Question 1

A patient informs the nurse that his urine is starting to look discolored.How should the nurse respond?

Accepted Answer

The nurse wants to gather additional assessment information about the change in urine color.Information is insufficient to recommend drinking more fluids,or to know whether this is a normal or abnormal side effect.The other options do not provide a focused assessment and are not therapeutic responses.

Question 2

The nurse is administering 250 mg of a medication elixir to the patient.The medication comes in a dose of 1000 mg/5 mL.How many milliliters should the nurse administer?

Accepted Answer

The answer of The nurse is administering 250 mg of...

Question 3

A patient who is receiving IV fluids notifies the nurse that his arm feels tight.Upon assessment,the nurse notes that the arm is swollen and cool to the touch.What should the nurse's first action be?

Accepted Answer

An IV site that is puffy,swollen,and cool to the touch indicates infiltration.The IV site should be discontinued immediately because it is no longer a viable access point.Pulling back on the syringe will not result in fluid return because there is no longer venous access.A new IV should be started in the opposite arm after the old IV has been removed.The IV should be removed; it is not sufficient to only stop the fluids.

Question 4

The physician orders 4 mg of oxycodone to be delivered every 6 hours.After 4 hours,the patient is complaining that she is in more pain.The nurse advises the physician to make which medication adjustment?

Accepted Answer

The patient's metabolism causes the peak effect to occur when the medicine is at its highest concentration.After reaching its peak,the serum concentration of the medication falls progressively.By spreading out the dose,the patient should receive constant pain relief.Changing the medication,increasing the dose,or adding another medication is not the best course of action.

Question 5

A patient is taking 1 tablet of hydrocodone bitartrate 5 mg and acetaminophen 500 mg (Vicodin)every 4 hours.He is also taking 2 tablets of acetaminophen (Tylenol)325 mg every 12 hours.How many grams of acetaminophen is he taking daily?

Accepted Answer

The answer of A patient is taking 1 tablet of...

Question 6

Which of the following demonstrates proper oral medication administration?

Accepted Answer

Placing medications that require preadministration assessment in a separate cup serves as a reminder to check before the medication is given,making it easier for the nurse to withhold medication if necessary.Medications should not be removed from their package until they are in the patient's room because this makes identification of the pill easier and reduces contamination.When measuring a liquid,the nurse should use the meniscus level to measure,not the edge.In addition,liquid medications measuring less than 10 mL should be drawn up in a needleless syringe.Single-dose medications should not be transferred to medicine cups to reduce unnecessary manipulation of the dose.

Question 7

What methods are used to properly discard narcotics?

Accepted Answer

Proper disposal of wasted narcotics involves washing liquids down the sink and tablets down the toilet.This prevents others from accessing the wasted narcotics.Placing the syringe in the sharps container is not recommended; it could be accessed inappropriately.Once a medication is opened,it cannot be returned to the medication dispenser and must be wasted.Locking the narcotics in a secure cabinet is not a proper method of disposal; they could be accessed by someone other than the nurse.Throwing tablets into the trash is unsafe because pills may be recovered by inappropriate persons.

Question 8

Which of the following are methods to reduce the risk of needlestick injury?

Accepted Answer

To prevent the risk of needlesticks,the nurse should never recap needles.Empty sharps boxes before they become too full,so needles do not stick out the top.Needles should not be forced into the box.Clearly mark receptacles to warn of danger.Using needleless systems when possible will further reduce the risk of needlestick injury.

Question 9

The patient is to receive amoxicillin (Moxatag)500 mg q8h; the medication is dispensed at 250 mg/5 mL.How many teaspoons would the nurse administer for one dose?

Accepted Answer

The answer of The patient is to receive amoxicillin (Moxatag)500...

Question 10

Which nursing action is the number one priority for ensuring that medication stays in the target therapeutic range?

Accepted Answer

The quantity and distribution of a medication in different body compartments change constantly.Drawing peak and trough levels allows health care providers to see whether the current medication dosage is effective for the patient,or if it needs to be adjusted.Administering a double dose is dangerous and could cause the medication to cross the toxic threshold.Delivering the same amount each day may not be therapeutic or may be toxic for the patient.Holding all other medications should not affect the peak or half-life of the medications,assuming that they are compatible.

Quiz 79: Medication Administration