Deck 35: Researching and Preparing Medications

Question 1

The nurse is called to the room of a client who is receiving an IV antibiotic.The client is flushed, anxious, and short of breath.Which should the nurse do first?

A)Determine the client's blood pressure.
B)Contact the physician.
C)Listen to the client's breath sounds.
D)Stop the IV infusion.

Answer 1

Stop the IV infusion.

Question 2

The nurse is caring for a client who has been diagnosed with a severe, systemic fungal infection.Which route of administration does the nurse anticipate the health-care provider will order?

A)Capsule
B)Ointment
C)IV
D)Inhalants

Answer 2

IV

Question 3

Which medication will require that the nurse open two separate layers of locks?

A)Codeine
B)Diazepam
C)Phenobarbital
D)Anabolic steroids

Answer 3

Codeine

Question 4

A physician has ordered 5 grains of aspirin.Aspirin is available in 300-mg tablets.How many tablets should the nurse give?

A)1
B)2
C)5
D)6

Question 5

While preparing to provide medications, the nursing student correctly recognizes that which of the following safety checks are part of the Six Rights of Medication Administration? Select all that apply.

A)Right dose
B)Right time
C)Right room
D)Right medication
E)Right documentation

Question 6

The nurse is preparing to administer medication to treat a client's irregular heartbeat.Which of the following would require that the nurse withhold the medication?

A)High blood pressure
B)Low pulse
C)Distended abdomen
D)Liquid stools

Question 7

The nurse is reviewing medication orders for a client.Which routes would indicate medications that should be administered by mouth? Select all that apply.

A)Sublingual route
B)Parenteral route
C)Mucosal route
D)Topical route
E)Buccal route

Question 8

The nurse administers a liquid medication via the oral route.While documenting that the medication was administered, the nurse realizes it was ordered to be administered via the parenteral route.Which action should the nurse take?

A)Report it as a medication error.
B)Take no special action because a liquid medication can be administered either way.
C)Log it on the client's chart and inform the health-care provider.
D)Document how medication was administered and give the next dose via the parenteral route.

Question 9

The nursing instructor is teaching a student nurse appropriate medication administration procedure.Which actions indicate that teaching has been successful? Select all that apply.

A)Prior to administration, the student asks the client "When is your birthday?"
B)While at the medication cart, the student opens the medication and places them in a medicine cup.
C)The student reads the original prescriber's orders to confirm route, dosage, and medication prior to administration.
D)The student reads the client's armband before administration.
E)The student carefully examines the pill's size, shape, and color prior to administration.

Question 10

While reviewing new orders for client medications, the nurse recognizes that the order is complete if which of the following is included? Select all that apply.

A)Name of the medication
B)Route of administration
C)Physician signature
D)Client name
E)Name of hospital or facility where medication was prescribed

Question 11

The nurse correctly recognizes that which of the following medications may cause toxicity? Select all that apply.

A)Acetaminophen
B)Valproic acid
C)Gentamicin
D)Penicillin
E)Metoprolol

Question 12

While caring for a client taking tetracycline, the nurse recognizes that teaching has been effective if the client avoids which of the following? Select all that apply.

A)Milk
B)Grapefruit juice
C)Cranberry juice
D)Cottage cheese
E)Ice cream

Question 13

While caring for a client who recently took a new anticonvulsant medication, the nurse correctly contacts the physician immediately if the client reports which of the following?

A)A rash across the abdomen
B)Nausea
C)Itching across the chest and neck
D)Feeling short of breath

Question 14

While reviewing laboratory values, the student notes a client's digoxin level is increased.Which of the following actions should the nurse take regarding the client's scheduled dose of digoxin?

A)The nurse should continue with digoxin until the physician changes the order.
B)The nurse should hold the client's digoxin.
C)The nurse should continue with digoxin but notify the physician of the level.
D)The nurse should check the client's pulse and blood pressure before administration.

Question 15

The nurse verifies the client, medication, dose, and route several times when preparing medications for administration.These required safety checks occur:

A)At the beginning of each shift.
B)When the nurse removes the medication from the cart.
C)After documenting the medication on the medication administration record (MAR).
D)After placing the medication in the cup.

Question 16

The nurse is checking to be sure the medication that is being administered is correct.Which actions will help the nurse determine this? Select all that apply.

A)Examine the size of the pill.
B)Examine the shape the pill.
C)Read the original prescriber's order.
D)Ask the client to confirm his or her name.
E)Read the label on the medication and compare it with the MAR.

Question 17

While being admitted to the unit, a client reports, "I'm allergic to Vicodin; it makes me sick to my stomach." Which is the best action for the nurse to take?

A)Record Vicodin under allergies, along with the client's reported symptoms.
B)Inform the client this is not a true allergy.
C)Make a note on the chart that the client cannot take Vicodin.
D)Contact the physician to report the client's allergies.

Question 18

While providing care and medications to a number of clients during the shift, the nurse correctly recognizes that which of the following clients has the greatest risk for an adverse drug reaction?

A)A 29-year-old man with a history of asthma
B)A 55-year-old man with a liver infection
C)A 41-year-old woman being treated for pneumonia
D)A 68-year-old woman with a cerebral vascular accident (CVA)

Question 19

A nurse has his or her license suspended for personally taking medications that were prescribed for clients.This is an example of:

A)A medication error
B)Toxicity.
C)Drug diversion.
D)An adverse effect.

Question 20

The nurse is caring for a client who has been prescribed morphine to help manage postoperative pain.Which of the following statements made by the nurse is true?

A)"This is classified in the same category as peyote."
B)"You are more likely to become addictive to atropine than this medication."
C)"This is a Schedule IV medication."
D)"We must monitor your intake of this medication closely because it is highly addictive."

Question 21

The client has an order for a cardiac glycosides medication bid.Which actions should the nurse take prior to administering this medication? Select all that apply.

A)Check the client's digoxin blood levels.
B)Check the client's bladder distention.
C)Check the client's apical pulse.
D)Check the client's potassium levels.
E)Check the client's liver function.

Question 22

The prescriber's order reads notes that a medication should be administered "po bid." How can the nurse accurately describe this order to the client? Select all that apply.

A)"You'll be receiving this medication three times per day."
B)"You'll receive this medication with each meal."
C)"You'll take this medication by mouth."
D)"You'll receive this medication through an injection."
E)"You'll take this medication every 12 hours."