University of Pennsylvania School of Nursing
Helene Fuld Pavilion for Innovative Learning
N5070 Medication Administration
Student Version – Fall 2024
MODULE: Administration of Non-parenteral Medications
Comprehensive knowledge related to drug interactions and correct procedures in administering
medications is an integral part of safe nursing practice. While the functional component of
administering medications appears simple in nature, nurses must rely on critical thinking skills to
ensure safe and correct administration of medications. Failure to integrate these essential
processes into nursing practice may contribute to errors in the administration of medications.
Nasogastric insertion is a complex skill that nurses are permitted to execute. Some institutions
allow nurses practicing in designated units to insert certain types of nasogastric tubes. Often it is
a physician or an Advanced Practice Provider who performs gastrointestinal intubation. In all
cases, nurses are responsible for providing care to patients with nasogastric (NG) or
gastrointestinal (GI) tubes and must have a comprehensive knowledge base related to the
purposes, structure, function, and maintenance of such apparatus.
*You may use additional and outside resources for this assignment. You should reference and
cite each source.
*These assignments are to be done independently and any collaboration is considered a violation
of academic integrity.
LEARNING OBJECTIVES: (44 points)
1. List and describe 10 routes of medication administration (P&P Ch. 20) (5 points)
Oral, buccal which is given by mouth or mucous membrane.
Sublingual, which is administrated under the tongue.
Topical, which is directly on the skin (as a cream/patch) and also includes eyedrops/eardrops/
Suppository, which is into the rectum or vagina.
Inhaled, which is through the respiratory system.
Intramuscular (IM), is administrated into the muscle.
Subcutaneous, is into the subcutaneous tissue of the skin.
Intradermal, which is into the dermis of the skin.
Epidural, which is into the epidural space.
Intravenous (IV), which is into the vein.
2. Explain the benefits of use a bar-coding system when administering medications. (P&P
Ch. 20) (1 point)
By using the bar-coding system, the nurse would scan the barcode on the drug and patient’s
medical record number at the time of administration. This bar-coding system aim to improve the
accuracy of patient identification, provide alert to potential medication errors and improve
medical record keeping.
5/2024 ALG
, 3. List the 7 rights of medication administration. (P&P, Ch. 20) (7 points)
1. Right medication
2. Right dose
3. Right patient
4. Right route
5. Right time
6. Right documentation
7. Right indication
4. As a part of safe medication administration, it is important to read the medication label.
Describe the three times when preparing medications from bottles or containers, nurses
should compare the label of the medication container with the MAR:(P&P, Ch. 20) (3
points)
1. Before removing the container from the supply drawer or shelf
2. As the amount of medication ordered is removed from the container.
3. At the patient’s bedside before administering the medication to the patient.
5. List 3 acceptable patient identifiers. (P&P, Ch. 20) (3 points)
1. Date of birth
2. Patient’s full name
3. Identification number such as medical record number
6. List 2 potential degrees of allergic reactions to medications & 2 of their corresponding
signs & symptoms. (P&P, Ch. 20)(2 points)
1. Mild allergic reactions. Angioedema, and eczema.
2. Severe allergic reactions. Sudden constriction of bronchiolar muscles, edema of
pharynx and larynx.
7. If a medication error occurs, what two actions should the nurse prioritize? (P&P, Ch.
20) (2 points)
When medication error occurs, patient’s safety and well-being should be prioritized. The nurse
should first assess and examines patient’s condition and notifies the health care provider of the
incident as soon as possible.
8. List 8 steps to prevent medication errors. (P&P Ch.20) (4 points)
1. Follow the seven rights of medication administration.
2. Only prepare medications for one patient at a time
3. Be sure to read the label at least 3 times (comparing MAR with the label: when removing from
the storage, before taking to patient’s room, before giving the medication).
4. Use at least 2 patient identifiers every time you administer the medications (date of birth, full
name, medical record number).
5. Do not allow any other activity to interrupt administration of medication to a patient.
5/2024 ALG
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