Lesson 10: Medication Administration
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2016).
Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier Mosby.
• Medication Administration
Patients:
• Piya Jordan, Medical-Surgical Floor, Room 403
• Kathryn Doyle, Skilled Nursing Floor, Room 503
Objectives:
• Discuss the rationale for the medications ordered for two patients.
• Explain the six rights of medication administration.
• Perform medication dosage calculations.
• Identify potential sources of medication errors.
• Describe the steps required for medication administration.
Exercise 1
Writing
This exercise will take approximately 30 minutes to complete.
1. The Chemical name of a medication is an exact description of
it's composition and molecular structure. Pg. 608
2. The trade name, brand name, or Proprietary name is the official
name under which a manufacturer markets a medication. Pg. 608
3. After taking a prescribed medication, a patient reports feeling very tired. The
nurse caring for the patient consults a drug handbook and determines that
the medication is not associated with drowsiness. What term is used to refer
to this type of patient reaction?
A. Side effect
B. Adverse effect
C. Toxic effect
D. Allergic reaction
Ans: B (pg.613)
4. The physician has ordered laboratory studies to evaluate the peak and
trough of a medication. Which of the following statements concerning these
terms is correct? Select all that apply.
a. Peak refers to the time it takes for a medication to produce a
response after it is administered.
, Lesson 10: Medication Administration
b. Peak refers to the time it takes for a medication to reach
its highest effective concentration.
c. Trough refers to the length of time of the therapeutic
response produced by a medication.
d. Trough refers to the smallest serum concentration of
medication present before the next scheduled dosage.
e. Trough refers to the amount of medication needed to produce
a therapeutic response.
Ans: B &D (pg.614)
5. When two medications have a(n) Synergistic effect , their combined
effect is greater than the effect of the medications given separately. (pg.613)
Indicate whether the following statement in true or false.
6. Medications intended for sublingual administration may not have the
desired effect if swallowed.
Ans:_TRUE (pg.608)
7. Which of the following statements describe activities for correctly
following the six rights of medication administration? Select all that apply.
a. Compare the MAR with the physician's written order for
the name of a medication.
b. Review the patient's record for allergies.
c. Review the supply cart for available sizes of syringes.
d. Check the MAR against the physician's written order for the
route of administration.
e. Compare the physician's written order for a medication with
the times selected on the MAR for scheduled administration.
Ans:_A, D, & E
8. Which of the following sites is preferred for administering an
intramuscular (IM) injection to an adult?
a. Vastus lateralis
b. Ventrogluteal
c. Deltoid
d. Dorsogluteal
Ans:_B (pg.649)
9. What is the Z-track method? What is the benefit of using this method?
It is recommended that, when administering IM injections, the Z-track method be used to
minimize local skin irritation by sealing the medication in muscle tissue. To use the Z-
track method, put a new needle on the syringe after preparing the medication so no
Reading Assignment in Potter, P., Perry, A., Stockert, P., & Hall, A. (2016).
Fundamentals of nursing (9th ed.). St. Louis, MO: Elsevier Mosby.
• Medication Administration
Patients:
• Piya Jordan, Medical-Surgical Floor, Room 403
• Kathryn Doyle, Skilled Nursing Floor, Room 503
Objectives:
• Discuss the rationale for the medications ordered for two patients.
• Explain the six rights of medication administration.
• Perform medication dosage calculations.
• Identify potential sources of medication errors.
• Describe the steps required for medication administration.
Exercise 1
Writing
This exercise will take approximately 30 minutes to complete.
1. The Chemical name of a medication is an exact description of
it's composition and molecular structure. Pg. 608
2. The trade name, brand name, or Proprietary name is the official
name under which a manufacturer markets a medication. Pg. 608
3. After taking a prescribed medication, a patient reports feeling very tired. The
nurse caring for the patient consults a drug handbook and determines that
the medication is not associated with drowsiness. What term is used to refer
to this type of patient reaction?
A. Side effect
B. Adverse effect
C. Toxic effect
D. Allergic reaction
Ans: B (pg.613)
4. The physician has ordered laboratory studies to evaluate the peak and
trough of a medication. Which of the following statements concerning these
terms is correct? Select all that apply.
a. Peak refers to the time it takes for a medication to produce a
response after it is administered.
, Lesson 10: Medication Administration
b. Peak refers to the time it takes for a medication to reach
its highest effective concentration.
c. Trough refers to the length of time of the therapeutic
response produced by a medication.
d. Trough refers to the smallest serum concentration of
medication present before the next scheduled dosage.
e. Trough refers to the amount of medication needed to produce
a therapeutic response.
Ans: B &D (pg.614)
5. When two medications have a(n) Synergistic effect , their combined
effect is greater than the effect of the medications given separately. (pg.613)
Indicate whether the following statement in true or false.
6. Medications intended for sublingual administration may not have the
desired effect if swallowed.
Ans:_TRUE (pg.608)
7. Which of the following statements describe activities for correctly
following the six rights of medication administration? Select all that apply.
a. Compare the MAR with the physician's written order for
the name of a medication.
b. Review the patient's record for allergies.
c. Review the supply cart for available sizes of syringes.
d. Check the MAR against the physician's written order for the
route of administration.
e. Compare the physician's written order for a medication with
the times selected on the MAR for scheduled administration.
Ans:_A, D, & E
8. Which of the following sites is preferred for administering an
intramuscular (IM) injection to an adult?
a. Vastus lateralis
b. Ventrogluteal
c. Deltoid
d. Dorsogluteal
Ans:_B (pg.649)
9. What is the Z-track method? What is the benefit of using this method?
It is recommended that, when administering IM injections, the Z-track method be used to
minimize local skin irritation by sealing the medication in muscle tissue. To use the Z-
track method, put a new needle on the syringe after preparing the medication so no
