Question 1

The client is to receive an intramuscular injection of a medication that is supplied in a 2 mL cartridge and a second medication that is supplied in a vial. The total amount to be administered of these medications exceeds the volume of the cartridge by 0.5 mL. How should the nurse proceed?

Accepted Answer

D

Question 2

The nurse has discontinued suction to a nasogastric tube to administer medication. For how long should the nurse plan to leave this suction discontinued?

Accepted Answer

20-30 minutes

Question 3

The doctor has written an incorrect drug dosage for one of the patients. The nurse follows the order and administers the incorrect dose. Who is deemed as accountable?

Accepted Answer

Both the doctor and the nurse are accountable. The doctor is responsible for prescribing the correct dosage, and the nurse is responsible for verifying the correctness of the dosage before administration.

Question 4

The nurse is preparing a small amount of medication for oral administration. Which nursing action is essential?

Accepted Answer

Labeling the syringe with the medication name, amount, and route is an essential nursing action to ensure the right medication is given to the right patient through the right route. Measuring at the top of the meniscus is an important technique for accurately measuring medication, but it is not the most essential action. Diluting the medication with water before measuring may be necessary depending on the medication, but it is not essential for all medications. Drawing up the medication with a large-gauge needle may not be appropriate for small amounts of medication or for oral administration.

Question 5

The nurse is preparing to administer a medication to a 6-year-old. What is the nurse's priority action?

Accepted Answer

Verifying that the dosage is within the safe range for this child is the nurse's priority action as children require individualized dosages based on age, weight, and medical history. Administering the exact dosage as ordered or a percentage of the safe adult dosage may not be appropriate. Giving the dosage supplied by the pharmacy assumes that the pharmacy has supplied the correct dosage for this particular child.

Question 6

The nurse is preparing to administer a medication that the agency designates as "high alert". What action should the nurse take?

Accepted Answer

When administering high alert medications, the nurse should ask another Registered Nurse to also verify the medication to ensure accuracy and safety. This is a recommended best practice to minimize the risk of errors. It is not necessary to call the pharmacist or have a physician present, and asking the nursing supervisor to administer the medication is not appropriate.

Question 7

Which of the following would the nurse assess as a factor reducing medication action? (Tick as many as required.)

Accepted Answer

The answer of Which of the following would the nurse...

Question 8

The student nurse is to administer some medications. What are the 10 'rights' to ensure safe administration?

Accepted Answer

The answer of The student nurse is to administer some...

Question 9

A client is being tested to determine allergies. This route of administration is called:

Accepted Answer

Intradermal administration involves injecting a substance into the dermis layer of the skin, typically to test for allergies. Intramuscular administration involves injection into a muscle, intravenous administration involves injection into a vein, and intrathecal administration involves injection into the spinal canal.

Question 10

The nurse is planning to administer medications to a new client. What is the nurse's greatest priority in administering these medications?

Accepted Answer

The nurse's greatest priority in administering medications should be to know the intended effects and potential side effects for the specific client. This allows the nurse to monitor for any adverse reactions or interactions with other medications the client may be taking. Administering medications within a specific time frame and documenting accurately are important, but knowing how the medication will affect the client is crucial for safe and effective administration. Assessing the client's knowledge of medication action is also important, but it is not the greatest priority in administering medications.

Question 11

At which point of preparing medication from an ampoule does the nurse anticipate using a filter needle?

Accepted Answer

Filter needles are used when drawing up the medication from the ampoule to prevent any glass particles or debris from getting into the solution. They are not necessary for administering the medication to the client.

Question 12

The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action should the nurse take?

Accepted Answer

It is important to collaborate with the prescriber about the order to clarify and confirm the correct prescribed dose. This will ensure that the patient receives the appropriate amount of medication and prevent medication errors. Simply administering the standard dose or the ordered dose without clarification may result in potential harm to the patient. Checking with previous shift nurses is not sufficient to ensure the correct dosage is administered.

Question 13

The nurse who is to administer 2.5 mL of intramuscular pain medication to an adult client notes that the previous injection was administered in the right ventrogluteal site. In which site should the nurse plan to administer this injection?

Accepted Answer

It is recommended to alternate injection sites to prevent tissue damage and discomfort. As the previous injection was administered on the right ventrogluteal site, the nurse should administer the current injection on the left ventrogluteal site to minimize tissue trauma and discomfort. Option A is not recommended due to the risk of tissue damage and discomfort. Option B and D are not recommended for administering an intramuscular injection for pain medication in adults.

Question 14

The nurse is planning to administer a bitter-tasting oral medication to a 4-year-old. What strategy should this nurse plan?

Accepted Answer

Asking the parents how they give medications at home can provide insight into successful strategies that work for the child, ensuring cooperation and minimizing distress.

Question 15

Before administering medications, the nurse must use at least two client identifiers. What would be the best way for the nurse to verify the client's name?

Accepted Answer

Asking the client to state their full name and checking their client identification band ensures that the nurse is administering medication to the correct individual by using two active forms of verification: the client's verbal confirmation and the physical evidence of the identification band.

Question 16

The nurse is caring for a team of four clients who are seriously ill. One of the clients has just received a new cardiac medication. How should the nurse instruct the Assistant in Nursing (AIN) who is also caring for this client?

Accepted Answer

The nurse should give specific instructions to the AIN regarding what drug actions or side effects to report to the nurse. This ensures that any unexpected effects from the medication will be addressed by the nurse in a timely manner. Teaching the client's family about the medication is not within the scope of responsibilities for the AIN. Looking the medication up in a reference book may be helpful but is not as effective as giving specific instructions. Assessing for unexpected effects is important but should be done by both the AIN and the nurse.

Question 17

The client has been ordered morphine 7.5 mgs intramuscular injection. The morphine stock available is 10 mgs/2 mls. What volume is required to be administered?

Accepted Answer

The answer of The client has been ordered morphine 7.5...

Question 18

The nurse is to administer four oral medications to the client via a nasogastric tube. One of the medications is a tablet that has been crushed, one is a capsule that has been opened and the powder removed, and two are supplied in liquid form. How should the nurse administer these medications?

Accepted Answer

Administering each medication separately with flushing before and after each ensures that the medications do not interact negatively with each other and that the tube remains clear to prevent clogging. Mixing medications together or administering without proper flushing can lead to medication errors or tube blockages.

Question 19

Most institutions have lists of abbreviations officially accepted for use in the institution. A hospital's regulations now require that the nurse write out the name of the drug morphine instead of using the abbreviation M. What is the best rationale for this requirement?

Accepted Answer

The answer of Most institutions have lists of abbreviations officially...

Question 20

Older people may require lower doses of drugs because:

Accepted Answer

The answer of Older people may require lower doses of...

Quiz 36: Medications