Question 1

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.

Second

A)Place scored medication in a scoring device and cut smoothly.
B)Explain the planned procedure to the client.
C)Place dose of medication in a medication cup.
D)Obtain medication, medication cup, water, and the client chart.
E)Give the client the medication with a glass of water.

Explain the planned procedure to the client.

Accepted Answer

The nurse should first explain the planned procedure to the client to ensure understanding and consent before proceeding with medication administration.

Question 2

The nurse provides teaching for the mother of a 10-year-old patient who will begin taking Adderall XR. Which statement would the nurse include in the teaching?&#10;A) &#34;Your child will need to take this medication at even intervals throughout the day.&#34;&#10;B) &#34;This medication is very helpful for children who have problems with bed-wetting.&#34;&#10;C) &#34;If your child has trouble with pills, you can crush this and add it to pudding.&#34;&#10;D) &#34;This medication is designed to be released into the bloodstream all day long.&#34;

Accepted Answer

Adderall XR is an extended-release medication and is designed to be released slowly and consistently throughout the day. Taking the medication at even intervals throughout the day ensures that the child receives the full benefit of the medication. Crushing the medication or adding it to pudding could lead to incorrect dosing or uneven release of the medication. While Adderall XR has been found to be helpful for some children with bed-wetting, this is not the primary indication for the medication, and it is not a guarantee that it will be helpful for every child with this issue.

Question 3

The nurse notes &#34;Antifungal troches to buccal mucosa tid&#34; as a new client order. The nurse explains to the client that this medication will be delivered:&#10;A) As a capsule inserted rectally&#10;B) As a liquid applied under the tongue&#10;C) As a pill to be swallowed&#10;D) As a lozenge to be held in the cheek

Accepted Answer

Antifungal troches are lozenges that are dissolved in the mouth and held against the buccal mucosa (inner cheek) to treat fungal infections in the mouth. They are not capsules, liquids, or pills to be swallowed.

Question 4

The nurse is preparing liquid acetaminophen (Tylenol) solution. The recommended dose is 30 mL, which will be provided via the client's gastrostomy tube. A tube feeding is currently infusing through the gastrotomy tube. Which of the following actions by the nurse is best?

A) Measure the liquid in a medicine cup with the meniscus at the 30 mL mark, disconnect the tube feeding, aspirate stomach contents, flush with water, instill the Tylenol, flush with water, and reconnect the tube feeding.
B) Measure the liquid in a medicine cup with the bottom of the fluid at the 30-mL mark, disconnect the tube feeding, aspirate stomach contents, instill the Tylenol, flush with water, and reconnect the tube feeding.
C) Measure the medication with a tablespoon, disconnect the tube feeding, flush with water, instill the Tylenol, flush with water, and reconnect the tube feeding.
D) Measure the liquid with a syringe, disconnect the tube feeding, aspirate stomach contents, instill the Tylenol, and reconnect the tube feeding.

Accepted Answer

The best practice for administering medication via a gastrostomy tube involves several steps to ensure safety and effectiveness. Measuring the medication accurately in a medicine cup to the meniscus at the 30 mL mark ensures an accurate dose. Disconnecting the tube feeding and aspirating stomach contents helps to check for residual and potential feeding intolerance. Flushing with water before and after medication administration helps to clear the tube and ensure the medication is delivered into the stomach, and not left in the tube. Finally, reconnecting the tube feeding continues the prescribed nutritional support. This comprehensive approach minimizes the risk of tube clogging, ensures medication efficacy, and maintains nutritional support.

Question 5

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.

Second

A)Place scored medication in a scoring device and cut smoothly.
B)Explain the planned procedure to the client.
C)Place dose of medication in a medication cup.
D)Obtain medication, medication cup, water, and the client chart.
E)Give the client the medication with a glass of water.

Explain the planned procedure to the client.

Accepted Answer

The answer of The nurse is preparing to give half...

Question 6

All of the following medications have been ordered for a patient who has suffered a stroke. The patient can swallow pills if they are crushed and placed in applesauce. Which should the nurse recognize as appropriate to administer in this manner? (Select all that apply.)

A) Enteric-coated aspirin tablet
B) Robitussin cough syrup
C) Adderall XR capsule
D) Extended-release morphine
E) Acetaminophen (Tylenol) tablet

Accepted Answer

Acetaminophen (Tylenol) tablet can be crushed and mixed with applesauce for easier administration. It is important not to crush enteric-coated medications, as this can alter their absorption rate and effectiveness. Robitussin cough syrup and Adderall XR capsule are liquid and capsule formulations, respectively, and do not need to be crushed. Extended-release morphine should not be crushed, as this can result in a potentially fatal overdose due to rapid release of the medication into the bloodstream.

Question 7

A student nurse asks a friend in the program, &#34;What does it mean when a medication is buffered?&#34; Which response by the friend is best?&#10;A) &#34;Buffered medications have been dissolved in oils or fats.&#34;&#10;B) &#34;That means the medication has added antacids to reduce stomach upset.&#34;&#10;C) &#34;Buffering extends the metabolism of the drug so it stays in the system longer.&#34;&#10;D) &#34;You cannot crush a tablet if it is buffered because it has a special coating.&#34;

Accepted Answer

Buffered medications have added antacids which can help reduce stomach upset. The antacids neutralize stomach acid, which can sometimes cause irritation or discomfort when taking certain medications.

Question 8

Which of the following medications should not be used for a client with diabetes? (Select all that apply.)&#10;A) Emulsions&#10;B) Elixirs&#10;C) Magmas&#10;D) Solutions&#10;E) Suspensions&#10;F) Syrups

Accepted Answer

Elixirs and syrups often contain sugar, which can affect blood glucose levels and should be used cautiously or avoided in clients with diabetes.

Question 9

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.

Second

A)Place scored medication in a scoring device and cut smoothly.
B)Explain the planned procedure to the client.
C)Place dose of medication in a medication cup.
D)Obtain medication, medication cup, water, and the client chart.
E)Give the client the medication with a glass of water.

Explain the planned procedure to the client.

Accepted Answer

The first step is to obtain the medication, medication cup, water, and the client chart.

Question 10

The nursing instructor is supervising medication administration for a client prescribed prednisone (Deltasone). The instructor would intervene if which of the following were observed?&#10;A) The student provided the medication with a glass of water when the patient had not eaten.&#10;B) The student verified the client's name and birthdate prior to opening the medication.&#10;C) The student checked the available dosage of medication against the order.&#10;D) The student identified side effects of the medication and educated the patient.

Accepted Answer

Prednisone should be taken with food to prevent stomach irritation. Therefore, the nurse should not administer it with a glass of water when the patient has not eaten. This could result in gastric irritation and potential gastrointestinal bleeding. All other options are appropriate nursing interventions during medication administration.

Question 11

At home, a nurse finds a bottle of cough medicine elixir opened on the bathroom sink and realizes it was left there in the middle of the night when the nurse's spouse was taking the medication. Which of the following actions is most appropriate?

A) Determine how much elixir was taken.
B) Recap the bottle of medication and place it back in the medicine cabinet.
C) Discard any remaining medication.
D) Insist the spouse be more responsible with medications in the future.

Accepted Answer

The answer of At home, a nurse finds a bottle...

Question 12

The nurse must shake which of the following prior to preparation and administration?&#10;A) Emulsion&#10;B) Elixir&#10;C) Suspension&#10;D) Solution

Accepted Answer

The answer of The nurse must shake which of the...

Question 13

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.

Second

A)Place scored medication in a scoring device and cut smoothly.
B)Explain the planned procedure to the client.
C)Place dose of medication in a medication cup.
D)Obtain medication, medication cup, water, and the client chart.
E)Give the client the medication with a glass of water.

Explain the planned procedure to the client.

Accepted Answer

The answer of The nurse is preparing to give half...

Question 14

The nurse is preparing to give half a tablet of a diuretic to a client. Place the following steps in the order the nurse should follow to carry out the procedure.

Second

A)Place scored medication in a scoring device and cut smoothly.
B)Explain the planned procedure to the client.
C)Place dose of medication in a medication cup.
D)Obtain medication, medication cup, water, and the client chart.
E)Give the client the medication with a glass of water.

Explain the planned procedure to the client.

Accepted Answer

The answer of The nurse is preparing to give half...

Deck 9: Enteral Medications and Administration