Question 1

The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler.What information should the nurse provide regarding the dosage schedule for these two medications?

Accepted Answer

The bronchodilator inhaler should be used first to open up the airways, followed by the corticosteroid inhaler to reduce inflammation. This is the recommended sequence for optimal effect of the medications.

Question 2

A client who has been prescribed a narcotic for chronic back pain is demonstrating signs of withdrawal.The nurse identifies these symptoms as being

Accepted Answer

The symptoms of withdrawal indicate physical dependence to the narcotic drug. Psychological dependence refers to the emotional and behavioral reliance on a drug for perceived benefits, whereas plateau is a state of little or no change in the drug's effect despite increasing doses. Drug allergy refers to an adverse immune response to a drug.

Question 3

Before administering a medication to a client,the nurse checks the client's pulse,blood pressure,and laboratory values.The nurse is performing which "right" of medication administration?

Accepted Answer

The nurse is performing the "right" of Assessment before administering a medication to the client. This ensures that the client is in the proper condition to receive the medication and reduces the risk of adverse effects. The other "rights" of medication administration include checking the medication, route, dose, time, and documentation.

Question 4

The client who regularly uses a metered-dose inhaler four times a day tells the nurse that it is difficult to tell when the canister is empty.What instruction should the nurse give this client?

Accepted Answer

By dividing the number of puffs listed on the label by four, the client can estimate how many days the canister will last if used four times a day. This helps the client keep track of when a new canister will be needed. The other options are not reliable methods for determining if a canister is empty.

Question 5

The nurse is concerned that an older client will have difficulty self-administering medications.What did the nurse assess that caused this concern?
Standard Text: Select all that apply.

Accepted Answer

Altered memory, decreased visual acuity, and decreased manual dexterity are all factors that can make self-administration of medications difficult for an older client. Eating fruits and vegetables or limiting red meat in the diet may be indicators of overall health but do not directly relate to the ability to self-administer medications.

Question 6

While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order?
Standard Text: Select all that apply.

Accepted Answer

The nurse observed the use of milligrams and milliliters, which are both units of measurement in the metric system. Ounces and drams are units of measurement in the apothecary or household system, and grains are a unit of measurement in the avoirdupois system.

Question 7

The nurse is administering a medication to a client as prescribed in order to maintain a specific amount of the medication in the client's bloodstream at all times.The nurse is ensuring that which action is being maintained for this client?

Accepted Answer

Maintaining a specific amount of medication in the client's bloodstream at all times refers to the plateau, which is the point where the drug concentration in the body remains constant. Peak plasma level refers to the highest concentration of drug in the bloodstream, onset of action refers to the time it takes for the medication to start working, and drug half-life refers to the time it takes for the body to metabolize and eliminate half of the medication.

Question 8

The nurse is reviewing a new medication order for a client,and determines that the order is incomplete when which element is missing?
Standard Text: Select all that apply.

Accepted Answer

The client's address and dispensing instructions are not necessary for the nurse to administer the medication to the client. However, the name of the medication, dosage, and route of administration are essential components of a complete medication order that the nurse needs to administer the medication safely and effectively.

Question 9

A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method?
Standard Text: Select all that apply.

Accepted Answer

Parenteral administration refers to delivering medications by injection or infusion, bypassing the digestive system. This includes subcutaneous, intramuscular, intradermal, and intravenous methods.

Question 10

A client tells the nurse that the pharmacy will not fill a prescription that was written by the physician.Upon closer examination,what should the nurse determine is missing from the prescription?
Standard Text: Select all that apply.

Accepted Answer

The Rx symbol is necessary to indicate that the document is a prescription. Dispensing instructions for the pharmacist are required for the pharmacist to know how to fill the prescription. The number of refills is necessary so that the pharmacy knows how many times the prescription can be filled. The client's diagnosis and Social Security number are not necessary for the pharmacy to fill the prescription.

Question 11

A client is prescribed an oral medication.When reviewing this medication,the nurse realizes it might not be the route of choice for this client because the client is experiencing
Standard Text: Select all that apply.

Accepted Answer

Oral medication may not be suitable if the client is experiencing nausea, vomiting, or irritated gastric mucosa, as these conditions can affect the absorption and retention of the medication.

Question 12

A client has a new order for a medication that does not have a termination date.The nurse would place this medication order under which classification on the client's medication administration record?

Accepted Answer

Standing orders are medication orders that do not have a termination date and are intended for long-term use. PRN orders are used as needed, STAT orders are for immediate administration, and Single orders are for one-time administration. Therefore, placing the medication under the classification of Standing would be the best option for a medication without a termination date.

Question 13

A client is diagnosed with liver disease.The nurse realizes that which element of pharmacokinetics will be affected in this client?

Accepted Answer

Biotransformation, which occurs in the liver, is likely to be affected in a client with liver disease. This can lead to altered metabolism and clearance of medications, as well as potentially increased toxicity of some drugs. Absorption, distribution, and excretion may also be affected, but to a lesser extent than biotransformation.

Question 14

A client's status is deteriorating,and the physician prescribes a medication to be administered immediately one time.The nurse would contact the pharmacy and identify this medication order as being of which type?

Accepted Answer

STAT orders are used for medications that need to be administered immediately, typically one time only. Standing orders are used for medications that are administered on a regular basis, PRN orders are used for medications as needed, and single orders are used for medications that are only needed once but may not require immediate administration.

Question 15

The nurse determines that the effectiveness of a medication is not as great when provided to female clients as it is with male clients.The nurse suspects that this difference in effectiveness is because of which factor?
Standard Text: Select all that apply.

Accepted Answer

The answer of The nurse determines that the effectiveness of...

Question 16

The nurse is providing medications to a client.After identifying the client,the nurse should take which action?

Accepted Answer

The nurse should inform the client about the intended action of the medication before administering it to ensure the client understands what they are taking and why.

Question 17

While hospitalized,a client was receiving 15 ml of an oral medication three times a day.When providing discharge instructions,the nurse should teach the client to take how much of this medication at home?

Accepted Answer

The answer of While hospitalized,a client was receiving 15 ml...

Question 18

The nurse is preparing medications for a client.What should the nurse do to ensure that the correct medication is provided to the client?
Standard Text: Select all that apply.

Accepted Answer

To ensure that the correct medication is provided to the client, the nurse should make sure that it is the right client, the right medication, the right dose, and the right route. Checking for the right dosage also ensures the safety of the client. However, checking for the right diagnosis is not necessary in this process, as it is the responsibility of the prescribing healthcare provider to determine the right diagnosis for the client.

Question 19

The nurse is concerned that an older client is experiencing an adverse effect from a prescribed medication.What did the nurse assess to make this clinical decision?

Accepted Answer

Altered organ responsiveness could indicate that the medication is not being metabolized properly or is having a negative effect on the body's organs. The other options may or may not be related to adverse medication effects.

Question 20

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 to a new client is to know what the intended effects are for this client. Understanding the purpose and expected outcomes of the medications is crucial to ensure safe administration and to monitor for any adverse effects. While it is important to administer medications on time (A), assess client knowledge (C), and document accurately (D), these are not the nurse's greatest priority when administering medications.

Quiz 35: Medications

The nurse is providing discharge teaching for a client who is being dismissed with prescriptions for a bronchodilator inhaler and a corticosteroid inhaler.What information should the nurse provide regarding the dosage schedule for these two medications?

A client who has been prescribed a narcotic for chronic back pain is demonstrating signs of withdrawal.The nurse identifies these symptoms as being

Before administering a medication to a client,the nurse checks the client's pulse,blood pressure,and laboratory values.The nurse is performing which "right" of medication administration?

The client who regularly uses a metered-dose inhaler four times a day tells the nurse that it is difficult to tell when the canister is empty.What instruction should the nurse give this client?

The nurse is concerned that an older client will have difficulty self-administering medications.What did the nurse assess that caused this concern? Standard Text: Select all that apply.

While reviewing a medication order,the nurse determines that it is written using the metric system.What did the nurse observe to come to this conclusion about the medication order? Standard Text: Select all that apply.

The nurse is administering a medication to a client as prescribed in order to maintain a specific amount of the medication in the client's bloodstream at all times.The nurse is ensuring that which action is being maintained for this client?

The nurse is reviewing a new medication order for a client,and determines that the order is incomplete when which element is missing? Standard Text: Select all that apply.

A client is prescribed a medication to be administered through the parenteral route.The nurse would expect that this medication will be provided through which method? Standard Text: Select all that apply.

A client tells the nurse that the pharmacy will not fill a prescription that was written by the physician.Upon closer examination,what should the nurse determine is missing from the prescription? Standard Text: Select all that apply.

A client is prescribed an oral medication.When reviewing this medication,the nurse realizes it might not be the route of choice for this client because the client is experiencing Standard Text: Select all that apply.