and paper towels
5. Take medications to client and ensure a private and clean area
6. identify the client by viewing photograph and asking client what there full name is
7. explain the procedure and obtain consent from client
8. wash hands and put on gloves
9. begin
, ingesting oral tablets - Answer 1. pour medication with tweezers/lid in med cup
2. make sure patient is sitting up, doing meds one at a time, drinking water with it, taking time
between pills.
3. remain with patient until the meds are swallowed
4. lozenges dissolve in mouth and are taken last
ingesting sublingual tablets - Answer 1. instruct client to place under the tongue in front part
of mouth
2. do not swallow until tablet is completely dissolved
3. Nitroglycerin SL tablets:
-clients must sit down upon first indication of chest pain, administer nitro SL and notify
supervisor, document and see if order for aspirin
4. after one dose of nitro SL and no relief call 911 and if there is relief advise client to sit for 15-
20 minutes to prevent dizziness
5. tightly cap nitro SL bottle
ingestion of liquids - Answer 1. check to see that the cap of the bottle is secured and read if
it is a suspension and needs to be shaken
2. remove cap and place it with the open side up
3. hold the bottle with the label facing the palm of hand and pour
4. locate the med cup and pour the correct dose with the med cup at eye level on a flat surface
5. clean lip of bottle if necessary with wet paper towel and recap and put away
6. gargles are administered in patient's throat with head tilted back and instruct to exhale. never
swallow
application of ointments - Answer 1. wash hands and put on gloves
2.follow directions on physician's orders
3. ointment is applied directed to skin with tongue blade or is placed on dressing and applied.
4. lotions are swabbed on skin for their antiseptic effects
5. liniments are rubbed on skin to relieve soreness
5. aerosols are sprayed on skin, direct client to look away.
application of patches - Answer -wear gloves and remove old patches
-wash client's skin with soap and water both new and removal site
-rotate application site and report skin condition if blistered
-peel off the patch, put on skin, and put pressure to adhere to skin
-include site of application of MAR
Questions and Actual Answers.
The seven rights of medication administration - Answer 1. Right client
2. Right medication
3. Right dose
4. Right time
5. Right route
6. Right to refuse
7. Right documentation
The 4 routes of medication administration - Answer 1. ingestion: oral tablets, lozenges,
sublingual tablets
2. Application: skin ointments, skin sprays, throat gargles, transdermal skin patches, eye, nose
or ear drops
3.inhalation: respiratory= inhaling medications
4. insertion: rectal or vaginal suppositories
How to prepare medications - Answer 1. Gather the client's meds from storage and ensure
they have not expired
2. gather the client's MAR and the copy of the physician's order
3. cross-check the label on the medication order with the MAR and the physician order three
times. Once when med is taken off shelf, once when med is being poured and once when med is
being put back in storage
4. gather equipment needed:
oral meds tablets.: gloves, pill cutter, tweezers, med cup
oral meds liquids: gloves, medicine cup, and glass measuring cup
ear drops: gloves, cotton balls/ tissues
suppositories: gloves, medicine cup, lubricant: K-Y jelly
transdermal skin patch: gloves, soap and paper towels
5. Take medications to client and ensure a private and clean area
6. identify the client by viewing photograph and asking client what there full name is
7. explain the procedure and obtain consent from client
8. wash hands and put on gloves
9. begin
, ingesting oral tablets - Answer 1. pour medication with tweezers/lid in med cup
2. make sure patient is sitting up, doing meds one at a time, drinking water with it, taking time
between pills.
3. remain with patient until the meds are swallowed
4. lozenges dissolve in mouth and are taken last
ingesting sublingual tablets - Answer 1. instruct client to place under the tongue in front part
of mouth
2. do not swallow until tablet is completely dissolved
3. Nitroglycerin SL tablets:
-clients must sit down upon first indication of chest pain, administer nitro SL and notify
supervisor, document and see if order for aspirin
4. after one dose of nitro SL and no relief call 911 and if there is relief advise client to sit for 15-
20 minutes to prevent dizziness
5. tightly cap nitro SL bottle
ingestion of liquids - Answer 1. check to see that the cap of the bottle is secured and read if
it is a suspension and needs to be shaken
2. remove cap and place it with the open side up
3. hold the bottle with the label facing the palm of hand and pour
4. locate the med cup and pour the correct dose with the med cup at eye level on a flat surface
5. clean lip of bottle if necessary with wet paper towel and recap and put away
6. gargles are administered in patient's throat with head tilted back and instruct to exhale. never
swallow
application of ointments - Answer 1. wash hands and put on gloves
2.follow directions on physician's orders
3. ointment is applied directed to skin with tongue blade or is placed on dressing and applied.
4. lotions are swabbed on skin for their antiseptic effects
5. liniments are rubbed on skin to relieve soreness
5. aerosols are sprayed on skin, direct client to look away.
application of patches - Answer -wear gloves and remove old patches
-wash client's skin with soap and water both new and removal site
-rotate application site and report skin condition if blistered
-peel off the patch, put on skin, and put pressure to adhere to skin
-include site of application of MAR
