Question 1

What is the best plan as the nurse prepares to administer a topical medication?&#10;A) Assess the client's skin where the medication will be applied.&#10;B) Educate the client to not disturb the patch.&#10;C) Take the client's vital signs.&#10;D) Check the medication for interactions with other medications.

Accepted Answer

Before administering a topical medication, it is important for the nurse to assess the client's skin where the medication will be applied to ensure that it is intact and free from any abnormalities or irritation. This will ensure that the medication is applied correctly and will be able to effectively treat the intended area. Educating the client about not disturbing the patch, taking vital signs, and checking for medication interactions are also important steps in the medication administration process, but the initial assessment of the skin is the most crucial step.

Question 2

The nurse plans to administer heparin by: drawing the heparin up in an appropriate syringe, donning gloves, prepping the client's abdominal area, injecting the needle, aspirating for blood, and injecting the medication. Which statement best describes the nurse's plan?

A) The nurse should not aspirate for blood.
B) The nurse does not need to wear gloves.
C) The nurse does not need to prep the skin.
D) The nurse performed the injection correctly.

Accepted Answer

Aspirating for blood when administering heparin subcutaneously is not recommended because it can cause trauma or bruising to the tissue. Heparin injections are given subcutaneously, and the current best practices advise against aspiration.

Question 3

The pediatrician orders a weight -based medication for the child who weighs 30 pounds. The formula is set up for a certain amount of medication per kg of body weight. The nurse correctly assesses the child's weight in kg to be what amount?

Accepted Answer

13.6kg

Question 4

The nurse suspects that the client has not been taking his prescribed antihypertensive medication because the client's blood pressure remains elevated. What is the best therapeutic question the nurse can ask that will assess noncompliance?

A) "I really doubt that you are taking your medication. What would you think about talking to the doctor?"
B) "Your blood pressure is really high; do you realize the serious consequences of not taking your medication?"
C) "You are one of my favourite clients and I want you to be safe. Are you really taking your medication?"
D) "Taking medication is difficult for many people. What are some of your concerns about the medication?"

Accepted Answer

Option D is a therapeutic question that shows understanding and empathy towards the client. It allows the client to express concerns about taking the medication, which can help the nurse address those concerns and promote adherence to the prescribed medication. Option A sounds accusatory and judgmental, option B uses fear tactics, and option C is manipulative.

Question 5

The physician ordered an oral medication. The nurse incorrectly administered the medication intravenously. What does the best analysis of the nurse's action reveal?&#10;A) A lawsuit by the client will be impending.&#10;B) The medication cannot be retrieved.&#10;C) An antidote cannot be given.&#10;D) The nurse will be named in a law suit.

Accepted Answer

If the nurse administered the medication intravenously, it cannot be retrieved as it has already entered the bloodstream. While there may be potential consequences for the nurse's mistake, such as disciplinary action or legal repercussions, the question specifically asks for the best analysis of the nurse's action, which is that the medication cannot be retrieved.

Question 6

The physician prescribes an oral medication for the client. What is the primary nursing assessment of the client prior to receiving this medication?&#10;A) the client's eyesight&#10;B) the client's allergies&#10;C) the client's ability to swallow&#10;D) the client's understanding of the medication

Accepted Answer

The primary nursing assessment before administering oral medication is to ensure the client can safely swallow the medication to prevent choking or aspiration.

Question 7

The client is 3 days post -op, and the physician orders an oral pain medication. The client asks the nurse if it wouldn't be better to get the medication in the intravenous (IV) line. What is the best response by the nurse?

A) "No, because pills are more effective than intravenous (IV) medications."
B) "No, because pills are safer than intravenous (IV) medications."
C) "No, because you could not medicate yourself intravenously (IV) at home."
D) "No, because we are going to take your intravenous (IV) line out."

Accepted Answer

Oral medications are generally considered safer than IV medications due to a lower risk of complications such as infections or adverse reactions.

Question 8

The nurse uses the Nursing Process prior to administering any medications. Which step will assure the best client safety?&#10;A) Assess the client's developmental level.&#10;B) Assess the client's disease process.&#10;C) Assess the client's learning needs.&#10;D) Assess the client's medical history.

Accepted Answer

Assessing the client's medical history is the most important step in assuring client safety, especially in regards to medication administration. The medical history contains information about the client's previous illnesses, surgeries, medications, allergies, and other important factors that can affect medication absorption, metabolism, and elimination. It is important to identify any contraindications or interactions that could potentially harm the client. The other options (A, B, C) are also important steps in the Nursing Process, but they are not directly related to medication administration and may be more pertinent in other aspects of care.

Question 9

The nurse is preparing medications prior to administration. To promote client safety, the nurse uses &#34;rights&#34; of drug administration. What do these &#34;rights&#34; include? Select all that apply.&#10;A) the right client&#10;B) the right time of delivery&#10;C) the right medication&#10;D) the right dose&#10;E) the right route of administration

Accepted Answer

The "rights" of drug administration include ensuring the right client, the right time of delivery, the right medication, the right dose, and the right route of administration. All of these factors are important in promoting client safety and preventing medication errors. Therefore, all choices are correct.

Question 10

While in the hospital, the pediatric client has been receiving amoxicillin 10 mL orally bid, po. The child will be going home on this medication. What is the best instruction by the nurse for the parents?

A) Give 2 teaspoons by mouth, three times a day, after meals.
B) Give 2 teaspoons by mouth, three times a day, on an empty stomach.
C) Give 2 teaspoons by mouth, twice a day, after meals.
D) Give 2 teaspoons by mouth, twice a day, with meals.

Accepted Answer

"bid" means twice a day, so the medication should be given twice a day. "po" means by mouth, so it should be given orally. The dose is 10 mL, which is equivalent to 2 teaspoons. "After meals" is a better option than "on an empty stomach" to reduce GI upset. Therefore, the best instruction by the nurse for the parents is to give 2 teaspoons by mouth, twice a day, after meals.

Question 11

The physician orders enteric -coated aspirin, 81 mg every day, for the client with a nasogastric tube. What is the priority action by the nurse?&#10;A) Crush the tablet, dissolve it in 30 mL of water and administer through the tube.&#10;B) Substitute plain aspirin, dissolve it in 30 mL of water, and administer through the tube.&#10;C) Withhold the medication and contact the physician.&#10;D) Put the tablet in the tube, &#34;milk&#34; it down the tube, and then flush the tube with 60 mL of water.

Accepted Answer

The answer of The physician orders enteric -coated aspirin, 81...

Question 12

The physician has ordered several medications for the client. What does the nurse recognize as responsibilities regarding administration of medications? Select all that apply.&#10;A) knowing how the medication is supplied by the pharmacy&#10;B) knowing how the medication is to be administered&#10;C) knowing the name of the medication&#10;D) knowing the reason the medication was prescribed for this client&#10;E) knowing whether or not the medication is on the hospital formulary

Accepted Answer

The answer of The physician has ordered several medications for...

Question 13

The client is receiving a sustained -release capsule for his cardiac condition. The client tells the nurse there is no way he can swallow such a large pill. What is the best response by the nurse?&#10;A) &#34;Place the capsule on the back of the client's tongue, and have him drink a full glass of water.&#34;&#10;B) &#34;Open the capsule and sprinkle the contents over applesauce.&#34;&#10;C) &#34;Encourage the client to try and swallow the capsule because it is the best medication for his heart condition.&#34;&#10;D) &#34;Withhold the medication and contact the physician immediately&#34;

Accepted Answer

The answer of The client is receiving a sustained -release...

Question 14

The client is having chest pain. The physician orders sublingual nitroglycerine STAT. The nurse obtains the medication from the pharmacy and administers it to the client 30 minutes later. Which statement best describes the nurse's action?

A) The medication should have been administered immediately.
B) The nursing action was correct because the medication was not on the unit.
C) The medication should have been administered within a five -minute time frame.
D) The physician should have specified the time -frame for the medication.

Accepted Answer

The answer of The client is having chest pain. The...

Question 15

The physician ordered an intravenous medication for a client with nausea. The client asks the nurse how it will help his nausea. What is the best response by the nurse?&#10;A) &#34;This will work much faster for your nausea.&#34;&#10;B) &#34;We have more intravenous drugs for nausea than we do oral drugs.&#34;&#10;C) &#34;If you take an oral medication, you will just vomit it up.&#34;&#10;D) &#34;You can't have anything by mouth, so will receive the medication intravenously.&#34;

Accepted Answer

The answer of The physician ordered an intravenous medication for...

Deck 8: Principles of Drug Administration