QMAP – Colorado Questions and Answers Graded A+
Question :The seven rights of medication administration
CORRECT ANSWER :1. Right client 2. Right medication 3.
Right dose 4. Right time 5. Right route 6. Right to refuse 7.Right documentation
Question :The 4 routes of medication administration
CORRECT 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
Question :How to prepare medications
CORRECT 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
- explain the procedure and obtain consent from client 8.
wash hands and put on gloves 9. begin
Question :ingesting oral tablets
CORRECT 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
Question :ingesting sublingual tablets
CORRECT 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
Question :ingestion of liquids
CORRECT 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
Question :application of ointments
CORRECT 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.
Question :application of patches
CORRECT 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 -write date, initials and time on patch after applied
Question :application of eye drops
CORRECT ANSWER :1. wash hands and apply gloves -
instruct client to lie back 2. cleanse the eye with wet washcloth and going from inside of eye to out 3. remove the cover of container with the lid open side up 4. tilt client's head back and instruct to look up while retracting lower lid 5. hold bottle no more than an inch from the eye and drop in center of lid, wait 3-5 minutes if multiple eye drops are ordered. 6.instruct client to look downward and close eyes for a short time after application 7. give a tissue to wipe excess