Question 1

The nurse is preparing to administer medications to a client by nasogastric (NG)tube.Which type of medication should not be given by this route?

Accepted Answer

Sustained-release medications should not be given via NG tube because crushing or altering them can lead to rapid release and absorption of the drug, potentially causing toxicity or other adverse effects.

Question 2

Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

B,C,D

Question 3

The physician ordered amlodipine (Norvasc)5 mg tab PO bid.The drug is dispensed as 1 tablet,which is 5 mg.How should the nurse administer the medication?

Accepted Answer

The prescription "amlodipine (Norvasc) 5 mg tab PO bid" means the medication should be taken orally (PO) twice (bid) a day. Therefore, the nurse should administer one tablet orally twice per day.

Question 4

The nurse is speaking with a client regarding current medications.The client states she does not always take the medications as prescribed.What are the potential reasons for this client's noncompliance? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Patients may not adhere to their medication regimens for various reasons, including forgetting doses, financial constraints or lack of insurance coverage, experiencing adverse effects, or not understanding the purpose of the medication. These factors can significantly impact a patient's willingness or ability to follow prescribed treatment plans.

Question 5

Which routes are appropriate for the nurse to use when administering enteral medications? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Oral, via gastrostomy tube, and via nasogastric tube are appropriate routes for administering enteral medications.

Question 6

The nurse is caring for a client who has medications ordered to be given PO.The client asks the nurse what PO means.What is the best response by the nurse?

Accepted Answer

PO is an abbreviation for "per os," which is Latin for "by mouth." Therefore, PO medications are taken orally.

Question 7

The nurse is preparing to administer a medication.Which six rights of drug administration should the nurse assess for prior to administering the prescribed medication? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The six rights of medication administration include the right client, right route, right dose, right time, and right documentation. "Right time of preparation" is not one of the standard six rights, making choices A, B, C, and E correct.

Question 8

The nurse is recording intake for a client.The nurse must document the client's intake in milliliters.What is the conversion between cups and milliliters?

Accepted Answer

One cup is equivalent to approximately 240 milliliters or 8 ounces, making option B the correct conversion.

Question 9

The physician orders a medication to be given via the buccal route.What instructions should the nurse provide to the client prior to taking the medication?

Accepted Answer

The buccal route involves placing the medication in the oral cavity between the gum and the cheek, allowing for absorption through the mucous membranes.

Question 10

A client has been prescribed a liquid medication to be taken 15 mL tid.How should the nurse instruct the client to take this medication?

Accepted Answer

C) Carefully measuring the medication using a medical dosing device ensures accuracy, and 15 mL is equivalent to one tablespoon, not one teaspoon, making this instruction correct for the prescribed dosage.

Question 11

The nurse is reviewing some medication administration orders for her clients.Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nurse is reviewing some medication administration...

Question 12

After administering a medication,the nurse notes that the client has itching and a runny nose.What is the nursing priority?

Accepted Answer

The answer of After administering a medication,the nurse notes that...

Question 13

A client is being discharged with an order to drink 2400 mL of fluid per day.The client asks the nurse how many cups this equals.Which nursing response is the most appropriate?

Accepted Answer

2400 mL is equivalent to approximately 81 ounces, since 1 ounce is about 30 mL. There are 8 ounces in a cup, so 81 ounces divided by 8 equals about 10 cups. Therefore, the client should drink ten 8-ounce glasses of fluid per day.

Question 14

What type of medication order should be given immediately or only once?

Accepted Answer

A STAT order is a type of medication order that indicates the medication should be given immediately and only once, typically in an emergency situation.

Question 15

The physician writes an order for a medication to be given SL tid.How should the nurse administer the prescribed medication order to the client?

Accepted Answer

SL stands for sublingual, meaning the medication should be placed under the tongue, and tid means three times a day. Therefore, the correct administration is sublingual three times per day.

Question 16

The nurse is preparing to administer a medication to a client.What are the checks that must occur prior to medication administration? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

The answer of The nurse is preparing to administer a...

Question 17

The nurse is weighing an infant during a well-care visit.The nurse weighs the child in kilograms but the client's parents ask what the weight is in pounds and ounces.The nurse calculates the weight based on which conversion?

Accepted Answer

One kilogram is equivalent to 2.2 pounds, which is the correct conversion factor to use when converting weight from kilograms to pounds.

Question 18

What does the nurse need to determine prior to administering a medication to a client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.

Accepted Answer

Before administering a medication, a nurse needs to determine any contraindications for the medication (A), what drug is ordered to ensure the correct medication is given (B), both the generic and trade names of the medication to ensure accuracy and understanding (C), and the drug classification to understand the medication's effects, potential side effects, and how it interacts with other medications (E). The manufacturer of the medication (D) is not typically crucial information needed before administration.

Question 19

The nurse is reviewing orders for a newly admitted client with a student.Which statement by the student indicates that the student understands the meaning of a standing order?

Accepted Answer

Standing orders are pre-written medication or procedure orders to be executed under specific circumstances, allowing for quick and consistent patient care without the need for a direct order from a physician at the moment of need.

Question 20

Following administration of a drug to a client,who has the greatest responsibility for monitoring the client for adverse reactions?

Accepted Answer

The nurse has the greatest responsibility for monitoring the client for adverse reactions after drug administration, as they are directly involved in medication management and patient care.

Quiz 3: Principles of Drug Administration

The nurse is preparing to administer medications to a client by nasogastric (NG) tube.Which type of medication should not be given by this route?

Which drug administration abbreviations are matched correctly with their definitions? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.

The physician ordered amlodipine (Norvasc) 5 mg tab PO bid.The drug is dispensed as 1 tablet,which is 5 mg.How should the nurse administer the medication?

Which routes are appropriate for the nurse to use when administering enteral medications? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected.