Deck 2: Safe and Accurate Medication Administration

Question 1

A client is prescribed 2 mg of alprazolam.The nurse reviews the order and the medication label in preparation for administration. After administering 3 mLs of medication to this client,which action by the nurse is the most appropriate?
1)Assess the client's level of pain
2)Monitor the client's blood pressure
3)Document that the medication was provided
4)Report that the incorrect amount was provided

Answer 1

4
Explanation:The health care provider ordered 2 mg of medication.The medication is a 1 mg to `1 mL concentration;therefore,the nurse should have administered 2 mL,not 3 mL.Since the nurse made a medication error,the most appropriate action is to report that the wrong dose of medication was administered to the client.Alprazolam is a medication prescribed to treat anxiety,not pain or blood pressure.The nurse cannot document that the medication was administered because the wrong dose was given to the client.

Question 2

Type: MCMA The nurse educator is preparing to teach a group of nursing students about the required components of a medication order.Which items will the educator include in the presentation?
Standard Text: Select all that apply.
1)Patient's full name
2)Patient's insurance
3)Patient's religion
4)The date the order was written.
5)The name of the medication.

Answer 2

1,4,5
Explanation:A medication order must include the patient's full name,date of birth,the date and time the order was written,the name of the medication,the dosage,the route of administration,time and frequency of administration,the signature of the prescriber and the signature of the person who is transcribing the order.Insurance information and patient religion are optional items that may be included,but they are not requirements.

Question 3

The nurse is preparing to administer prescribed medications to a client with a gastrostomy tube (GT).Which medication is not appropriate to administer through a GT?
1)Capsule
2)Gel tab
3)Liquid suspension
4)Extended-release tablet

Answer 3

4
Explanation:Medications that are administered through a gastrostomy tube must be in the liquid form or be crushed and mixed with water.Extended-release tablets cannot be crushed;therefore,this medication order is not appropriate for this client.The contents of the capsule and gel tab can be mixed with water and administered to this client.

Question 4

A client is prescribed 12.5 mg of doxycycline monohydrate (Vibramycin)oral suspension every 8 hours.How many doses are available in this container?

Question 5

The nurse is preparing to administer this medication order: cyclobenzaprine hydrochloride (Amrix)7.5 mg PO tid.How often will the nurse provide the medication?
1)Once a day
2)Every 6 hours
3)Every 12 hours
4)Three times a day

Question 6

The nurse is preparing to administer a medication to the client and must find the generic name of the medication on the label to compare to the medication administration record.What is the generic name for this medication?

1)Vibramycin
2)Doxycycline monohydrate
3)Pfizer labs
4)Raspberry

Question 7

Type: Exhibit/Graphic The nurse is planning to provide medications after receiving morning report.Which medication should the nurse provide first in the morning?
1)Lasix
2)K-dur
3)Reglan
4)Lanoxin

Question 8

Type: Exhibit/Graphic The nurse is reviewing the medication administration record (MAR)for a client being cared for on the medical-surgical unit.When should the next dose of metoclopramide hydrochloride (Reglan)be provided to the client?
1)0900 9/14/08
2)1300 9/14/08
3)1800 9/14/08
4)2200 9/14/08

Question 9

Type: Exhibit The nurse is reviewing a client's medication administration record (MAR).Which nurse provided the client with ampicillin 1 g IVPB at 1800 hours on 9/12?
1)SS
2)CF
3)CK
4)CR

Question 10

A client is prescribed an oral suspension.Which medication is available in this prescribed route?
1)
2)
3)
4)

Question 11

The nurse is assessing a client in an outpatient clinic.The client states the last dose of Coumadin was taken at 5:00 pm .When documenting this in the medical record,which military time entry is correct?
1)1500 h
2)1600 h
3)1700 h
4)1800 h

Question 12

The health care provider prescribes the following for the client: prochlorperazine (Compazine)25 mg PR bid.Which route should the nurse prepare to administer this medication?
1)Oral
2)Rectal
3)Buccal
4)Topical

Question 13

The healthcare provider prescribes 2 milligrams of diazepam (Valium)to be administered through intravenous push as needed for anxiety.How should this medication order be written?
1)Diazepam 2 mg IVP prn
2)Diazepam 2 mcg IV ac
3)Diazepam 2 mcg IVP prn
4)Diazepam 2 mg IVPB ad lib

Question 14

The nurse is reviewing documentation provided by a novice nursing during a shift.Which item would necessitate the need for the nurse to review correct documentation with the novice nurse?
1)Client is able to take medications po.
2)Client is NPO after midnight.
3)The NGT is patent and medication administered without difficulty.
4).2 mg administered per order.

Question 15

Type: Exhibit A client has a temperature of 102.6⁰F.When was the last dose of acetaminophen for a temperature provided to the client?
1)6:30 am 11/05
2)10 am 11/05
3)2 pm 11/5
4)Not provided