Question 1

An elderly patient is scheduled to take six medications each morning.The nurse administering these medications knows to do which of the following?

Accepted Answer

Allow extra time to administer medication to the elderly.These individuals often are slower at swallowing medications and water.The nurse must be present for the administration of every medication.

Question 2

Which of the following is done after giving medication through a nasogastric tube that is connected to suction?

Accepted Answer

When the medication has passed through the tube,reclamp the tube for 30 minutes before the suction is reattached.

Question 3

In which of the following ways can a nurse prevent injury from a needlestick?

Accepted Answer

Standard precautions recommend the use of puncture-resistant containers for disposal of all needles and sharps.Never recap a needle;most sticks happen this way.

Question 4

Standard precautions to prevent transmission of HIV and other blood-borne pathogens should be used when the nurse is likely to come into contact with blood,semen,vaginal secretions,and possibly breast milk.Only these four fluids have been shown to transmit HIV.Although the risk is unknown,universal precautions for prevention of HIV have also been suggested for which of the following bodily fluids?

Accepted Answer

The Centers for Disease Control (CDC)recommend that health care workers use gloves,gowns,masks,and protective eyewear when they are likely to be exposed to patients' blood or body fluids;they consider that all patients might be infected.Universal precautions also apply to tissues,cerebrospinal fluid,synovial fluid,and amniotic fluid.

Question 5

Injectable iron should be administered by which of the following injection methods?

Accepted Answer

For medications that are irritating or may stain the skin (e.g. ,iron),the "Z-track technique" of IM injection is employed.The Z-track uses the skin itself as a "door" to seal in the drug and prevent it from leaking back out from muscle tissue.

Question 6

When applying a topical nitroglycerin ointment,the nurse will do which of the following?

Accepted Answer

The correct number of inches of medication is squeezed onto the applicator paper as a small ribbon.The applicator paper is then laid on top of the skin where the medication is to be applied.A nonhairy area on the chest,upper arm,or flank area should be selected for application.Apply it to the paper because the nurse can receive some of the medication if it comes in contact with his or her fingers and is absorbed into the skin.

Question 7

Examples of medications that are given by enteral routes include which of the following? (Select all that apply. )

Accepted Answer

Enteral medications are given directly into the gastrointestinal (GI)tract through oral,nasogastric,or rectal routes.TPN solutions are administered intravenously,which is a parenteral route.

Question 8

Which of the following is the correct needle for an intramuscular (IM)injection?

Accepted Answer

An IM injection is usually given with a 1- to 2-inch,20- to 22-gauge needle.

Question 9

List the following nursing actions in the correct sequence for a patient with an infiltrated IV.
A)Contact the physician.
B)Inspect for signs of injury.
C)Apply warm,moist compresses.
D)Discontinue the infusion.

Accepted Answer

The answer of List the following nursing actions in the...

Question 10

The nurse instructs a clinic patient on using an inhaler for his asthma attacks.Which of the following is correct about the use of an inhaler?

Accepted Answer

If using inhalers,patients must be carefully instructed so the medication goes all the way into the lungs,not just to the back of the nose or throat.Take a deep breath first,exhale,and then inhale the medication.

Question 11

When a patient is experiencing a life-threatening emergency,the nurse may be given an order to administer medication via which of the following routes?

Accepted Answer

IV injections or infusions may be needed when medication must go directly into the bloodstream,because the action of this method is rapid.

Question 12

Which of the following principles of medication administration will be taught to a patient who will be administering his own subcutaneous (SC)injections?

Accepted Answer

The patient should agree on a rotation plan for injection sites and this should be posted with the patient's medications or by the patient's bedside.

Question 13

A nurse discovers that an infusion is failing to infuse properly.Which of the following items should be checked? (Select all that apply. )

Accepted Answer

Failure of an IV to infuse properly warrants the following nursing actions: check for bent tubing,needle against vein wall,or small clot at needle end;the IV pole may be too low,or the needle may be out of the vein and infiltrated.

Question 14

When giving a medicine through a nasogastric (NG)tube,the nurse will first do which of the following?

Accepted Answer

Make certain that the NG tube is in the stomach.Aspirate (take out)stomach contents with a syringe,or inject (put in)5 to 10 mL of air into the tube and listen for a gurgling sound in the abdominal area.This may be heard by placing a stethoscope over the stomach.

Question 15

When giving an IM injection to an HIV-positive patient,the nurse recognizes that the HIV infection is spread in which of the following body fluids? (Select all that apply. )

Accepted Answer

Evidence has suggested that only blood,semen,vaginal fluid,and possibly breast milk can carry HIV.

Question 16

Which of the following represents the proper way for a nurse to administer an oral capsule?

Accepted Answer

Remain at the patient's bedside until the medication is swallowed.Do not crush tablets or break capsules without checking with the pharmacist.Many medications have special coatings that are essential for proper absorption.

Question 17

Metered-dose inhalers are used to deliver specific amounts of medication.The nurse gives the patient which of the following instructions?

Accepted Answer

The patient should exhale,then activate the inhaler as the next inspiration begins.This will carry medication down into the lungs.

Question 18

As part of an antismoking program,nicotine can be administered by which of the following delivery systems?

Accepted Answer

Various antismoking programs use nicotine patches in the form of a disc or transdermal patch.

Question 19

When using the mucous membrane for percutaneous medication administration,the nurse should use an oily base for medication absorption when which of the following is true?

Accepted Answer

Medication given in an oily base will slow its absorption and help when administering antibiotics.

Question 20

If an IV has become infiltrated,the nurse will observe which of the following assessment findings?

Accepted Answer

Infiltration produces pain,swelling of the area,and redness (erythema).

Quiz 10: Preparing and Administering Medications