Deck 15: Administering Oral and Enteral Medications

Question 1

Place the following "rights" of medication administration in the order they would be performed by a nurse who is administering a drug to the client.

A)Right medication Response
B)Right to refuse Response
C)Right documentation Response
D)Right client Response
E)Right route

Answer 1

Right medication Response
Right to refuse Response
Right documentation Response
Right client Response
Right route

Question 2

The nurse prepares a narcotic analgesic for the client.When the nurse enters the client's room to administer the medication,the client drops the capsule on the floor.Which action by the nurse is the most appropriate?

A)Wipe it off and administer it anyway because it's a narcotic.
B)Throw the pill in the trash can in the client's room and get a replacement.
C)Discard the tablet according to facility policy,with another nurse cosigning the waste,and obtain a new capsule to administer to the client.
D)Discard the tablet according to facility policy,with the unlicensed assistive personnel cosigning the waste,and obtain a new capsule to administer to the client.

Answer 2

Discard the tablet according to facility policy,with another nurse cosigning the waste,and obtain a new capsule to administer to the client.

Question 3

The nurse is preparing several medications to administer via nasogastric tube.Which action by the nurse demonstrates correct technique?

A)Administering one medication at a time every 15 minutes
B)Giving one medication at a time,flushing the tube with water,and then administering another medication
C)Mixing the medications together and giving them at one time
D)Calling the pharmacy to ask if all of the medications may be safely mixed together

Answer 3

Giving one medication at a time,flushing the tube with water,and then administering another medication

Question 4

The health care provider orders "Tylenol 2 tabs p.o.q4h PRN pain" in the client's medical record.Which action by the nurse is the most appropriate?

A)Accept the order as complete.
B)Clarify the dosage.
C)Clarify the frequency.
D)Clarify the client.

Question 5

When the health care provider prescribes a STAT medication order,when is the nurse expected to administer the medication?

A)Within the next 4 hours
B)Within the next 2 hours
C)Within the next hour
D)As soon as possible

Question 6

The nurse is acting as the medication nurse during a cardiorespiratory resuscitation.The health care provider orders medications,which the nurse prepares and administers.Which classification is the most appropriate for the medication orders that are provided by the health care provider?

A)PRN orders
B)Standing orders
C)STAT orders
D)ASAP orders

Question 7

The nurse preparing to administer acetaminophen has the option of administering it in liquid,tablet,capsule,caplet,or rectal form.Which client would cause the nurse to choose the caplet form of the medication for administration?

A)3-year-old pediatric client
B)Adult client who has difficulty swallowing tablets despite an intact swallowing reflex
C)Older adult client with dysphagia
D)Client whose medications are administered via nasogastric tube

Question 8

The nurse has just finished training for medication administration.When discussing implications for safe medication administration errors,which items need to be taken into consideration prior to administering medications?

A)Using two client identifiers to identify the client
B)Verifying verbal or telephone prescriptions by using the "read-back" of the complete order
C)Asking the client if his name is "Mr.xyz" prior to medication administration
D)Reviewing and identifying the list of look-alike/sound-alike drugs used on the unit
E)Encouraging the client to be active in the management of his own care

Question 9

Which is the priority safety action of the nurse after removing one medication from the drug cart for administration to a client?

A)Locking the drug cart before walking away
B)Obtaining the client's medication administration record (MAR)
C)Performing hand hygiene
D)Documenting the drug's administration

Question 10

The nurse administers a PRN pain medication to a client.When should the nurse document this medication administration?

A)Immediately
B)Within the hour
C)At the end of the shift
D)Within 4 hours

Question 11

The nurse is preparing medications for the client using a cabinet in the client's room.Which medication would the nurse not find in the medication cabinet?

A)Routine medications
B)Controlled substances
C)PRN medications
D)Liquid medications

Question 12

The nurse receives an order for Motrin and recognizes this as which drug name?

A)Generic
B)Brand
C)Chemical
D)Official

Question 13

The nurse receives this order: "Administer Ativan (lorazepam)0.1 mg IV whenever seizure occurs." The nurse recognizes this as which type of medication order?

A)Stat order
B)Single order
C)Routine order
D)PRN order

Question 14

The nurse receives an order for a medication and sends the order to the pharmacy to be filled.When the medication arrives,the nurse administers it,and later recognizes the client has a documented allergy to this medication.The client has an acute allergic reaction and dies.Who is legally liable for this error?

A)The health care provider who ordered the drug
B)The pharmacist who filled the order
C)The nurse who administered the drug
D)The nurse,the pharmacist,and the health care provider

Question 15

The nurse is reviewing a client's medical record and notices that not all of the orders appear complete.Which items must be included for the order to be noted and implemented?

A)The right client
B)The client's age
C)The route
D)The dosage
E)The client's sex

Question 16

The nurse accidentally administers the client's medication to the wrong client.Place the nursing actions in the order they should be performed.

A)Notify the health care provider and/or charge nurse.Response
B)Document the medication error and complete an incident or event form.Response
C)Administer the medications to the proper client.Response
D)Assess the client receiving the wrong medications.Response
E)Monitor the client who received the wrong medications frequently for untoward effects of the drugs.

Question 17

The nurse is using multidose floor stock to prepare a liquid medication for the client.Which actions by the nurse would reflect correct technique?

A)Shaking the bottle before pouring the medication
B)Placing the palm of the hand on the opposite side of the label on the bottle
C)Checking that it is the proper medication when removing it from the shelf,when pouring it,and prior to replacing it on the shelf
D)Determining the dosage per volume of the medication
E)Calculating the proper amount required to administer the ordered dose,and then rechecking calculations

Question 18

The nurse identifies the client using two forms of identification.Which methods would be acceptable?

A)Ask the client,"Is your name Mr.xyz?"
B)Check the client's identification band.
C)Check the client's room number.
D)Ask the client for the birthdate.
E)Ask the client for the telephone number.

Question 19

The nurse is caring for a client with dyspnea resulting from pulmonary edema secondary to congestive heart failure.The health care provider is notified,and the nurse receives a verbal order for Lasix 40 mg STAT.Which action by the nurse is the most appropriate?

A)Administer the medication immediately.
B)Clarify the route for administration.
C)Give the medication IV because the client is in distress and rapid effects are needed.
D)Hold the medication until the prescriber comes to the unit to clarify route and sign the order.

Question 20

The health care provider prescribes Cardizem SR (diltiazem)for a client with a nasogastric tube.When administering this medication by this route,which action by the nurse is the most appropriate?

A)Pouring the liquid inside the capsule into a syringe to administer it via nasogastric tube
B)Crushing the capsule with a mortar and pestle to administer it via nasogastric tube
C)Holding the medication because it cannot be given via nasogastric tube
D)Calling the health care provider and requesting a different medication order

Question 21

The client is complaining of pain and requesting medication.The client has several different pain medication options to choose from.Using the rights of drug administration,which right should the nurse use to determine the correct medication to administer?

A)The route
B)The time
C)The assessment
D)The client

Question 22

The nurse is working with an unlicensed assistive personnel (UAP)during a busy shift while administering medications.Which actions by the nurse are inappropriate when working with the UAP?

A)Informing the UAP of the therapeutic effects that will be seen
B)Requesting that the UAP inform the nurse if a side effect of the medication is noted
C)Asking the UAP to assess vital signs after administering a blood pressure medication
D)Telling the UAP to administer acetaminophen to a client since it is not a controlled substance
E)Asking the UAP to check a client's pain after the nurse administers an analgesic