Deck 13: Medication Administration in Community Settings

Question 1

A community health nurse is teaching a client about a new medication. The nurse is aware that it is important to advise clients and families that the therapeutic response from psychotropic drugs may not occur until after:

A) 24 to 72 hours.
B) 1 week.
C) 2 weeks.
D) 6 weeks.

Answer 1

6 weeks.

Question 2

An occupational health nurse works in a setting with standardized medication protocols. The protocol that should be questioned by the professional nurse is administering:

A) ibuprofen for menstrual cramps.
B) antacids for gastric upset.
C) penicillin for signs of infection.
D) acetaminophen for a fever.

Answer 2

penicillin for signs of infection.

Question 3

A client asks a home health aide, called an unlicensed assistive personnel (UAP), to provide medications. Under what conditions can this occur?

A) If the UAP is a nursing student and has taken a pharmacology course
B) If the UAP helps the client to take medication he or she usually self-administers
C) Whenever the client requests a medication
D) Under no circumstances can a UAP give medications in the home

Answer 3

If the UAP helps the client to take medication he or she usually self-administers

Question 4

A child brings unlabeled medications in a plastic bag to the school nurse. What should the nurse do?

A) Call the parent or guardian for the labeled pharmacy bottle.
B) Administer the medication that day and send a note home.
C) Administer the medication if the child can identify the medication
D) Allow the student to take his or her own medication.

Question 5

The nurse recognizes that a(n) _____ client is most likely to need food rituals as part of the medication regimen in the home setting.

A) Amish
B) Egyptian
C) Hispanic
D) Appalachian

Question 6

A client is to be discharged to home after a motor vehicle crash. He is ordered to receive 200 mg of phenobarbital (Luminal) bid for posttraumatic seizures. The drug label states a medication concentration of 20 mg/4 mL. How many mL should be administered to equal the ordered dosage?

A) 20 mL
B) 400 mL
C) 4 mL
D) 40 mL

Question 7

A nurse working in a home is responsible for providing medications to a client. What is true about this procedure?

A) The nurse can give medications only under the direct supervision of a healthcare provider.
B) The nurse may give any medication as requested by the client.
C) The nurse is unable to administer medications in the home.
D) The nurse can give medications only as ordered by a healthcare provider.

Question 8

The nurse is teaching the client about cautions when using over-the-counter medications while the client is taking prescription medications. What is the issue of concern?

A) Drug-lab interactions
B) Drug-drug interactions
C) Drug-food interactions
D) Adverse medication effects

Question 9

The _____ client is most likely to feel a religious obligation to attempt to care for himself or herself before seeking assistance from an outside source is which client.

A) Hispanic
B) Amish
C) Jewish
D) Muslim

Question 10

A client who works on a factory assembly line takes a medication with the side effect of drowsiness. She works the 11:00 PM to 7:00 AM shift. The occupational health nurse would recommend that the client take the medication at:

A) 6:00 AM so it peaks after she leaves work.
B) 8:00 AM when she is home from work.
C) 5:00 PM with her large meal of the day.
D) 10:00 PM to maintain a normal schedule.

Question 11

A nurse working in a school administers medications to many children at lunch. One day, a child states that she "feels funny" after being given a medication and that "she has never felt this way before." What is the correct initial action for the nurse to take?

A) Tell the child to lie down.
B) Call the child's parent or guardian.
C) Assess the child.
D) Send the child back to class.

Question 12

An Asian client enters a community health setting. Based on cultural norms, the nurse might anticipate that the client will:

A) be very verbal and demonstrative about symptoms.
B) have an increased risk for having poor nutrition.
C) be noncompliant with the plan of care.
D) have attempted self-diagnosis and self-treatment.

Question 13

The nurse administers a narcotic to a client who is still complaining of severe pain 15 minutes after administration of the drug. What is the most appropriate response from the nurse?

A) "You should be feeling relief in just a few minutes."
B) "I'll call the doctor to see if I can give you some more."
C) "You're going to have to tough it out until your next dose."
D) "I'll call the pharmacist to see what he says about it."