Pharm Final Exam Study Guide
2020/2021
Medication Administration, Prioritization (11 MC)
• Eye Drops and Ointments: apply in the conjunctival sac
• Ear Drops:
o Adult: pull the ear up and back
o Children under 3 ye
...
Pharm Final Exam Study Guide
2020/2021
Medication Administration, Prioritization (11 MC)
• Eye Drops and Ointments: apply in the conjunctival sac
• Ear Drops:
o Adult: pull the ear up and back
o Children under 3 years: pull the ear down and back
• Rectal suppositories: place patient on the left side in the sims position, lift buttock,
lightly lubricate suppository with water-soluble lube, insert past anal sphincter and into
rectum approximately 3 in or 7-8 cm., have patient remain in sims position for 5-10
minutes
• IM: 90 degree angle
o Gauge: 19, 20, 21, 22
o Length: 1, 1 ½, 2 in.
o Locations: deltoid, vastus lateralis, dorsogluteal, ventrogluteal
• SQ: 45 degree angle
o Gauge: 23, 25, 26
o Length: 3/8, ½, 5/8 in.
o Locations: back of the arm, 1 inch away from umbilicus, love handles, outside of
thigh
• Intradermal: 10-15 degree angle
o Gauge: 23, 35, 36
o Length: 3/8, ½, 5/8 in
o Locations: Inside forearm, back (allergies)
• Never give injections in the inner thigh
• Insulin is always measured in units
• Insulins are always SQ
• Regular insulin can be given IV
• Give 2 month old injection in outer thigh
• Give at least 30 mL for someone to swallow pill
• Priority one: ABCs, vitals, lab values
• Priority two: change in mental status, untreated medical problems, pain, urinary
elimination problems
• Priority three: health problems that don’t fit first or second categories
• When mixing insulin, (cloudy, clear, clear, cloudy)
Nursing Process, Principles, Lifespan, & Med Errors (4 MC)
• 10 Rights of Medication Administration:
o Right drug
o Right dose
o Right time
o Right patient
o Right route
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