Deck 21: Preparation for Safe Medication Administration

Question 1

Which schedule would the nurse select to achieve a therapeutic level if the medication is prescribed for administration 4 times a day?

A) 8 AM, 10 AM, 2 PM, and 8 PM
B) 10 AM, 2 PM, 6 PM, and 8 PM
C) 10 AM, noon, 4 PM, and 6 PM
D) 8 AM, 2 PM, 8 PM, and 2 AM

Answer 1

8 AM, 2 PM, 8 PM, and 2 AM

Question 2

The nurse needs to administer 1000 mcg of a medication and has 1-mg tablets.How many tablets does the nurse administer?

A) 1
B) 2
C) 3
D) 4

Answer 2

1

Question 3

A patient received a drug that caused an unpredictable and unusual effect.Which term does the nurse use to describe this effect?

A) Toxic
B) Allergic
C) Therapeutic
D) Idiosyncratic

Answer 3

Idiosyncratic

Question 4

The nurse admits a patient who has an acute kidney infection but refuses to take any medication.Which is the best initial nursing intervention to implement the therapeutic regimen?

A) Notify the healthcare provider of the situation.
B) Inform the patient about the risk of renal failure.
C) Talk with the patient about taking the antibiotics.
D) Disguise the medications so the patient takes them.

Question 5

The nurse needs to administer a medication to a toddler who weighs 20 kg.The dosage is 50 mg/kg/day in divided doses,and the medication is available as an elixir at 25 mg/mL.How many milliliters of medication should the nurse administer at each scheduled dose?

A) 2
B) 20
C) 8
D) 80

Question 6

The nurse prepares to administer a parenteral medication.Which route of administration does the nurse use for the medication?

A) Oral
B) Topical
C) Sublingual
D) Intramuscular

Question 7

The nurse is preparing to administer a controlled substance.Which action must the nurse take first if controlled medication is discarded?

A) Count the amount of medication daily.
B) Document the amount wasted.
C) Have a nurse witness the wasting of the drug.
D) Administer the unused portion on another patient.

Question 8

The nurse discharges a patient from the ambulatory surgical center with a prescription for an opioid analgesic.The patient can take the medication every 4 to 6 hours as needed for pain.What does the nurse include in patient teaching about the prescription before discharging the patient?

A) Take the medication for severe pain.
B) Use the medication to facilitate healing.
C) Wait 4 to 6 hours before taking the next dose.
D) Take every 4 to 6 hours until the bottle is empty.

Question 9

An older adult who lives alone takes three different white,flat,unscored medications every day.He has trouble remembering if he has taken the correct pill at the correct time.What strategy would best help this patient maintain independence and safety in taking his medications?

A) Place a piece of different colored tape on each pill bottle to differentiate the medication.
B) Take the medications out of the bottles and place them in a pill holder.
C) Have a neighbor give the patient his pills once each day.
D) Ask the patient how he wants to identify the medications.

Question 10

The patient is to receive 750 mg of a medication.The pharmacy sent 500-mg scored tablets.How many tablets does the nurse administer?

A) 1/2
B) 1
C) 2
D) 1 1/2

Question 11

A male patient looks at the medication in the cup and tells the nurse that he does not take one of the tablets.Which action should the nurse take next?

A) Tell the patient that the medications are correct.
B) Recheck the medication and the medication order.
C) Call the pharmacy to bring the correct medication.
D) Remove the medication and document the incident.

Question 12

The nurse needs to administer 2 tsp of a medication to the patient.How much of the medication should the nurse administer?

A) 5 mL
B) 10 mL
C) 15 mL
D) 20 mL

Question 13

The nurse is having difficulty reading a medication order.Which is the best action for the nurse to take to prevent a medication error?

A) Clarify the order with the healthcare provider who wrote it.
B) Talk with the pharmacist who knows what is usually ordered.
C) Ask a nurse who knows the healthcare provider to read it.
D) Have a nurse interpret the written medication order.

Question 14

The nurse is reviewing concepts of safe medication preparation and administration with a group of nursing students.Which statement should the nurse include during the review?

A) Use sterile technique for most nonparenteral medications.
B) Administer the medication prepared by the medication nurse.
C) Leave the medication on the meal tray for the patient to take.
D) Verify medication dosage is within a safe dosage range.

Question 15

A patient has been given high doses of an opioid medication for severe pain.Which assessment data indicate the most toxic effect of a medication?

A) Nausea and vomiting
B) Respiratory depression
C) Erythema and skin rash
D) Bloating and constipation

Question 16

The provider prescribes aluminum hydroxide gel 2 ounces.The nurse has aluminum hydroxide in 30-mL containers in the patient's medication drawer.How many containers does the nurse administer to the patient?

A) 1
B) 2
C) 1/2
D) 1 1/2

Question 17

The nurse administers sulfamethoxazole and trimethoprim (Bactrim)for a desirable patient response derived from the combination of agents.Which type of medication effect does the nurse anticipate?

A) Tolerance
B) Synergistic
C) Dependence
D) Subtherapeutic

Question 18

A prescription reads,"Aspirin 325 mg 2 tablets orally for pain." What action should the nurse take when the patient has pain?

A) Add "by mouth" to the prescription for clarification.
B) Clarify the administration frequency and whether the medication should be prn or standing.
C) Clarify the dose per tablet with the pharmacist.
D) Administer the dose whenever the patient requests it.

Question 19

The nurse administers a patient's medication; within 30 minutes the patient has bilateral wheezing and large red blotches on the face and is anxious and dizzy.Which should the nurse implement?

A) Encourage the patient to drink plenty of fluids.
B) Direct a colleague to contact the provider stat.
C) Check the medication administration record (MAR) for an antihistamine as needed.
D) Document potential patient allergy to medication.

Question 20

The dose ordered for the patient is 37.5 mg intramuscularly (IM).How many milliliters of the medication should the nurse administer from a 100-mg/2-mL syringe?

A) 0.5
B) 0.75
C) 1.0
D) 1.5

Question 21

2. ___________ is the study of how drugs enter the body (absorption),reach the site of action (distribution),are metabolized,and are excreted from the body.

Question 22

3. _________ _______ _______ are unintended,undesirable,and often unpredictable.

Question 23

The nurse administers oral medications according to the unit dose system.Which technique should the nurse use for administering the medications?

A) Prepare the medications for several patients at the same time.
B) Remove the medication from the package and take it to the patient's room.
C) Compare the packaged medication with the healthcare provider's prescription.
D) Take the prescribed dose into the patient's room in the packaging.

Question 24

1. As a part of the American Recovery and Reinvestment Act of 2009,the Health Information Technology for Economic and Clinical Health (HITECH)was developed.One of the requirements of HITECH is the implementation of a _______ _______ ___________ __________ system.

Question 25

The nurse is working with a group of students and asks them to list the common causes of medication errors.Which of the following are among the common causes of medication errors? (Select all that apply.)

A) Distractions
B) Illegible handwriting
C) Drug product nomenclature
D) Labeling errors
E) Medication unavailable
F) Excessive workload
G) None of the above

Question 26

The nurse is describing the role of the pharmacist in medication administration.Which of the following are correct? (Select all that apply.)

A) Assess the medication plan.
B) Review the orders for accuracy and validity.
C) Prepare the correct medication.
D) Deliver them to the nursing unit.
E) Independently adjust incorrect medication errors.

Question 27

The nurse is explaining pharmacokinetic effects to a new nurse working on the unit.Which of the following statements alerts the nurse that a good level of understanding has been achieved? (Select all that apply.)

A) "The trough is the lowest level."
B) "The peak is the highest level."
C) "With IV administration, the serum level falls more slowly."
D) "Toxic concentration is when toxic effects occur."
E) "Peak levels always occur in 30 minutes."