The way the body takes in meds
Between gum and cheek
Holds the medication in a MDI.
Occurs when the drug is metabolized or excreted more slowly than the rate at which it is being administered.
Drug makes its way through body
Patient is educated about the med & decisions regarding the med.
Liquid medications usually administered as drops, ointment, or sprays.
Under the skin
Into the muscle
Into the vein
The line of desired dose for liquid medication
Metered-dose inhaler (MDI)
Inhaler with a certain number of preset dosages.
Directly through the skin: intadermal, subQ, IM, IV
Influence of genetic factors on drug response
Appropriate data must be collected before administration of a drug.
Making sure you're giving meds to the correct person. JCo requires 2 forms of identification.
Nurse must immediately record appropriate info about the drug administered.
The dose prescribed for a particular client.
Client receives the drug that was prescribed.
Requires the effectiveness of the medication be determined by the client's response to the medication.
Med is delivered through the right route: orally, subQ, etc.
Med is delivered at the right interval.
Right to education
Clients must receive accurate and thorough info about the med & how it relates to their situation.
Right to refuse
Clients can refuse to take a medication. Must be documented & practitioner notified.
Enhance the delivery of medications from MDI.
Stock drug method
Drugs are dispensed to all clients from the same containers.
Into the subcutaneous tissue (subQ)
under tongue for venous absorption.
Patient has diminished reactivity to a drug.
Applied to the skin in a cream/ointment.
First adverse symptoms that occur at a particular dose.
Delivered through the skin. Patch.
Unit dose method
Drugs are individually wrapped and labeled for single doses.
Injection method that prevents seepage into the subcutaneous space.
The nurse practices the "10 rights" of drug administration to ensure which of the following?
Safe drug administration
"Give Tylenol 650 mg q3-4h as needed for headache" is an example of which of the following categories of drug orders?
A nurse is administering a medication to a client. The nurse tells the client the rationale for the medication. This nurse is observing the client's right to:
During administration of eye drops, the nurse should teach the client to prevent systemic absorption of the drug by doing which of the following?
Gently press on the lacrimal duct
A nurse is preparing to administer an IM injection to an 8-month-old infant. The primary intramuscular injection site for infants is the:
A nurse administers an injection using the Z-track method. The nurse instructs the patient that the Z-track technique is designed to accomplish which of the following?
Prevent the medication from seeping into the subQ tissue
A nurse prepares to administer an ear medication to a 2-year-old child. The nurse correctly:
Pulls the ear down & backward
A nurse is ordered to administer a medication via the sublingual route. The nurse correctly places the medication:
Under the tongue
A client has been receiving pain medication secondary to surgery. Two weeks postoperatively, the client reports that "the medication doesn't seem to work as well as it did." The nurse should first assess for:
Tolerance to the medication
A client with chronic angina is ordered to receive nitroglycerin via a patch. Which of the following is true about the application of this transdermal medication?
Remove the old patch
A nurse is administering an intradermal PPD to test for client exposure to the tuberculosis bacterium. What demonstrates the correct method to administer this injection?
Use a 10-degree angle to insert a 25-gauge needle.
A client returns to the nursing unit from conscious sedation after having a fracture set and placed in a cast. The client expresses pain 3 hours after the procedure. The choice of medication and route will be based on the following information:
The client's ability to swallow should be assessed prior to giving pain medication orally.
A nurse is preparing to administer a subcutaneous injection of morphine sulfate to a client. The client's height, weight, and muscle mass are within normal limits. Which of the following describes the appropriate needle size and angle for this injection?
25-gauge needle, 45-degree angle
A nurse is preparing to administer an ointment to the eye and is preparing the needed supplies. Select all of the following needed to complete this task:
Clean gloves, medicated ointment, sterile gauze, tissues.
Needle Size: 25-27g; 3/8-5/8"
Angle: 10-15 degree
Site(s): Ventral midforearm, chest, back
Needle Size: 25-27g; 1/2-5/8"
Angle: 45-90 degree
Site(s):Abdomen, hips, upper back, upper arms, lateral thighs
Needle Size: 20-23g; 1-1.5"
Angle: 90 degree
Site(s): Ventrogluteal, deltoid, dorsogluteal, vastus lateralis
Needle Size: Adults- 20-21g; 1-1.5"
Infants- 24g; 1"
Children- 22g; 1"
Site(s): Usually arm. Head, & feet can be used in infants.
The injection site that is well-defined by bony anatomic landmarks is _____.
The preferred site for intramuscular injections for infants & children is _____.
The site that is easily accessible but not suitable for repeated injections or injections >2ml is _____
The preferred site for the Z-track technique is _____.
The site (not visible to the client) that has the danger of injury if incorrect technique is used is _____.